知情同意书·知情告知页-北京中医研究所循证评价系统.pdfVIP

版本号：NSF版本日期：2014 年11 月09 日 知情同意书·知情告知页 Information Consent Form: Notify 亲爱的患者： Dear patients: 我们将邀请您参加一项“中西医合作脾胃病医患共建式循证病历探索研究”，用来探索 中西医合作治疗脾胃病（消化疾病）的临床疗效评价方法。在您决定是否参加这项研究之 前，请尽可能仔细阅读以下内容，它可以帮助您了解该项研究以及为何要进行这项研究， 研究的程序和期限，参加研究后可能给您带来的益处、风险和不适。如果您愿意，您也可 以和您的亲属、朋友一起讨论，或者请您的医生给予解释，帮助您做出决定。 We will invite you to participate in anevidence-based medical history research which is based on the combination of western and traditional Chinese medicine theory and requires cooperation between doctors and patients. The research is to explore clinical methods to evaluate efficacy when using the combination of western and traditional Chinese medicine to treat spleen and stomach diseases (digestive diseases). Before you decide whether to participate in the research, please read carefully the following content which may help you understand why the researchwill be conducted, what are the procedures, how long will the research last as well as the benefits, risks and discomfort brought by participating in the research. You can discuss with your relatives and friends or ask for advice from your doctor to make a decision. 研究介绍 Introduction to the Research 一、研究背景和研究目的 Ⅰ Background and Purpose of the Research 1、疾病负担和治疗现状 1. The Burden of Diseases and Present Situation of Treatment 门诊的启示：门诊总是见到患者拿出一张纸来，“大夫，我怕忘了，写下来，我看看这 几个问题” 。写的纸条也有长有短。简单就是列举的条目，还有写在病历本上的，复杂的讲 述着求医的过程，更精致的，还有画的图表，并且编辑的纲举目张，然后打印出来。由此， 我们可以看得出来，临床诊疗的实际需求，需要患者的积极参与。同时门诊时间的不足， 需要医生和患者的互相了解。 Inspiration from outpatient department: patientsoften took a piece of paper to see the doctor and said “Im afraid that I might forget so I wrote some notes to remind me of why Icame here.Their notes could be as short as an entry list or complex with detailswritten on a medical history book about how to communicate with the doctor. Some patients even had printed notes with charts neat and tidy. Thus, we can se