2021年埃塞俄比亚中北部德布雷塔博尔综合专科医院择期手术患者对麻醉及麻醉医生的认知及其相关因素：横断面研究
Awareness and its associated factors towards anesthesia and anesthetists' among elective surgical patients in Debre Tabor Comprehensive Specialized Hospital, North Central Ethiopia 2021: Cross-sectional study.
作者信息
Fentie Yewlsew, Simegnew Tadelech
机构信息
Department of Anesthesia, College of Health Sciences, School of Medicine, Debre Tabor University, Debre Tabor, Ethiopia.
出版信息
Ann Med Surg (Lond). 2021 Jul 29;68:102640. doi: 10.1016/j.amsu.2021.102640. eCollection 2021 Aug.
BACKGROUND
Patient awareness level of anesthesia and anesthetist is not well known in the study area which makes patients blind about the risk and benefits of anesthesia and the role of anesthetists'. This study aimed to assess elective surgical patients' awareness and its associated factors of anesthesia and anesthetists' in Debre tabor comprehensive specialized Hospital, north-central Ethiopia, 2021.
METHOD
Institutional based cross-sectional study was conducted on 367 patients who underwent for elective general surgery in Debre Tabor Comprehensive Specialized Hospital from December 15, 2020, up to May 15, 2021. Data were collected with a structured questionnaire of 13 items after translating the English version to the local language (Amharic). Descriptive statistics were expressed in percentage and presented with tables. Bivariable and multivariable logistic analysis were done to identify factors associated with the awareness level of patients on anesthesia and anesthetists. Statistical significance level was set at P < 0.05 with 95 % CI.
RESULTS
In this study, 25.1 % [95 % CI= (20.7-29.6)] of patients were adequately aware of anesthesia and anesthetist. Multivariable logistic analyses showed that male patients [AOR = 1.90; 95 % CI= (1.03-3.52)], level of education of secondary school [AOR = 3.20; 95 % CI= (1.07-9.61)] and collage and above [AOR = 4.75; 95 % CI= (1.73-13.06)], patients from Urban [AOR = 6.34; 95 % CI= (3.01-13.39)], and patients with previous anesthesia exposure [AOR = 3.43; 95 % CI= (1.76-6.69)] were more aware of anesthesia and anesthetist than their counterparts.
CONCLUSION
The awareness level of patients about anesthesia and anesthetists in this study was poor. Sex, residency, educational level, and previous anesthesia exposure were factors associated with patients' awareness level of anesthesia and anesthetists.
背景
在研究区域，患者对麻醉和麻醉医生的认知水平尚不清楚，这使得患者对麻醉的风险和益处以及麻醉医生的作用一无所知。本研究旨在评估2021年埃塞俄比亚中北部德布雷塔博尔综合专科医院择期手术患者对麻醉和麻醉医生的认知情况及其相关因素。
方法
对2020年12月15日至2021年5月15日期间在德布雷塔博尔综合专科医院接受择期普通外科手术的367例患者进行了基于机构的横断面研究。在将英文版问卷翻译成当地语言（阿姆哈拉语）后，使用一份包含13个条目的结构化问卷收集数据。描述性统计以百分比表示并以表格呈现。进行了双变量和多变量逻辑分析，以确定与患者对麻醉和麻醉医生认知水平相关的因素。统计学显著性水平设定为P<0.05，置信区间为95%。
结果
在本研究中，25.1%[95%置信区间=(20.7 - 29.6)]的患者对麻醉和麻醉医生有充分的了解。多变量逻辑分析表明，男性患者[AOR = 1.90；95%置信区间=(1.03 - 3.52)]、中学教育水平[AOR = 3.20；95%置信区间=(1.07 - 9.61)]以及大专及以上学历[AOR = 4.75；95%置信区间=(1.73 - 13.06)]、来自城市的患者[AOR = 6.34；95%置信区间=(3.01 - 13.39)]以及有过麻醉经历的患者[AOR = 3.43；95%置信区间=(1.76 - 6.69)]比其对应人群对麻醉和麻醉医生的了解更多。
结论
本研究中患者对麻醉和麻醉医生的认知水平较差。性别、居住地、教育水平和既往麻醉经历是与患者对麻醉和麻醉医生认知水平相关的因素。
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