Al Dihan Fahad A, Alghamdi Mohannad A, Aldihan Faisal A, Alamer Nawaf M, Alshahrani Faisal A, Alqarni Ayyob
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
General and Colorectal Surgery, King Abdulaziz Medical City Riyadh, Riyadh, SAU.
Cureus. 2024 Mar 20;16(3):e56523. doi: 10.7759/cureus.56523. eCollection 2024 Mar.
Introduction The use of robotic-assisted surgeries (RAS) has been growing in surgical specialties. It allows surgeons to perform higher-quality operations with fewer complications, mortality, and morbidity. However, there are a lot of misconceptions about RAS among patients. Therefore, our study aimed to assess the knowledge, attitude, awareness, and future expectations of RAS in patients attending surgical clinics. Methods A cross-sectional study was conducted in King Abdulaziz Medical City (KAMC) surgical clinics in Riyadh, Saudi Arabia. All participants <18 years of age were excluded. The questionnaire was distributed to 304 patients attending surgical clinics with a confidence level of 95% and a margin of error of 5%. Cluster sampling was used since the respondents were from multiple surgical specialties. Finally, multivariate analysis was performed to assess participants' preference for robotic surgery. Results Most participants (58.6%, n=178) were between 21 and 40 years old, and males were 52% of the participants. Many respondents thought a robot did not do the surgery. 70.7% of respondents had not heard of robotic surgery, with the media being the most common source of information. Internal damage was the prevalent concern (51.0%, n= 155) in malfunctions of robotic surgery. A significant relationship was found between participants from 21 to 40 years of age and a stronger preference for robotic surgery (p=.027). Respondents who preferred robotic surgery were discovered to have a significant relationship with participants who thought robotic surgery was safer and had better results (p<.001). 13.9% of participants who did not prefer robotic surgery also took cost into account significantly (χ2=28.93, p<.001, Cramer's V=.22). 67.2% (n=43) of respondents who preferred robotic surgery believed it might eventually replace present practices. Conclusion Our study concluded that the majority did not favor or were unsure whether to undergo robotic surgeries or not. However, most participants had some misconceptions and a lack of awareness about robotic surgeries. Raising awareness among patients can improve the mutual decision-making between them and their treating physician.
引言 机器人辅助手术（RAS）在外科专业中的应用一直在增加。它使外科医生能够进行质量更高的手术，并发症、死亡率和发病率更低。然而，患者对RAS存在很多误解。因此，我们的研究旨在评估外科门诊患者对RAS的知识、态度、认知及未来期望。方法 在沙特阿拉伯利雅得的阿卜杜勒阿齐兹国王医疗城（KAMC）外科门诊进行了一项横断面研究。排除所有年龄<18岁的参与者。问卷被分发给304名外科门诊患者，置信水平为95%，误差幅度为5%。由于受访者来自多个外科专业，因此采用整群抽样。最后，进行多变量分析以评估参与者对机器人手术的偏好。结果 大多数参与者（58.6%，n = 178）年龄在21至40岁之间，男性占参与者的52%。许多受访者认为机器人不进行手术。70.7%的受访者未听说过机器人手术，媒体是最常见的信息来源。机器人手术出现故障时，内部损伤是普遍关注的问题（51.0%，n = 155）。发现年龄在21至40岁之间的参与者与对机器人手术有更强偏好之间存在显著关系（p = 0.027）。发现更喜欢机器人手术的受访者与认为机器人手术更安全且效果更好的参与者之间存在显著关系（p < 0.001）。13.9%不喜欢机器人手术的参与者也显著考虑了成本（χ2 = 28.93，p < 0.001，克莱默V = 0.22）。67.2%（n = 43）更喜欢机器人手术的受访者认为它最终可能会取代目前的做法。结论 我们的研究得出结论，大多数人不赞成或不确定是否接受机器人手术。然而，大多数参与者对机器人手术存在一些误解且缺乏认知。提高患者的认知可以改善他们与治疗医生之间的共同决策。
