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April 2021 -
Volume 19, Issue 4


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From the Editor

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Original contribution

Caring for patients with cancer in Qatar: the impact on the mental health of voluntary caregiver
[pdf]
[Abstract]

Zeinab Idris, Asma Al bulushi, Khadra Yassin, Nima Ali, Hanan Zada,
Hafedh Ghazouani
DOI: 10.5742/MEWFM.2021.94020

Assessment of Patients' Comprehension of Discharge Instructions and Associated Factors
[pdf]
[Abstract]
Hasan M. Alzahrani, Safar A. Alsaleem, Lubna F. Abbag, Eman Saeed Salem, Shahad Awad Al-Qahtani, Bayan Mohammed Hanif Alqhatani, Malak Hadi Assiri
DOI: 10.5742/MEWFM.2021.94021

Prevalence of Obesity among King Khalid University students in, 2020, Saudi Arabia
[pdf]
[Abstract]
Shehata Farag Shehata, Basel Mohammed Althubait, Anas Ali AboTamrah, Khalid Mohammed Alotaibi, Khaled Abdulwahab Amer, Abdulrahman Ali Aldosari, Abdullah Ali BinZahif
DOI: 10.5742/MEWFM.2021.94022

Population and Community Studies

Relation of Islamic Religiosity to Resistance to Intellectual Temptation. A Study on a Sample of Youth in the Kingdom of Saudi Arabia
[pdf]
[Abstract]
Rugayah N M Nayaz, Tawfik A M Khoja, Waris Qidwai
DOI: 10.5742/MEWFM.2021.94024

Prevalence of Astigmatism among medical students in King Khalid University and its effects on academic performance
[pdf]
[Abstract]
Abdulrahman Al-Amri, Bushra Abdullah Almohi, Nora Khaled Al Walidi, Razan Shaker M. Asiri R
DOI: 10.5742/MEWFM.2021.94025

Study of post total knee replacement and outcome in Aden, Yemen
[pdf]
[Abstract]
Abdul Fatah Abbas Mansoor Haidarah
DOI: 10.5742/MEWFM.2021.94030

Reviews

Diagnostic Approach to Lymphadenopathy in children
[pdf]
[Abstract]
Ahmad Zaaza, Nidal Ibrahem Agha
DOI: 10.5742/MEWFM.2021.94026

The Effects of Digital Technology Usage on Children's Development and Health
[pdf]
[Abstract]
Nidal Ibrahem Agha, Ahmad ZaaZa
DOI: 10.5742/MEWFM.2021.94027

Relationship between autoimmune thyroid dysfunction and diabetes mellitus type 1 in pediatric population
[pdf]
[Abstract]
Samer Abdullatif Ali, Ghaleb Mohd Faisal Aref Abu Hwij
DOI: 10.5742/MEWFM.2021.94029

Liraglutide for Weight Management, Critical Analysis of Efficacy and Side effects in Non diabetic, individuals with obesity: A Comprehensive Systematic Review
[pdf]
[Abstract]
Sidra Kanwal, Elham Abdullah AlEmadi
DOI: 10.5742/MEWFM.2021.94031

Covid in the Region

The prevalence of COVID 19 among PHCC workers and its relation to place of works and medical comorbidities
[pdf]
[Abstract]
Ahmed Mohamed Kahlout, Khadijeh ALhubidi, Meshal Abdulla AlMesaifri, Tala AL Mansour, Hanan Khudadad
DOI: 10.5742/MEWFM.2021.94032

The COVID-19 Pandemic Impact on Primary Health Care Services: An Experience from Qatar
[pdf]
[Abstract]
Mohamed Ghaith Al-Kuwari, Mariam Ali Abdulmalik, Ahmad Haj Bakri, John Gibb, Mujeeb Chettiyam Kandy, Selvakumar Swamy, Samya Ahmad Al-Abdulla, Manal B Al-Zaidan
DOI: 10.5742/MEWFM.2021.94033

Outcome of COVID-19 among homecare patients and its relation to chronic diseases
[pdf]
[Abstract]
Ali Mohammad alqahtani, Faisal Mubarak Alshahrani, Mohamed M. Esmail Khalaf, Sameh Reda Rezk
DOI: 10.5742/MEWFM.2021.94035

