在髋部骨折手术前告诉病人真相。

IF 3 1区 哲学 Q1 ETHICS BMC Medical Ethics Pub Date : 2024-06-19 DOI:10.1186/s12910-024-01067-3
Rawan Masarwa, Merav Ben Natan, Yaron Berkovich
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引用次数: 0

摘要

背景:髋部骨折修复手术具有一定的死亡率风险,但有证据表明,骨科医生在手术前往往不与患者讨论这一问题。目的:本研究旨在探讨骨科医生是否在髋部骨折修复手术前提出术后一年的死亡率问题,并探讨影响这一决定的因素:研究采用横断面设计,向 150 名骨科医生发放经过验证的数字问卷:结果:少数骨科医生表示,他们总是告知患者髋部骨折术后一年内的死亡风险。不讨论这一风险的主要原因是希望避免惊吓患者、时间有限以及担心影响患者的希望。骨科医生的自我效能感处于中等偏上水平,自我效能感越高,讨论一年内死亡风险的可能性就越低。相反,年龄越大、拥有矫形外科专家身份的外科医生与患者讨论这一风险的可能性越大:这些研究结果表明,有必要采取干预措施来解决沟通障碍,并确保为接受髋部骨折手术的患者提供一致的基本信息。此外,这些研究还强调了在设计改善骨科护理环境中患者与医护人员沟通的策略时考虑自我效能、年龄和专业知识等个体因素的重要性:该研究未报告医疗干预的结果。
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Telling the truth to patients before hip fracture surgery.

Background: Hip fracture repair surgery carries a certain mortality risk, yet evidence suggests that orthopedic surgeons often refrain from discussing this issue with patients prior to surgery.

Aim: This study aims to examine whether orthopedic surgeons raise the issue of one-year post-surgery mortality before hip fracture repair surgery and to explore factors influencing this decision.

Method: The study employs a cross-sectional design, administering validated digital questionnaires to 150 orthopedic surgeons.

Results: A minority of orthopedic surgeons reported always informing patients about the risk of mortality in the year following hip fracture surgery. The main reasons for not discussing this risk were a desire to avoid frightening patients, time constraints, and concerns about undermining patient hope. Orthopedic surgeons reported a medium-high level of perceived self-efficacy, with higher self-efficacy associated with a reduced likelihood of discussing one-year mortality risk. Conversely, older age and holding a specialist status in orthopedic surgery were associated with an increased likelihood of discussing this risk with patients.

Conclusions: These findings suggest a need for interventions to address communication barriers and ensure consistent provision of essential information to patients undergoing hip fracture surgery. Additionally, they highlight the importance of considering individual factors such as self-efficacy, age, and expertise in designing strategies to improve patient-provider communication in orthopedic care settings.

Trial registration: The study doesn`t report the results of a health care intervention.

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来源期刊
BMC Medical Ethics
BMC Medical Ethics MEDICAL ETHICS-
CiteScore
5.20
自引率
7.40%
发文量
108
审稿时长
>12 weeks
期刊介绍: BMC Medical Ethics is an open access journal publishing original peer-reviewed research articles in relation to the ethical aspects of biomedical research and clinical practice, including professional choices and conduct, medical technologies, healthcare systems and health policies.
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