RESUMO
Background: previously, and specifically at the last period of 20th century, TB was one of the major leading cause of death. However, the incidence of TB has been decreased. Around ten million cases have been reported in 2015, 61% of them are recorded in Asia. The yearly incidence rate of TB that is recorded in Saudi Arabia is 12/100,000. Eradicating TB is the future plan for the entire world, and WHO are intending to get free TB world. This plan can't be real if general populations are not aware of TB
Aim: the aim of this study is to assess knowledge, attitude and practice with TB among eastern and western Saudi Arabia community
Method: that was cross-sectional study. So, participants have been selected by random sample from public places in eastern and western Saudi Arabia. The tool that we used to collect data is Self-administrated questionnaire contains demographic part and awareness of TB evaluation part. Then we compare evaluations results according to many variables specifically the region by Chi-Square Test. We consider the result of the comparison is significant level once P-value < 0.05
Result: around 750 participants in this study [Response rate 93.75%] by mean age 32. Only 3.6% have a history of TB and 16.8 % have relative with a history of TB. Only 18.1% of participants have good knowledge, only 15.1% have favorable attitude and most of the participants have a good practice [63.7%]. People with high degree educational level have better knowledge than others. People who have relative with a history of TB have better knowledge. Females are better in attitude more than male, western populations have a better attitude than eastern, and people who have relative with a history of TB have a better attitude. People with high degree education have a better practice than others and people who have relative with a history of TB have a better practice
Conclusion: eastern and western region in Saudi Arabia have a very poor knowledge and Attitude towards TB, and Western populations have better attitude compared to that of Eastern. Participants have high percentage of a good practice which still needs to be improved Level of education is an important factor that may control the level of knowledge about TB
RESUMO
Background: Informed consent has become a vital factor for the clinical treatment of modern practice in the medical field, it is participating in legal, ethical and administrative compliance side. However, informed consent is variably applicable and rarely fulfills its theoretical ideal. Disclosure of adequate information is very important before signing informed consent. It is important to make patient enable to take a proper decision with good knowledge about his/her case. Informed consent for the surgical procedure is consent that taken from the patient before surgical operations and invasive procedures after explaining advantages and disadvantages. Getting patient's signature for the consent of operations and the surgical procedure is surgeon's job. The opinion of the surgeon about informed consent is important, as that may affect the performance of surgeon in explaining procedure with its risks and benefits
Aim: Assessment of knowledge, opinion, and attitude of surgeons towards informed consents. Find out how to improve the quality of informed consent from surgeons' suggestions
Method: This cross-sectional study is questionnaire-based study. Our target was to reach many surgeons in Saudi Arabia with different specialties, different status and from different hospitals. We take our sample using random sampling technique. We selected surgeons from each hospital that our data collector can reach and enter easily. Collection of data was done by interview. Our questionnaire contained four parts in addition to demographic data part. The first part was asking about surgeons' opinions regarding informed surgical consent process. The second part was responsible for inquire about obtaining informed surgical consent. The third part is about the refusal to sign informed surgical consent. Last part is to ask about surgeons' suggestions to improve informed surgical consent
Result: Total number of respondents was 140 [Response rate is 93.3%]. Around 34% of participants agreed that surgeons don't give adequate information about the surgical procedure. 33.6% insisted to know about their surgery. After asking each surgeon about the importance of informed surgical consent they selected the following answers in descending order; informing patients about advantages, hazards and alternatives [81.4%], Medico-legal importance [79.3%], decision taking about procedure [72.1%], hospital policy [50.7%] and surgical tradition [19.3%]. Most of the doctors [85%] complained that sometimes, their patients refused to sign consent. Fear was the most common cause of singing consent refusal according to opinions of 62.9% of surgeons
Conclusion: Surgeons in Saudi Arabia have acceptable knowledge about informed surgical consent and how to obtain it. But still there were some opinions of surgeons opposite to what is practiced, and also some of them practiced something not ideal while obtaining informed surgical consents. However, most of the surgeons know the importance of consent and what is important to be disclosed in it. In general, the frequency of consent refusal was low