Quality of Perioperative Informations Provided and its Associated Factors Among Adult Patients Who Undergone Surgery in Public Hospitals of Gamo &Gofa Zones: A Mixed Design Study, Southern Ethiopia, 2019


  • Genet Asefa Alito School of Nursing ,Arba Minch University, 21,Arba Minch, Ethiopia.
  • Wubshet Estifanos Madebo School of Nursing ,Arba Minch University, 21,Arba Minch, Ethiopia.
  • Nega Chufamo Eromo School of Medicine , Arba Minch University,21, Arba Minch, Ethiopia.


Quality, Perioperative Informations, Adult Surgical Patients


Background: Surgery is one of biggest health related decisions done in one’s life with an outcome ranging in both extremes. It do have three phases. Preoperative, Intraoperative and Postoperative  phases. All the phases are interlinked and affect one another. Surgical outcomes are   found to be    affected by range of factors. Some of the factors could be social, financial, medical, immunological, and etc. Surgery as a professional procedure, is bound with multiples of concerns including clinical, professional, moral, Ethical and legal aspects. Appropriate health informations are an indispensable component of health care as well as surgery. Noting is known about the quality of perioperative informations provided in Public Hospitals of Gamo and Gofa Zones. Therefore, the purpose of this study will be to assess the quality of perioperative informations provided and its associated factors among adult patients who undergone surgery in public hospitals of Gamo and Gofa Zones.

Method and materials: A facility based mixed design study was conducted from March-April 2019 in Arba minch, Chencha and Sawla Hospitals, Southern Ethiopia.

A simple random sampling technique was employed to select 410 study participants among admitted adult patients who undergone surgery. Bivariate logistic regression analysis was done to identify candidates for multivariable logistic regression analysis. Explanatory variables with a p-value of less than 0.25 in the bivariate logistic regression analysis were included in the initial logistic model of multivariable logistic regression. Finally, statistically significant associations of variables were determined based on an Adjusted Odds ratio with 95% confidence interval and p-value <0.05.

Result: the proportion of patients who received good quality perioperative informations are only 36.6%. In the multivariable analysis; Frequency of Hospital Visit  [AOR=2.604, 95% CI: 1.669-4.063],  Reasons for Hospital Visit [AOR = 2.370; 95% CI: 1.356-4.144], Previous Surgery [AOR = 2.370; 95% CI: 1.449-3.876], number of Previous Surgery [AOR = 1.808; 95% CI: 1.097-2.981], Place of Surgery[AOR =0.333; 95% CI:0.152-0.726], Surgical Professional [AOR =2.007; 95% CI:1.096-3.677] and Consenter [AOR =7.408; 95% CI:4.453-12.325] were significantly associated with the provision of good quality perioperative informations. Conclusion: According to this study, the proportion of patients who received good quality perioperative informations are only 36.6%.Therefore, all the concerned bodies must strive to improve the quality of informations to adult surgical patients.


. Belihun A., Alemu M., Mengistu B (2015,April): A Prospective Study on Surgical Inpatient Satisfaction with Perioperative Anaesthetic Service in Jimma University Specialized Hospital, Jimma, South West Ethiopia, J Anesth Clin Res 6: 514. doi:10.4172/2155-6148.1000514

. Zambouri A(2007). Perioperative evaluation and preparation for anesthesia and surgery. Hippokratia. ;11(1):13-21.

. WHO guidelines for safe surgery:2009

. Endale Gebreegziabher Gebremedhn et al.(2014,April): Patient satisfaction with the perioperative surgical services and associated factors at Gondar University Referral and Teaching Hospital : a cross-sectional study ,The Pan African Medical Journal - ISSN 1937-8688. available at: http://www.panafrican-med-journal.com/content/article/27/176/full/

. AdesAnmi Akinsulore et al: Assessment Of Preoperative And Postoperative Anxiety Among Elective Major Surgery Patients In A Tertiary Hospital In Nigeria

. Knowledge, attitude and practice of preoperative visit: A survey of Nigerian perioperative nurses available at (http://www.sciencepublishinggroup.com/j/ajhr)

. Rozina Barkat Ali, Nasreen S. Lalani, Amina Malik(2012,January):Pre-Operative Assessment and Education, (http://www.SciRP.org/journal/ss)

. CSA, Summary and Statistical Report of the 2007 Population and Housing Census: Population Size By Age and Sex, CSA, Addis Ababa, Ethiopia, 2008, available on( http://www.measuredhs.com.)

