Patients’ satisfaction with the preoperative informed consent in elective gynecological surgery in a tertiary hospital, BMA
Article Sidebar
Main Article Content
Abstract
Objectives: This study aimed to evaluate patients' satisfaction with the preoperative informed consent process in elective gynecological surgery.
Materials and Methods: This cross-sectional study was conducted at Charoenkrung Pracharak Hospital, Bangkok, Thailand, from October 2023 to May 2024. Personal data and satisfaction with the preoperative informed consent process were collected on the second postoperative day. The Thai version of the Decisional Satisfaction Scale (DSS) was used to measure the satisfaction and the Informed Consent Process Questionnaire was used to assess knowledge of surgery and perception of informed consent process. Bivariate associations between highly satisfied and not highly satisfied groups were tested using Fisher's exact test.
Results: A total of 178 participants were enrolled, with mean age of 42.48 years. Most participants agreed or strongly agreed with the statements on the DSS, a mean total score was 27.87, indicating high overall satisfaction. 135 patients (75.8%) were highly satisfied with the informed consent process. There were several factors with significant differences between the highly satisfied group and not highly satisfied group. These included being informed about the consequences of not undergoing the procedure, knowing enough about the procedure to explain it, being informed about the reasons for prolonged urine catheterization and being given the opportunity to refuse the procedure.
Conclusion: This study highlights the critical role of an effective informed consent process in elective gynecological surgery. High patient satisfaction is achieved when communication and patient participation are prioritized. Future research should explore these dynamics in different settings and diverse populations.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Elwyn G, O’Connor A, Stacey D. Developing a quality criteria framework for patient decision aids: online international Delphi consensus process. BMJ 2006;333:417-0.
Kenton K, Pham T, Mueller E, Brubaker L. Patient preparedness: an important predictor of surgical outcome. Am J Obstet Gynecol 2007;197:654.e1-654.e6.
Hullfish KL, Bovbjerg VE, Steers WD. Patient-centered goals for pelvic floor dysfunction surgery: long-term follow-up. Am J Obstet Gynecol 2004;191:201-5.
Adams SR, Hacker MR, Merport Modest A, Rosenblatt PL, Elkadry EA. Informed consent for Sacrocolpopexy. Female Pelvic Med Reconstr Surg 2012;18:352-6.
Egri M, Celbis O, Karaca M, Ozdemir B, Kok AN. The informed consent status for surgery patients in Eastern Turkey: a cross-sectional study. Indian J Med Ethics 2008;5:26-8.
Barnett SF, Alagar RK, Grocott MP, Giannaris S, Dick JR. Patient-satisfaction measures in anesthesia: qualitative systematic review. Anesthesiology 2013;119:452-78.
Abolfotouh MA, Adlan AA. Quality of informed consent for invasive procedures. Int J Gen Med 2012;5:269-75.
Ghulam AT, Kessler M, Bachmann LM, Haller U, Kessler TM. Patients’ satisfaction with the preoperative informed consent procedure in Switzerland. Mayo Clin Proc 2006;81:307-12.
Jlala HA, Caljouw MA, Bedforth NM, Hardman JG. Patient satisfaction with perioperative care among patients having orthopedic surgery in a university hospital. Local Reg Anesth 2010;3:49-55.
Jawaid M, Farhan M, Masood Z, Husnain S. Preoperative informed consent: is it truly informed? Iran J Public Health 2012;41:25-30.
Ar B, Me H, Vdh H. Patient satisfaction with the quality of care in a primary health care setting in Botswana. Science 2011;53:170-5.
Leóntine I. Dissertation Patients satisfaction with perioperative care at Oshen Fing Faisal Hospital. S Afr Fam Pract 2017;53:170-5.
Andemeskel YM, Elsholz T, Gebreyohannes G, Tesfamariam EH. Patient satisfaction with peri-operative anesthesia care and associated factors at two National Referral Hospitals: a cross-sectional study in Eritrea. BMC Health Serv Res 2019;19:1-20.
Teshome M, Wolde Z, Gedefaw A, Tariku M, Asefa A. Surgical informed consent in obstetric and gynecologic surgeries: experience from a comprehensive teaching hospital in Southern Ethiopia. BMC Med Ethics 2018;19:1-9.
Sacks GD, Lawson EH, Dawes AJ, Russell MM, Maggard-Gibbons M. Relationship between hospital performance on a patient satisfaction survey and surgical quality. JAMA Surg 2015;150:858-64.
Siddiqui FG, Shaikh JM, Memon MM. An audit of informed consent in surgical patients at a university hospital. J Ayub Med Coll Abbottabad 2010;22:133-5.
Ochieng J, Ibingira C, Buwembo W, Munabi I, Kiryowa H. Informed consent practices for surgical care at university teaching hospitals: a case in a low resource setting. BMC Med Ethics 2014;15:1-5.
San NEM, Gómez-Alonso D, Trigueros JM, Quiroga J, Gualis J. Readability of surgical informed consent in Spain. Cir Esp 2014;92:201-7.
Gebremedhn EG, Lemma GF. Patient satisfaction with the perioperative surgical services and associated factors. Pan Afr Med J 2017;27:1-14.
de Waard CS, Poot AJ, den Elzen WP, Wind AW, Caljouw M. Perceived doctor-patient relationship and satisfaction with general practitioner care in older persons in residential homes. Scand J Prim Health Care 2018;36:189-97.
Hallock JL, Rios R, Handa VL. Patient satisfaction and informed consent for surgery. Am J Obstet Gynecol 2017;217:181.e1-181.e7.
Aldossari SH, Alfayez SS, Ibrahim R, Mutlaq A, Alturki DI. The relationship between quality of informed consent and perioperative care and patient satisfaction: a tertiary-care hospital’s experience. Int J Med Health Res 2017;3:107-12.
Xesfingi S, Vozikis A. Patient satisfaction with the healthcare system: assessing the impact of socio-economic and healthcare provision factors. BMC Health Serv Res 2016;2:1-7.
Sulaiman A, Ayyuba R, Diggol I, Haruna I. Knowledge, attitude and perception of patients towards informed consent in obstetric surgical procedures at Aminu Kano Teaching Hospital. Niger J Basic Clin Sci 2015;12:45-50.
de Guzman GS, Amosco MDL.. Ann Med Surg (Lond) 2022 Sep 5;81:104551.
Sung VW, Kauffman N, Raker CA, Myers DL, Clark MA. Validation of decision-making outcomes for female pelvic floor disorders. Am J Obstet Gynecol 2008;198:575.e1-575.e6.
Akkad A, Jackson C, Kenyon S, Dixon-Woods M, Taub N, Habiba M. Informed consent for elective and emergency surgery: Questionnaire study. BJOG 2004;111:1133-8.
Biyazin T, Taye A, Belay Y. Patient satisfaction with surgical informed consent at Jimma Medical Center, Ethiopia. BMC Med Ethics 2022;23:103.