PDF(Pubmed)
Abstract：
BACKGROUND: This study aims to investigate the integration of modern sources of patient information, such as videos, internet-based resources, and scientific abstracts, into the traditional patient informed consent process in outpatient elective surgeries. The goal is to optimize the informed consent experience, enhance patient satisfaction, and promote shared decision making (SDM) between patients and surgeons. By exploring different patient informed consent formats and their impact on patient satisfaction, this research seeks to improve healthcare practices and ultimately enhance patient outcomes. The findings of this study will contribute to the ongoing efforts to improve the informed consent process in public hospitals and advance patient-centred care.
METHODS: Data collection occurred at the day care clinic of a prominent German public hospital, forming an integral component of a prospective clinical investigation. The study exclusively focused on individuals who had undergone surgical intervention for skin cancer. For the purpose of meticulous data examination, the statistical software SPSS version 21 was harnessed. In the course of this study, a chi-square test was aptly employed. Its purpose was to scrutinize the nuances in patient experiences pertaining to informed consent across four distinct categories, viz., oral informed consent discussion (Oral ICD), written informed consent discussion (Written ICD), video-assisted informed consent discussion (video-assisted ICD), and digitally assisted informed consent discussion (digital-assisted ICD). The primary dataset of this inquiry was diligently gathered via a structured questionnaire administered to a targeted cohort of 160 patients. Within this sample, a balanced representation of genders was observed, encompassing 82 males and 78 females. Their collective age span ranged from 18 to 92 years, with an average age of 71 years. A randomized selection methodology was employed to include participants in this study during the period spanning from July 2017 to August 2018.
RESULTS: Significant differences were observed across the groups for all research questions, highlighting variations in patient responses. Video-assisted and digital-assisted IC were rated as superior in patient satisfaction with information compared to written and oral IC. Demographic profiles of the four study groups were found to be comparable.
CONCLUSIONS: The findings of this study indicate that the incorporation of digital technologies in the informed consent process can enhance patient understanding during outpatient elective skin cancer surgeries. These results have important implications for increasing patient satisfaction and improving the SDM process within the hospital environment.
METHODS: Data collection occurred at the day care clinic of a prominent German public hospital, forming an integral component of a prospective clinical investigation. The study exclusively focused on individuals who had undergone surgical intervention for skin cancer. For the purpose of meticulous data examination, the statistical software SPSS version 21 was harnessed. In the course of this study, a chi-square test was aptly employed. Its purpose was to scrutinize the nuances in patient experiences pertaining to informed consent across four distinct categories, viz., oral informed consent discussion (Oral ICD), written informed consent discussion (Written ICD), video-assisted informed consent discussion (video-assisted ICD), and digitally assisted informed consent discussion (digital-assisted ICD). The primary dataset of this inquiry was diligently gathered via a structured questionnaire administered to a targeted cohort of 160 patients. Within this sample, a balanced representation of genders was observed, encompassing 82 males and 78 females. Their collective age span ranged from 18 to 92 years, with an average age of 71 years. A randomized selection methodology was employed to include participants in this study during the period spanning from July 2017 to August 2018.
RESULTS: Significant differences were observed across the groups for all research questions, highlighting variations in patient responses. Video-assisted and digital-assisted IC were rated as superior in patient satisfaction with information compared to written and oral IC. Demographic profiles of the four study groups were found to be comparable.
CONCLUSIONS: The findings of this study indicate that the incorporation of digital technologies in the informed consent process can enhance patient understanding during outpatient elective skin cancer surgeries. These results have important implications for increasing patient satisfaction and improving the SDM process within the hospital environment.
摘要：
背景：本研究旨在调查现代患者信息来源的整合，比如视频,基于互联网的资源，和科学摘要，在门诊择期手术中纳入传统的患者知情同意过程。目标是优化知情同意体验，提高患者满意度,并促进患者和外科医生之间的共同决策（SDM）。通过探讨不同的患者知情同意格式及其对患者满意度的影响,这项研究旨在改善医疗保健实践并最终提高患者治疗效果.这项研究的结果将有助于不断努力改善公立医院的知情同意程序并推进以患者为中心的护理。
方法：数据收集发生在德国一家著名公立医院的日托诊所，形成前瞻性临床研究的组成部分。该研究专门针对接受过皮肤癌手术干预的个体。为了进行细致的数据检查，利用统计软件SPSS21版。在本研究过程中,适当地采用了卡方检验。其目的是仔细检查患者经验中与四个不同类别的知情同意有关的细微差别。viz.,口头知情同意讨论（口头ICD），书面知情同意讨论（书面ICD），视频辅助知情同意讨论（视频辅助ICD），和数字辅助知情同意书讨论（数字辅助ICD）。该调查的主要数据集是通过对160名患者的目标队列进行结构化问卷认真收集的。在这个样本中，观察到性别的平衡代表，包括82名男性和78名女性。他们的集体年龄跨度从18岁到92岁，平均年龄71岁。在2017年7月至2018年8月期间，采用随机选择方法将参与者纳入本研究。
结果：在所有研究问题的组间观察到显著差异，突出患者反应的变化。视频辅助和数字辅助IC在患者对信息的满意度方面被评为优于书面和口头IC。发现四个研究组的人口统计学特征具有可比性。
结论：这项研究的结果表明，在知情同意过程中结合数字技术可以在门诊选择性皮肤癌手术期间增强患者的理解。这些结果对于提高患者满意度和改善医院环境中的SDM流程具有重要意义。
方法：数据收集发生在德国一家著名公立医院的日托诊所，形成前瞻性临床研究的组成部分。该研究专门针对接受过皮肤癌手术干预的个体。为了进行细致的数据检查，利用统计软件SPSS21版。在本研究过程中,适当地采用了卡方检验。其目的是仔细检查患者经验中与四个不同类别的知情同意有关的细微差别。viz.,口头知情同意讨论（口头ICD），书面知情同意讨论（书面ICD），视频辅助知情同意讨论（视频辅助ICD），和数字辅助知情同意书讨论（数字辅助ICD）。该调查的主要数据集是通过对160名患者的目标队列进行结构化问卷认真收集的。在这个样本中，观察到性别的平衡代表，包括82名男性和78名女性。他们的集体年龄跨度从18岁到92岁，平均年龄71岁。在2017年7月至2018年8月期间，采用随机选择方法将参与者纳入本研究。
结果：在所有研究问题的组间观察到显著差异，突出患者反应的变化。视频辅助和数字辅助IC在患者对信息的满意度方面被评为优于书面和口头IC。发现四个研究组的人口统计学特征具有可比性。
结论：这项研究的结果表明，在知情同意过程中结合数字技术可以在门诊选择性皮肤癌手术期间增强患者的理解。这些结果对于提高患者满意度和改善医院环境中的SDM流程具有重要意义。
