Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jun 30:79:104104.
doi: 10.1016/j.amsu.2022.104104. eCollection 2022 Jul.

Patients' satisfaction and associated factors towards preoperative informed consent process: A cross-sectional study

Tamiru Tilahun Ayele  1 , Tadese Tamire Negash  2 , Keder Essa Oumer  2 , Aderajew Mekuanint  2 , Diriba Teshome  2 , Efrem Fenta  2 , Yewlsew Fentie  2 , Aragaw Tesfaw  2 , Ashenafi Tolosa  3
Affiliations

Patients' satisfaction and associated factors towards preoperative informed consent process: A cross-sectional study

Tamiru Tilahun Ayele et al. Ann Med Surg (Lond). .

Abstract

Background: Informed consent is a process that needs time and effort to satisfy patients' desires. Patient dissatisfaction on preoperative informed consent process may be caused by multiple factors of clinical practice. This study aimed to assess patients' satisfaction and associated factors of informed consent process among elective surgical patients.

Methods: A cross-sectional study was conducted on 404 postoperative patients who signed the informed consent for elective surgery. A systematic sampling technique was applied to select the study participants. Modified Leiden perioperative patient satisfaction tool was adapted to assess patients' satisfaction with preoperative informed consent process. Data were entered in to Epi-data version 4.20 and exported to SPSS version 20 for analysis. Bivariate and multivariable logistic regression was computed to identify independent variables associated with patient satisfaction towards preoperative informed consent process. A p-value of less than 0.05 was used to declare the statistical significance.

Results: The overall satisfaction of patients with preoperative informed consent process was 70.3%. Multivariable logistic regression analysis revealed that, being male (AOR: 4.75, 95% CI: 2.47-9.16), primary school (AOR: 8.42, 95% CI: 4.74-7.55), secondary school (AOR: 2.17, 95% CI: 5.74-8.62), rural residence (AOR: 1.8, 95% CI: 2.1-3.9) and received general anesthesia (AOR: 2.92, 95% CI: 1.62-5.26) were significantly associated with patients' satisfaction with the informed consent process.

Conclusion: The overall patients' satisfaction on preoperative informed consent process was relatively low. Being male, low level of education, living in rural area, and receiving general anesthesia were significantly associated with patients' satisfaction on informed consent process. Surgeons and anesthesia professionals need to work more to improving the satisfaction of patients with preoperative informed consent process. Researchers are expected to do periodic assessment of patients' level of satisfaction and factors affecting satisfaction.

Keywords: Anesthesia; Informed consent; Preoperative; Satisfaction; Surgery.

PubMed Disclaimer

Conflict of interest statement

The authors declared that there is no conflict of interests.

References

    1. Wheeler R. Consent in surgery. Ann. R. Coll. Surg. Engl. 2006;88(3):261–264. - PMC - PubMed
    1. Adhikari P., Pradhananga R.B. Patients' expectations on informed consent before ENT surgery. Int Arch Otolaryngol. 2007;11:1–5.
    1. Bernat J.L., Peterson L.M. Patient-centered informed consent in surgical practice. Arch. Surg. 2006;141(1):86–92. - PubMed
    1. Kay R., Siriwardena A. The process of informed consent for urgent abdominal surgery. J. Med. Ethics. 2001;27(3):157–161. - PMC - PubMed
    1. <process of IC in Indies.Pdf>.