Knowledge Clinical Trial
Official title:
Degree of Knowledge About Anaesthesiology and Anaesthesiologists Among Patients in Tertiary Care Hospital of Kingdom of Saudi Arabia.
Object: To determine the Knowledge about anaesthesiologist's role and responsibilities along
with the field of anaesthesiology among patients.
Study Design: A Cross-Sectional Survey. Place and Duration of Study: National Guard Health
Affairs, from 1st December 2017 to 30th March 2018.
Methodology: After informed consent patients were asked to answer the questionnaire
comprising of 12 open-ended questions regarding their knowledge about anaesthesiologist and
anaesthesiology. Scoring as per correct and incorrect questions was done using version 19
(SPSS Inc., Chicago, IL).
INTRODUCTION:
Anaesthesiology is still an emerging specialty in comparison to medicine and the field of
surgery. Unawareness, infrequent exposure, and limited direct patient interaction have
resulted in into least knowledge regarding the field of anaesthesiology among patients get
admission to the hospital. The role, status of the anaesthesiologist and the awareness about
the specialty of anaesthesiology has always been an active issue in the general population of
most of the countries. Ongoing advancement in the field of anaesthesiology has facilitated
complex surgical procedures, but it has never been acknowledged anywhere in media. Several
studies done on the same subject is a reflection of efforts of professional bodies around the
world towards improvement in the spread of awareness about the field of anaesthesiology and
role of anaesthesiologist but these are still largely inaccurate.
A survey done even in developed countries outside the operating rooms depicted that the
patients have limited awareness about the role of anaesthesiologists. A survey was done in
India in 2018 showed that there was widespread ignorance about the anaesthesiology and role
of anaesthesiologist in patients attending rural healthcare facilities. A 2009 survey in
government busy setting of India showed that only 56% of patients knew that anaesthesiologist
is a doctor. A survey done in the year 2004 revealed a high number of around 80% of patients
visiting hospital recognized anaesthesiologist as a doctor but were unaware of their
responsibilities in the hospital.
In the era of the rise in media and the Internet, an enhancement can be seen in awareness
about anaesthesiology. Awareness about anaesthesiology and anaesthesiologists is an important
better relationship between patient and doctor.
Methodology:
A cross-sectional study was conducted at the National Guard Health Affairs, Riyadh, Saudi
Arabia from 1st December 2017 to 30th March 2018. The sample size was calculated using the
WHO Sample Size Calculator. In a previous study, knowledge regarding anaesthesiologists and
anaesthesiology was about 51.52% therefore 384 patients will be included in this study to
estimate knowledge within 5 percent point (margin of error) of the true value (51.52%) with
95% confidence interval. Using Non-probability purposive sampling patients falling in
inclusion criteria were included after taking ethical committee approval and patient's
consent. Patients of either gender aged 18 to 60 years were included regardless of the
specialty of surgery. We excluded those patients who refused to give consent and those were
unable to give consent because of being language bearer, mentally not bill to understand
questionnaires and doctors who were admitted as patients. Knowledge about anaesthesiologists
and the field of anaesthesiology was measured by asking the questionnaire comprising 12
questions. Patients were interviewed by the preoperative anaesthetist and principal
investigator on the ward. Each interview lasted for 10-20min and was based on a questionnaire
in English and Arabic language. The questionnaire consisted of questions modified from
previous studies and added questions. It had two parts; demographics i.e. age, gender,
educational level, occupation, previous anaesthesia experience and type of surgery, the
second part will consist of 12 questions about anaesthesiology and anaesthesiologist.
Patients giving the correct responses to 8 out of 12 questions were considered to have
knowledge. Data were analyzed using statistical packages for social science version 19 (SPSS
Inc., Chicago, IL). Frequency and percentage were computed for gender, type of surgery,
education level, previous surgery, Patient's knowledge about anaesthesiology and
anaesthesiologist. Mean and the standard deviation was estimated for age. Stratification was
done to control effect modifiers like gender, age, education level, previous surgery to
observed the Patient's knowledge about anaesthesiology and anaesthesiologist through the
chi-square test. p≤0.05 is considered as significant.
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