Kebede Belete Fenta, Tesfa Tsegaw Biyazin, Hiwot Aynalem Yetwale, Genie Yalemtsehay Dagnaw
Faculty of Health Sciences, Institute of Health, Jimma University, Jimma, Ethiopia.
Department of Nursing, College of Health Sciences, Mizan-Tepi University, MizanTeferi, Ethiopia.
Perioper Med (Lond). 2023 Mar 16;12(1):6. doi: 10.1186/s13741-023-00295-2.
Informed consent is the process whereby a patient makes a voluntary decision about their medical and surgical care with knowledge of the benefits and potential risks. Poor informed consent processes may increase potential for medical errors and malpractice. Little is known of the knowledge of surgical informed consent with regard to their surgical treatment in Ethiopia. Therefore, this study aimed to assess the knowledge of surgical informed consent and associated factors among patients who underwent obstetric and gynecologic surgery at Jimma Medical Center, Jimma, Ethiopia.
An institution-based cross-sectional study was conducted from April 1 to May 30, 2020, among 404 women undergo obstetric and gynecologic surgery at Jimma Medical Center. Data were collected through a face-to-face interview using a structured questionnaire. The collected data were coded, entered into Epi data version 3.1, and analyzed using SPSS version 25. Bivariate and multivariate regression analyses were performed to determine the association between an outcome variable and an independent variable. Tables, pie-charts, and texts were used to report the result.
Of 404 patients sampled, only 372 women were agreed and participated in the study and gave response rate of 92.1%. The respondent satisfaction level (AOR 1.823 (95%CI 1.061-3.134)) and patient to provider relationship (AOR 0.472 (CI 1.217-3.697)) were associated with knowledge of surgical informed consent.
The overall level of knowledge regarding informed consent for surgerywas significantly lower than that of other national and international figures. Patient satisfaction and patientto provider relationships were associated with knowledge of surgical informed consent. Adequate information should provide before surgery to improve patients' knowledge regarding surgical informed consent and to improve the consent process to make it better suited to fit the needs of all patients.
知情同意是指患者在了解医疗和手术治疗的益处及潜在风险后，对自身医疗和手术护理做出自愿决定的过程。不完善的知情同意过程可能会增加医疗差错和医疗事故的可能性。关于埃塞俄比亚患者对其手术治疗的外科知情同意知识了解甚少。因此，本研究旨在评估在埃塞俄比亚吉马市吉马医疗中心接受妇产科手术的患者对手术知情同意的知识及相关因素。
2020年4月1日至5月30日，在吉马医疗中心对404名接受妇产科手术的女性进行了一项基于机构的横断面研究。通过使用结构化问卷进行面对面访谈收集数据。收集到的数据进行编码，录入Epi Data 3.1版本，并使用SPSS 25版本进行分析。进行双变量和多变量回归分析以确定结果变量与自变量之间的关联。使用表格、饼图和文本报告结果。
在抽取的404名患者中，只有372名女性同意并参与了研究，回复率为92.1%。受访者满意度水平（调整后比值比1.823（95%置信区间1.061 - 3.134））和患者与提供者的关系（调整后比值比0.472（置信区间1.217 - 3.697））与手术知情同意知识相关。
手术知情同意的总体知识水平显著低于其他国家和国际数据。患者满意度和患者与提供者的关系与手术知情同意知识相关。术前应提供充分信息，以提高患者对手术知情同意的知识，并改善同意过程，使其更适合所有患者的需求。
