Knowledge and associated factors of patients toward informed consent in obstetric and gynecologic surgical procedures at Debre Markos Comprehensive Specialized Hospital, Ethiopia
BackgroundInformed 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. Kn...
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1472033/full |
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| author | Addisu Andualem Ferede Mamaru Getie Fetene Endinew Beka Mehiretie Worku Taye Getahun Aysheshim Asnake Abneh |
| author_facet | Addisu Andualem Ferede Mamaru Getie Fetene Endinew Beka Mehiretie Worku Taye Getahun Aysheshim Asnake Abneh |
| author_sort | Addisu Andualem Ferede |
| collection | DOAJ |
| description | BackgroundInformed 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.MethodsAn 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 P-value of <0.05.ResultsA 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.ConclusionIn 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. |
| format | Article |
| id | doaj-art-ab2ba46ee7c14e13b4fc612199c7ab15 |
| institution | OA Journals |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-ab2ba46ee7c14e13b4fc612199c7ab152025-08-20T02:02:55ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-06-011210.3389/fsurg.2025.14720331472033Knowledge and associated factors of patients toward informed consent in obstetric and gynecologic surgical procedures at Debre Markos Comprehensive Specialized Hospital, EthiopiaAddisu Andualem Ferede0Mamaru Getie Fetene1Endinew Beka Mehiretie2Worku Taye Getahun3Aysheshim Asnake Abneh4Department of Midwifery, College of Medicine and Health Science, Debre Markos University, Debre Markos, EthiopiaDepartment of Midwifery, College of Medicine and Health Science, Debre Markos University, Debre Markos, EthiopiaDepartment of Midwifery, College of Medicine and Health Science, Debre Markos University, Debre Markos, EthiopiaDepartment of Midwifery, Debre Markos Comprehensive Specialized Hospital, Debre Markos, EthiopiaDepartment of Public Health, College of Medicine and Health Science, Debre Markos University, Debre Markos, EthiopiaBackgroundInformed 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.MethodsAn 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 P-value of <0.05.ResultsA 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.ConclusionIn 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.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1472033/fullknowledgeobstetric and gynecologicsurgical informed consentwomenEthiopia |
| spellingShingle | Addisu Andualem Ferede Mamaru Getie Fetene Endinew Beka Mehiretie Worku Taye Getahun Aysheshim Asnake Abneh Knowledge and associated factors of patients toward informed consent in obstetric and gynecologic surgical procedures at Debre Markos Comprehensive Specialized Hospital, Ethiopia Frontiers in Surgery knowledge obstetric and gynecologic surgical informed consent women Ethiopia |
| title | Knowledge and associated factors of patients toward informed consent in obstetric and gynecologic surgical procedures at Debre Markos Comprehensive Specialized Hospital, Ethiopia |
| title_full | Knowledge and associated factors of patients toward informed consent in obstetric and gynecologic surgical procedures at Debre Markos Comprehensive Specialized Hospital, Ethiopia |
| title_fullStr | Knowledge and associated factors of patients toward informed consent in obstetric and gynecologic surgical procedures at Debre Markos Comprehensive Specialized Hospital, Ethiopia |
| title_full_unstemmed | Knowledge and associated factors of patients toward informed consent in obstetric and gynecologic surgical procedures at Debre Markos Comprehensive Specialized Hospital, Ethiopia |
| title_short | Knowledge and associated factors of patients toward informed consent in obstetric and gynecologic surgical procedures at Debre Markos Comprehensive Specialized Hospital, Ethiopia |
| title_sort | knowledge and associated factors of patients toward informed consent in obstetric and gynecologic surgical procedures at debre markos comprehensive specialized hospital ethiopia |
| topic | knowledge obstetric and gynecologic surgical informed consent women Ethiopia |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1472033/full |
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