Ayele Tamiru Tilahun, Negash Tadese Tamire, Oumer Keder Essa, Mekuanint Aderajew, Teshome Diriba, Fenta Efrem, Fentie Yewlsew, Tesfaw Aragaw, Tolosa Ashenafi
Department of Anesthesia, College of Health Sciences, Wolkite University, Ethiopia.
Department of Anesthesia, College of Health Sciences, Debre Tabor University, Ethiopia.
Ann Med Surg (Lond). 2022 Jun 30;79:104104. doi: 10.1016/j.amsu.2022.104104. eCollection 2022 Jul.
Informed consent is a process that needs time and effort to satisfy patients' desires. Patient dissatisfaction on preoperative informed consent process may be caused by multiple factors of clinical practice. This study aimed to assess patients' satisfaction and associated factors of informed consent process among elective surgical patients.
A cross-sectional study was conducted on 404 postoperative patients who signed the informed consent for elective surgery. A systematic sampling technique was applied to select the study participants. Modified Leiden perioperative patient satisfaction tool was adapted to assess patients' satisfaction with preoperative informed consent process. Data were entered in to Epi-data version 4.20 and exported to SPSS version 20 for analysis. Bivariate and multivariable logistic regression was computed to identify independent variables associated with patient satisfaction towards preoperative informed consent process. A p-value of less than 0.05 was used to declare the statistical significance.
The overall satisfaction of patients with preoperative informed consent process was 70.3%. Multivariable logistic regression analysis revealed that, being male (AOR: 4.75, 95% CI: 2.47-9.16), primary school (AOR: 8.42, 95% CI: 4.74-7.55), secondary school (AOR: 2.17, 95% CI: 5.74-8.62), rural residence (AOR: 1.8, 95% CI: 2.1-3.9) and received general anesthesia (AOR: 2.92, 95% CI: 1.62-5.26) were significantly associated with patients' satisfaction with the informed consent process.
The overall patients' satisfaction on preoperative informed consent process was relatively low. Being male, low level of education, living in rural area, and receiving general anesthesia were significantly associated with patients' satisfaction on informed consent process. Surgeons and anesthesia professionals need to work more to improving the satisfaction of patients with preoperative informed consent process. Researchers are expected to do periodic assessment of patients' level of satisfaction and factors affecting satisfaction.
知情同意是一个需要时间和精力来满足患者需求的过程。患者对术前知情同意过程的不满可能由临床实践中的多种因素引起。本研究旨在评估择期手术患者对知情同意过程的满意度及相关因素。
对404例签署择期手术知情同意书的术后患者进行横断面研究。采用系统抽样技术选取研究参与者。采用改良的莱顿围手术期患者满意度工具评估患者对术前知情同意过程的满意度。数据录入Epi-data 4.20版本，并导出至SPSS 20版本进行分析。计算双变量和多变量逻辑回归以确定与患者对术前知情同意过程满意度相关的独立变量。P值小于0.05被用于判定统计学显著性。
患者对术前知情同意过程的总体满意度为70.3%。多变量逻辑回归分析显示，男性（优势比：4.75，95%置信区间：2.47 - 9.16）、小学学历（优势比：8.42，95%置信区间：4.74 - 7.55）、初中学历（优势比：2.17，95%置信区间：5.74 - 8.62）、农村居民（优势比：1.8，95%置信区间：2.1 - 3.9）以及接受全身麻醉（优势比：2.92，95%置信区间：1.62 - 5.26）与患者对知情同意过程的满意度显著相关。
患者对术前知情同意过程的总体满意度相对较低。男性、低教育水平、居住在农村地区以及接受全身麻醉与患者对知情同意过程的满意度显著相关。外科医生和麻醉专业人员需要付出更多努力来提高患者对术前知情同意过程的满意度。期望研究人员定期评估患者的满意度水平及影响满意度的因素。
