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2022年埃塞俄比亚南部古拉格地区医院医护人员对重大外科手术的知情同意实践及影响因素:一项基于机构的横断面研究

Practice and factors affecting informed consent among healthcare workers for major surgical procedures at Gurage zone hospitals, South Ethiopia, 2022: a facility-based cross-sectional study.

作者信息

Zewudie Bitew Tefera, Tenaw Shegaw Geze, Mesfin Yibeltal, Abebe Haimanot, Mekonnen Zebene, Mengist Shegaw Tesfa, Chekole Bogale, Aynalem Agere, Lankrew Tadele, Sewale Yihenew, Argaw Muche, Sahle Tadesse, Tsega Daniel

机构信息

Department of Nursing, College of Medicine and Health Sciences, Wolkite University, Welkite, Ethiopia

Department of Midwifery, College of Medicine and Health Sciences, Wolkite University, Welkite, Ethiopia.

出版信息

BMJ Open. 2025 Jan 20;15(1):e083253. doi: 10.1136/bmjopen-2023-083253.

DOI:10.1136/bmjopen-2023-083253
PMID:39833004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11749490/
Abstract

OBJECTIVE

This study aimed to assess the informed consent practice process and associated factors among healthcare workers for major surgical procedures at Gurage zone hospitals, in 2022.

METHODS AND MATERIALS

Institution-based cross-sectional study was employed.

SETTINGS

This study was conducted in Gurage zone hospitals.

PARTICIPANTS

All healthcare workers who have been working in Gurage zone hospitals of surgical, operation rooms and obstetrics/gynaecology wards had exposure to patients who had undergone surgery during the study period OUTCOME: The primary outcome of the study was the practice of informed consent practice among healthcare workers in Gurage zone hospitals.

RESULT

A total of 448 study participants were involved in this study giving a response rate of 98%. The mean (±SD) age of the study participants was 29.16 (±4.06) years. The mean score of study participants towards the surgical informed consent was 19.5, and 260 (58%, 95% CI: 53.7, 62.5) of them had good practice in the surgical informed consent. In multivariable logistic analysis model, factors like favourable attitude towards informed consent 2.4 (1.556, 3.596), work experience participants 4.9 (2.8, 8.7), adequate knowledge of informed consent 2.5 (1.6, 3.9) and communication challenge 1.6 (1.07, 2.50) were independently associated with the practice of informed consent at a p value of <0.05.

CONCLUSION

More than half of healthcare providers had good practice towards the surgical informed consent process. The practice of informed consent is low, and it is better to work on healthcare providers' in-service training, knowledge and attitude towards informed consent.

摘要

目的

本研究旨在评估2022年古拉格地区医院医护人员在重大外科手术中的知情同意实践过程及相关因素。

方法和材料

采用基于机构的横断面研究。

研究地点

本研究在古拉格地区医院进行。

参与者

所有在古拉格地区医院外科、手术室和妇产科病房工作的医护人员,在研究期间都接触过接受手术的患者。

结果

本研究的主要结果是古拉格地区医院医护人员的知情同意实践情况。

结果

共有448名研究参与者参与了本研究,回复率为98%。研究参与者的平均(±标准差)年龄为29.16(±4.06)岁。研究参与者对外科手术知情同意的平均得分为19.5分,其中260人(58%,95%置信区间:53.7,62.5)在外科手术知情同意方面实践良好。在多变量逻辑分析模型中,对知情同意的积极态度(2.4,1.556,3.596)、工作经验参与者(4.9,2.8,8.7)、对知情同意的充分了解(2.5,1.6,3.9)和沟通挑战(1.6,1.07,2.50)等因素与知情同意实践独立相关,p值<0.05。

结论

超过一半的医护人员在外科手术知情同意过程中实践良好。知情同意的实践情况较差,最好加强对医护人员的在职培训、关于知情同意的知识和态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0031/11749490/c5a9cf711fe1/bmjopen-15-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0031/11749490/c5a9cf711fe1/bmjopen-15-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0031/11749490/c5a9cf711fe1/bmjopen-15-1-g001.jpg

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本文引用的文献

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BMC Med Ethics. 2022 Jun 18;23(1):61. doi: 10.1186/s12910-022-00800-0.
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Ethics in healthcare: Knowledge, attitude and practices of nurses in the Cape Coast Metropolis of Ghana.医疗保健中的伦理道德:加纳 Cape Coast 大都市护士的知识、态度和实践。
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Practice and Factors Associated with Informed Consenting Process for Major Surgical Procedures Among Health-Care Workers, South Eastern Ethiopia.
埃塞俄比亚东南部医护人员重大外科手术知情同意过程的实践及相关因素
Int J Gen Med. 2021 Nov 8;14:7807-7817. doi: 10.2147/IJGM.S338243. eCollection 2021.
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Knowledge and practices of seeking informed consent for medical examinations and procedures by health workers in the Democratic Republic of Congo.刚果民主共和国卫生工作者获取医疗检查和程序知情同意的知识和实践。
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