2023/2024年埃塞俄比亚提格雷州默克莱公立医院成年术后患者的手术知情同意实践及相关因素。横断面研究。

Surgical informed consent practice and associated factors among adult postoperative patients in public hospitals of Mekelle, Tigray, Ethiopia 2023/2024. Cross sectional.

作者信息

Gebreanenia Fiseha Abadi, Kahsay Hailemarim Berhe, Belay Desta Siyoum, Tesfay Binyam Gebrehiwet, Mesele Fissha Brhane, Abirha Mamush Gidey

机构信息

Department of Nursing, College of Health Science, Aksum University, Axum, Ethiopia.

College of Health Science, School of Nursing, Mekelle University, Mekelle, Ethiopia.

出版信息

PLoS One. 2025 Feb 3;20(2):e0310920. doi: 10.1371/journal.pone.0310920. eCollection 2025.

DOI:10.1371/journal.pone.0310920

PMID:39899541

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11790128/

Abstract

BACKGROUND

Substantial weaknesses and omissions of surgical informed consent are evident and the current elements of the surgical informed consent process are largely neglected in daily practice. This study aimed to assess surgical informed consent practice and associated factors among adult postoperative patients in public hospitals of Mekelle, Tigray, Ethiopia.

METHODS

Institution based cross-sectional study was conducted among 314 adult postoperative patients in public hospitals of Mekelle, Tigray, Ethiopia. Participants were selected using systematic random sampling. A pretested interviewer-administered questionnaire was used to collect data. Descriptive, Descriptive, bivariate and multivariable logistic regression analyses were performed using statistical package for social science version 27.

RESULT

Only 35.8% (CI 95%, 30.6, 41) of the respondents were identified to have received the recommended (6 or more) components of surgical informed consent. Educational level [AOR 5.76 (1.02, 32.6)], timing of surgical informed consent delivery [AOR 3.27 (1.5, 7.11)], qualification of counselor who took surgical informed consent them [AOR3.185 (1.21, 8.38)], hospital type [AOR 2.85 (1.26, 6.46)], and duration of counseling [AOR 6.9 (3.33, 14.3)] were statistically significant at P<0.05.

CONCLUSION

Majority of participants did not receive comprehensive information during the surgical informed consent process in the study hospitals. To improve the delivery it is suggested that health professionals; create rapport with patient, spend more time during counseling.

摘要

背景

手术知情同意书存在明显的重大缺陷和遗漏，且手术知情同意过程中的当前要素在日常实践中大多被忽视。本研究旨在评估埃塞俄比亚提格雷州梅克内尔市公立医院成年术后患者的手术知情同意实践及相关因素。

方法

在埃塞俄比亚提格雷州梅克内尔市公立医院对314名成年术后患者进行了基于机构的横断面研究。采用系统随机抽样法选取参与者。使用经过预测试的访谈式问卷收集数据。使用社会科学统计软件包第27版进行描述性、双变量和多变量逻辑回归分析。

结果

只有35.8%（95%置信区间，30.6，41）的受访者被确定接受了推荐的（6项或更多）手术知情同意书组成部分。教育水平[AOR 5.76（1.02，32.6）]、手术知情同意书交付时间[AOR 3.27（1.5，7.11）]、为其获取手术知情同意书的咨询师资质[AOR 3.185（1.21，8.38）]、医院类型[AOR 2.85（1.26，6.46）]和咨询时长[AOR 6.9（3.33，14.3）]在P<0.05时具有统计学意义。