内镜的知情同意:阅读,理解,或者只是签名?
Ana Catarina Carvalho1, Ricardo Cardoso1, Hugo Marcelo Vieira2
1Department of Gastroenterology, Centro Hospitalar Tondela-Viseu, EPE, Viseu, Portugal.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
大多数患者没有充分阅读或理解胃肠内镜的知情同意表,尽管他们收到了. 需要新的策略来改善患者对知情同意过程的理解和参与.
科学领域:
- 胃肠病学 胃肠病学
- 医学伦理 医学伦理
- 患者教育 患者教育
背景情况:
- 对于胃肠道 (GI) 内镜来说,知情同意是强制性的.
- 标准化知情同意文件并确保患者的理解仍然是一个挑战.
- 患者阅读和理解提供的信息的程度通常是未知的.
研究的目的:
- 评估患者阅读和理解GI内镜知情同意表格和信息传单.
- 评估邮寄信息和具体指令的有效性.
- 确定影响患者理解知情同意的因素.
主要方法:
- 一个单一中心,前性,观察性研究于2021年4月至2022年4月进行.
- 包括接受选择性门诊EGD (食管胃管腺镜) 和结肠镜检查的成年患者.
- 通过患者签名,问卷填写和邮寄文件后的文本指令任务来评估知情同意的理解.
主要成果:
- 232名患者参与了这项研究 (50.6%是男性,平均年龄为63.8岁).
- 86.6%的人表示阅读了表格,但只有24.6%的人表现出了足够的阅读和理解.
- 在充足的阅读和人口或教育变量之间没有发现显著的关联.
结论:
- 尽管及时提供信息,但大多数患者无法充分阅读或理解肠道内镜同意文件.
- 需要新的策略来加强患者参与决策.
- 改善知情同意流程可以加强医生与患者的关系.
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