Patient education and informed consent in head and neck surgery

被引:107
作者
Chan, Y
Irish, JC
Wood, SJ
Rotstein, LE
Brown, DH
Gullane, PJ
Lockwood, GA
机构
[1] Univ Hlth Network, Princess Margaret Hosp, Wharton Head & Neck Ctr, Dept Otolaryngol, Toronto, ON M5G 2M9, Canada
[2] Univ Hlth Network, Princess Margaret Hosp, Wharton Head & Neck Ctr, Dept Surg Oncol, Toronto, ON M5G 2M9, Canada
[3] Univ Hlth Network, Princess Margaret Hosp, Wharton Head & Neck Ctr, Dept Biostat, Toronto, ON M5G 2M9, Canada
[4] Univ Toronto, Dept Otolaryngol, Toronto, ON, Canada
[5] Univ Toronto, Dept Surg Oncol, Toronto, ON, Canada
关键词
D O I
10.1001/archotol.128.11.1269
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective: To examine the effects of an educational intervention, in the form of printed material, on patient knowledge and. recall of possible risks from parotidectomy or thyroidectomy. Design: Prospective, randomized, controlled study conducted during a 9-month period. Setting: Head and neck surgery clinic of an academic tertiary care hospital. Patients: One hundred-twenty-five consecutive patients older than 16 years who were undergoing thyroidectomy or parotidectomy at the head and neck surgery clinic were recruited. Four patients were excluded from analysis because their follow-up interview was not within the required limits. Intervention: At the preoperative visit during the routine consent process, both groups received a verbally delivered checklist of risks specific for the surgery to be performed. The intervention group was also given a pamphlet with written information accompanied by illustrations. Main Outcome Measures: The effectiveness of the educational intervention was determined by comparing the average rate of risk recall between the intervention and control groups. The effects of age, sex, level of education, and time between the consent and recall interviews on recall rate were also assessed. Results: The overall risk recall rate for both procedures was 39.1%. The recall rate of the intervention group was 50.3% compared with 29.5% for the control group (P<.001), Conclusions: The intervention consistently improved risk recall for all patients regardless of age, sex, and level of education. Patients' ability to recall potential risks was significantly increased by an educational intervention; all patients would benefit from this. intervention.
引用
收藏
页码:1269 / 1274
页数:6
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