Ferede Addisu Andualem, Fetene Mamaru Getie, Mehiretie Endinew Beka, Getahun Worku Taye, Abneh Aysheshim Asnake
Department of Midwifery, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia.
Department of Midwifery, Debre Markos Comprehensive Specialized Hospital, Debre Markos, Ethiopia.
Front Surg. 2025 Jun 5;12:1472033. doi: 10.3389/fsurg.2025.1472033. eCollection 2025.
Informed consent (IC) is a principle in medical ethics and medical law that a patient must have adequate information and understanding before making decisions about their medical care. It is very essential for both clinician and patient in surgery and should be seen as a usual activity. Knowledge is one of the main intervention tools to improve patient comprehension in informed consent for surgical patients. In Ethiopia, little is known about the knowledge level and its determinant factors toward obstetric and gynecologic surgical informed consent. Due to this reason, this study aimed to assess the level of knowledge and associated factors of surgical informed consent among patients who underwent obstetric and gynecologic surgery at Debre Markos Comprehensive Specialized Hospital.
An institutional-based cross-sectional study was conducted from 28 November to 30 December 2023, among 298 postoperative women admitted to Debre Markos Comprehensive Specialized Hospital. Data were collected using a pretested, structured interviewer-administered questionnaire by using a systematic random sampling technique. The collected data were entered into EpiData version 4.6 and then exported to SPSS statistical software version 25 for analysis. A multivariable logistic regression analysis was employed to estimate the effect of independent variables on the outcome variable. An adjusted odds ratio [adjusted odds ratio (AOR)] with a 95% confidence interval (CI) was computed to report the presence of association between the dependent and independent variables. Statistical significance was determined at a -value of <0.05.
A total of 298 women participated in the study. In this study, the overall good knowledge of women regarding obstetrical and gynecologic surgical informed consent was 42.3% (95% CI: 36.7, 47.9). Urban residence (AOR = 2.32, 95% CI: 1.08, 5.03), educational status of women (AOR = 4.85, 95% CI: 1.99, 11.78), elective type of surgery AOR = 1.8, 95% CI: 1.14, 4.07), and having previous history of surgery (AOR = 7.2, 95% CI: 4.02, 15.15) were the identified determinant factors affecting knowledge of women toward obstetric and gynecologic surgical informed consent.
In this study, more than half of the study participants lack overall good knowledge regarding obstetrical and gynecologic surgical informed consent. Residence, educational status, schedule of surgery, and previous history of surgery were the identified determinant factors affecting the knowledge of women toward obstetric and gynecologic surgical informed consent.
知情同意是医学伦理和医学法律中的一项原则，即患者在对其医疗护理做出决定之前必须有足够的信息和理解。这对手术中的临床医生和患者都非常重要，应被视为一项常规活动。知识是提高手术患者知情同意理解能力的主要干预工具之一。在埃塞俄比亚，关于产科和妇科手术知情同意的知识水平及其决定因素知之甚少。因此，本研究旨在评估德布雷马尔科斯综合专科医院接受产科和妇科手术患者的手术知情同意知识水平及相关因素。
2023年11月28日至12月30日，在德布雷马尔科斯综合专科医院对298名术后女性进行了一项基于机构的横断面研究。采用系统随机抽样技术，使用预先测试的、由访谈员管理的结构化问卷收集数据。收集的数据录入EpiData 4.6版本，然后导出到SPSS统计软件25版本进行分析。采用多变量逻辑回归分析来估计自变量对结果变量的影响。计算调整后的优势比[调整后的优势比（AOR）]及其95%置信区间（CI），以报告因变量和自变量之间的关联情况。以P值<0.05确定统计学显著性。
共有298名女性参与了本研究。在本研究中，女性对产科和妇科手术知情同意的总体良好知晓率为42.3%（95%CI：36.7，47.9）。城市居住（AOR = 2.32，95%CI：1.08，5.03）、女性教育程度（AOR = 4.85，95%CI：1.99，11.78）、择期手术类型（AOR = 1.8，95%CI：1.14，4.07）以及既往手术史（AOR = 7.2，95%CI：4.02，15.15）是影响女性对产科和妇科手术知情同意知识的确定决定因素。
在本研究中，超过一半的研究参与者对产科和妇科手术知情同意缺乏总体良好的知识。居住状况、教育程度、手术安排和既往手术史是影响女性对产科和妇科手术知情同意知识的确定决定因素。