. Hindawi Publishing Corporation Journal of Blood Transfusion, ArticleID797830, available at http://dx.doi.org/10.1155/2013/797830

. Central Statistics Agency, ICF Macro Calverton, Ethiopia Demographic and Health Survey, Addis Ababa,2011

. Ministry of Health, Health Sector Development Program of Ethiopia (HSDP) IV 2010/11-2014/15.

. Danjuma et al(2015,Oct.): Knowledge, Attitude and Practice of Preoperative Visit: A Survey of Nigerian Perioperative Nurses. American Journal of Health Research. Special Issue: Health Information Technology in Developing Nations: Challenges and Prospects Health Information Technology. Vol. 3, No. 1-1,, pp. 54-60,. doi: 10.11648/j.ajhr.s.2015030101.18

. Nigussie et al(2014).:Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital, BMC Surgery, 14:67 Page5-10, (http://www.biomedcentral.com/1471-2482/14/67)

. Tateke T, Woldie M, Ololo S(2012),: Determinants of patient satisfaction with outpatient health services at public and private hospitals in Addis Ababa, Ethiopia. Afr J Prim Health Care Fam Med.;4(1):384,2012

. Iliyasu Z, Abubakar I, Lawan U, Gajida A. (2010):Patients’ satisfaction with services obtained from Aminu Kano teaching hospital. Nigerian Journal of Clinical Practice;13(4):371–378 [PubMed]

. ldaqal SM, et al.(2012): Determinants of patient satisfaction in the surgical ward at a University Hospital in Saudi Arabia. Life Science Journal.;9(1):277–280.

. Bekele A et al. (2008):Levels of outpatient satisfaction at selected health facilities in six regions of Ethiopia. Ethiop J Health Dev.;22(1):42–48

. Assefa F, Mosse A, H/Michael1 Y. (2011) Assessment of clients’ satisfaction with health service deliveries at Jimma University specialized hospital. Ethiop J Health Sci. Jul;21(2):101–109 [PMC free article] [PubMed]

. Fauza A K, Shazia N.(2007) Assessment of pre operative anxiety in patients for elective surgery. Journal of Anesthesiology& Clinical Pharmacology;23(3):259–262.

. Jafar MF, Khan FA. (2009)Frequency of preoperative anxiety in Pakistani surgical patients. J Pak Med Assoc. ;59(6):359–363[PubMed]

. Shuldham C. (1999):A review of the impact of pre-operative education on recovery from surgery. International Journal of Nursing Students;36:171–177, doi: 10.1016/S0020-7489(99)00010-3. [PubMed] [Cross Ref]

. Bailey L.(2010): Strategies for decreasing patient anxiety in the perioperative setting. .;92(4):445–460,doi: 10.1016/j.aorn.2010.04.017. [PubMed] [Cross Ref]

. Patient satisfaction questionnaire, bend surgery center/https://www.bendsurgery.com/patient-satisfaction-questionnaire/

. Tekelehaymanot G(2017,February) : Assessment of Quality of Antenatal Care Service Provision and Associated Factor at Governmental Health Facilities of Harar Town, Eastern Ethiopia, J Gen Pract 6: 367., doi: 10.4172/2329-9126.1000367

. Abate TM, Salgedo WB, Bayou NB (2015,July) : Evaluation of the quality of antenatal care service at higher 2 health center in Jimma, South West Ethiopia, Open Access Library Journal 2: 1-9.

. Gröndahl W, Muurinen H, Katajisto J, et al.(2019):Perceived quality of nursing care and patient education: a cross-sectional study of hospitalised surgical patients in Finland, BMJ Open ;9:e023108. doi:10.1136/ bmjopen-2018-023108

. Jaensson, M., Dahlberg, K. & Nilsson, U.(2019) Factors influencing day surgery patients’ quality of postoperative recovery and satisfaction with recovery: a narrative review. Perioperative Medicine 8, 3. https://doi.org/10.1186/s13741-019-0115-1

. Nakahira J, Sawai T, Ishio J, Nakano S, Minami T (2019, Oct): Factors Associated with Poor Satisfaction with Anesthesia in Patients Who Had Previous Surgery: A Retrospective Study. Anesthesiology and Pain Medicine.;9(5):e90915. DOI: 10.5812/aapm.90915




How to Cite

Alito, G. A. ., Madebo, W. E. ., & Eromo, N. C. . . (2020). Quality of Perioperative Informations Provided and its Associated Factors Among Adult Patients Who Undergone Surgery in Public Hospitals of Gamo &Gofa Zones: A Mixed Design Study, Southern Ethiopia, 2019. International Journal of Sciences: Basic and Applied Research (IJSBAR), 54(2), 53–66. Retrieved from https://gssrr.org/index.php/JournalOfBasicAndApplied/article/view/11761