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Use of an educational video with mobile technology for the informed consent process: A randomised controlled trial on patients undergoing surgery for an impacted lower third molar

医学 知情同意 召回 感觉障碍 牙关紧闭 随机对照试验 干预(咨询) 外科 物理疗法 臼齿 牙科 护理部 替代医学 哲学 语言学 病理
作者
Yoshiko Myoken,Takeshi Kawamoto,Yoshinori Fujita,Yohei Tsubahara,Shigeaki Toratani,Souichi Yanamoto,Yoshinari Myoken
出处
期刊:British Journal of Oral & Maxillofacial Surgery [Elsevier BV]
卷期号:61 (7): 497-502
标识
DOI:10.1016/j.bjoms.2023.07.002
摘要

The purpose of this study was to determine whether audiovisual presentation of consent information would significantly improve patients’ postoperative recall of risks and complications regarding surgical removal of impacted lower third molars compared to the presentation of traditional written consent information. A randomised controlled study on 59 patients undergoing third molar removal was conducted. Patients in the intervention group (n = 30) viewed an educational video on risks and complications related to surgery using mobile tablets. Control-group patients (n = 29) received written information of the risks and complications. Patients’ postoperative recall of potential risks for dysesthesia of the lower lip and tongue, infection, and bleeding along with surgical complications of facial oedema, trismus, and pain were assessed using true-false tests. The effect of audiovisual information on postoperative recall of the risks and complications was determined by comparing accuracy scores between the intervention group and control group using the independent t-test. The intervention group was found to have significantly better recall scores of the potential risks and complications, due to much higher accuracy in their recall of bleeding and dysesthesia of the lower lip and/or tongue, compared to the control group [mean (SD) 4.70 (0.94) vs 3.76 (1.50), p = 0.003]. The use of an educational video played on mobile tablets rather than a written pamphlet may lead to better understanding of the informed consent process in patients.

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