Annals of medicine and surgery (2012) · 2025
Evaluating patient and caregiver satisfaction on the informed consent for surgery in a tertiary care center: a cross-sectional study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Luitel Prajjwol, Paudel Sujan, Neupane Nischal, Shah Abhishek Kumar, Upadhya Pawan Sapkota, Thapa Anup
Аннотация
INTRODUCTION: The surgical informed consent (IC) process is essential for respecting patient autonomy and safeguarding patients and healthcare providers. However, in many low- and middle-income countries, including Nepal, IC is often treated as a formality, with limited patient involvement and frequent reliance on caregiver-led consent. Cultural norms, poor communication, and lack of standardized protocols contribute to misunderstandings and dissatisfaction.
AIM: To assess the satisfaction of patients and caregivers with the surgical IC process.
METHODS: This cross-sectional study was conducted at a government tertiary-level teaching hospital. It included 368 consecutive Nepali-speaking patients undergoing major elective surgeries across surgical departments. Demographic data were collected, and a structured, pretested questionnaire was used to assess the satisfaction and understanding among patients and caregivers. Descriptive statistics (frequencies, percentages, means, SDs) were calculated. Comparative analyses were conducted using t-tests or one-way ANOVA. For non-normally distributed variables, Spearman's correlation was applied. Regression analysis was used to identify factors influencing patient and caregiver satisfaction.
RESULTS: In total, 86.4% of patients and 90.8% of caregivers were satisfied with the IC process. Caregivers had a significantly higher understanding of the nature (95.1% vs. 88%), indication (98.9% vs. 82.1%), and potential complications of surgery (87.5% vs. 68.5%) compared to patients. Patients with primary education or higher had significantly higher satisfaction scores than illiterate patients (P = 0.019; 95% CI: 0.16-2.61).
CONCLUSION: Although patient participation in the IC process was limited, both patients and caregivers reported high satisfaction, suggesting cultural acceptance of caregiver-led consent in Nepalese hospitals.
AIM: To assess the satisfaction of patients and caregivers with the surgical IC process.
METHODS: This cross-sectional study was conducted at a government tertiary-level teaching hospital. It included 368 consecutive Nepali-speaking patients undergoing major elective surgeries across surgical departments. Demographic data were collected, and a structured, pretested questionnaire was used to assess the satisfaction and understanding among patients and caregivers. Descriptive statistics (frequencies, percentages, means, SDs) were calculated. Comparative analyses were conducted using t-tests or one-way ANOVA. For non-normally distributed variables, Spearman's correlation was applied. Regression analysis was used to identify factors influencing patient and caregiver satisfaction.
RESULTS: In total, 86.4% of patients and 90.8% of caregivers were satisfied with the IC process. Caregivers had a significantly higher understanding of the nature (95.1% vs. 88%), indication (98.9% vs. 82.1%), and potential complications of surgery (87.5% vs. 68.5%) compared to patients. Patients with primary education or higher had significantly higher satisfaction scores than illiterate patients (P = 0.019; 95% CI: 0.16-2.61).
CONCLUSION: Although patient participation in the IC process was limited, both patients and caregivers reported high satisfaction, suggesting cultural acceptance of caregiver-led consent in Nepalese hospitals.