Knowledge and Perception of Ethiopian Surgical Patients to Informed Consent Practice for Surgical Procedures

IF 0.6 Q4 SURGERY

Open Access Surgery Pub Date : 2020-09-01 DOI:10.2147/oas.s268009

Befekadu Lemmu, Abebe Megersa, E. Abebe, Kirubel Abebe

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引用次数: 4

Abstract

Background: Surgical informed consent (SIC) is an established ethical and legal requirement for surgical treatment. Patient understanding of the process is essential for efficient surgical care. This study aimed to assess the knowledge and perception of operated patients towards surgical informed consent. Methods: An institution-based cross-sectional study of all adult surgical patients who signed informed consent and underwent surgery at St. Paul’s Hospital Millennium Medical College (SPHHMC) from February 1st to March 30th, 2018, was performed. Data were collected postoperatively before discharge using a pretested structured questionnaire. Results: Of 420 patients identified, 385 (91.7%, M:F=2:1) agreed and interviewed. The mean age was 40.3 years (SD± 15.1), and many of the respondents (285, 74.0%) had some level of formal education. Even if most (336, 87.3%) knew the reason why they had surgery, less knowledge and awareness was reported regarding the options of alternative treatments (153, 39.7%), identifying the operating surgeon (129, 33.5%), the type of surgery (160, 41.6%), anesthesia-related risks (96, 24.9%), complications of surgery (69, 17.9%) and postoperative care (4, 1.0%). The legal requirement of surgical informed consent was reported by 267 (69.4%) subjects; however, more than half had no information on the right to change their mind after signed surgical informed consent (223, 57.9%) and whom it protects (224, 58.2%). Only 40 (10.5%) respondents had a good level of knowledge, and it was significant in those with some level of formal education (OR=4.8; 95% CI 1.45–16.01; P=0.010) and in patients who live in an urban area (OR=4.7; 95% CI 1.81–12.35; p=0.002) than their respective groups. Conclusion: Our patients had limited knowledge and perception regarding surgical informed consent. Hence, the current consent process seems inadequate and needs a revisit.

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埃塞俄比亚手术患者对手术知情同意实践的认识和认知

背景：手术知情同意（SIC）是外科治疗的一项既定伦理和法律要求。患者对手术过程的理解对于有效的外科护理至关重要。本研究旨在评估手术患者对手术知情同意的认识和看法。方法：对2018年2月1日至3月30日在圣保罗医院千禧医学院（SPHMMC）签署知情同意书并接受手术的所有成年外科患者进行了一项基于机构的横断面研究。术后出院前使用预先测试的结构化问卷收集数据。结果：在确定的420名患者中，385名（91.7%，M:F=2:1）同意并接受了访谈。平均年龄为40.3岁（SD±15.1），许多受访者（285人，74.0%）受过一定程度的正规教育。即使大多数人（336，87.3%）知道他们进行手术的原因，但据报道，对替代治疗的选择（153，39.7%）、确定手术外科医生（129，33.5%）、手术类型（160，41.6%）、麻醉相关风险（96，24.9%）的知识和意识较少，手术并发症（69.17.9%）和术后护理（4.10%）。267名（69.4%）受试者报告了手术知情同意的法律要求；然而，超过一半的受访者在签署手术知情同意书后没有关于改变主意的权利（223，57.9%）和它保护的人（224，58.2%）的信息。只有40（10.5%）的受访者具有良好的知识水平，具有一定正规教育水平的患者（OR=4.8；95%CI 1.45–16.01；P=0.010）和居住在城市地区的患者（OR=4.7；95%CI 1.81–12.35；P=0.002）比各自的组显著。结论：我们的患者对手术知情同意书的了解和认知有限。因此，目前的同意程序似乎不够充分，需要重新审视。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Open Access Surgery SURGERY-

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Open Access Surgery is an international, peer-reviewed, Open Access journal that focuses on all aspects of surgical procedures and interventions. Patient care around the peri-operative period and patient outcomes post surgery are key topics for the journal. All grades of surgery from minor cosmetic interventions to major surgical procedures will be covered. Novel techniques and the utilization of new instruments and materials, including implants and prostheses that optimize outcomes constitute major areas of interest. Contributions regarding patient satisfaction, preference, quality of life, and their role in optimizing new surgical procedures will be welcomed. The journal is characterized by the rapid reporting of case reports, clinical studies, reviews and original research.