Knowledge and perception on surgical informed consent and associated factors among patients in gynecologic and obstetric surgical procedures at University of Gondar comprehensive specialized hospital, Gondar, northwest, Ethiopia, 2022

Abstract

Abstract Background: Informed consent is a legal doctrine in medical practice, derived from the ethical principle of respect for autonomy. There are many studies regarding informed consent, but only few studies performed to assess adult patient抯 knowledge and perception of surgical informed consent and associated factors. Therefore, the purpose of this study will be to assess knowledge and perception of surgical informed consent and associated factors among adult surgical obstetric and gynecologic patients in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia, 2021/2022. Methods: An institution-based cross-sectional study design was conducted among 382 adult surgical obstetric and gynecologic patients at the University of Gondar comprehensive specialized hospital. A systematic random sampling technique was used to select study participants. Data was collected by using a structured questionnaire and checklist and was entered into epi-data version 4.6 then exported to SPSS version 22 for data cleansing and analysis. Bi-variable and multivariable logistic regression were employed to identify factors associated with knowledge and perceptions of patients on surgical informed consent. Results: Three hundred eighty two patients were included in this study with a 100% overall response rate, Patients age ranged from 18 to 72 years with a mean age of 29.90 years ( 8.832) knowledge on SIC had significant association with their educational status, those with formal education had a significantly higher likelihood of having a better understanding of SIC In this study over all 145( Age, educational level, place of residence, marital status for multivariate analysis, in multivariate binary logistic regression , variables educational status and patient residence found significantly associated with poor patient perception of surgical informed consent at a p value of less than 0.05 Obstetrics and gynecologic surgical patients who were not able to write and read undergoing surgical procedure were 4.8 times AOR=4.80; 95 % CI: Conclusion: more than one third of our patients with patient knowledge and perception on SIC for surgical procedures Keywords: Gondar, Knowledge, perception, surgical informed consen