Case Report

Management of Hemorrhagic Pancreatitis Secondary to Multiple Vascular Aneurysmal Rupture: A Case Report
[pdf]
[Abstract]
Emad A Fallatah, Ghader G Jamjoum, Mowadah W Ashgar, Adel Kotb, Reda A Jamjoom, Mohammed O Nassif, Marwan Al-Hajeili, Nora H Trabulsi
DOI: 10.5742/MEWFM.2021.94037

Original Clinical Research

Prevalence of Atopic Dermatitis and its Associated Factors Among 4-12-Month-Old Infants Attending Primary Health Care Corporation in Qatar
[pdf]
[Abstract]
Ahmed Mohamed Kahlout, Akeil Al Faraj, Majd Riad Akbik, Azzam Awad Ashour, Sundus Kadhim Abdulridhe, Wesam Abou Amer, Lolwa K M Al-Maslamani, Naheel Ismail Seyam, Tala Almansour, Hanan Khudadad
DOI: 10.5742/MEWFM.2021.94039

Role of BMI, Patient's psychological status and Implant type on Patient's Satisfaction after Total Knee Arthroplasty (TKA)
[pdf]
[Abstract]
Raed Wagokh, Ashraf Fowzat Omor, Laith Al Tarawnah, Nizar Al Berihi,
Moayad Mousa Abu Qa'oud
DOI: 10.5742/MEWFM.2021.94040



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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April 2021 - Volume 19, Issue 4

Assessment of Patients’ Comprehension of Discharge Instructions and Associated Factors

(1) Clinical Assistant Professor of Emergency Medicine at King Khalid University Medical City-Abha
(2) Associate Professor, Department of family and community medicine college of medicine, King Khalid University
(3) King Khalid University Medical City- Abha
(4) Medical student, College of Medicine, King Khalid University
(5) Abha Maternity and Children Hospital- Abha
(6) Khamis Maternity and Children Hospital - Abha.

Corresponding author:
Dr. Hasan M. Alzahrani
Clinical Assistant Professor of Emergency Medicine King Khalid University Medical City,
Abha
Saudi Arabia
Email: alzahranihasan@yahoo.com

Received: February 2021; Accepted: March 2021; Published: April 1, 2021. Citation: Hasan M. Alzahrani et al. Assessment of Patients’ Comprehension of Discharge Instructions and Associated Factors. World Family Medicine. 2021; 19(4): 11-17 DOI: 10.5742/MEWFM.2021.94021

Abstract


Aim of Study: To assess patients’ comprehension of discharge instructions and to explore associated factors.

Methods: Following a cross-sectional design, 300 patients aged above 14 years, who were admitted to Aseer Central Hospital, and were discharged to home, were included. A questionnaire was designed by researchers for data collection. It consisted of personal data and statements related to assessment of the patients’ comprehension of discharge instructions.

Results: Most participants were males (68.3%). Age of 26% was <30 years or 30-39 years (27%), while age of less than one-quarter of them (22.3%) was 40-49 years or >50 years (24.7%). Educational level of more than one-third was either secondary school (36.7%) or university education (37.7%), while 6.3% were illiterate. Most participants (85.7%) lived with their families, while 14.3% were living alone. More than half of patients (57%) did not know the side effects of their drugs, 13% of participants did not know about times of their medication intake, duration of treatment (16.7%), when to return to hospital (39.1%), or precautions after discharge (30.1%). About one-third of patients (33.7%) had poor comprehension regarding their discharge instructions, while 37.7% had moderate comprehensionand 28.7% had good comprehension. More than three-quarters of patients felt satisfied about their understanding regarding discharge instructions, while 5.7% were not satisfied. About half of patients (47.7%) preferred verbal methods for having discharge instructions, 11.3% preferred written instructions, while 41% preferred both verbal and written methods. Knowledge levels were significantly lower among those aged >50 years (p=0.031). Illiterate patients had significantly lower comprehension about discharge instructions (p=0.021). Those who live with their families had significantly better knowledge than those who don’t live alone (p=0.024). Their comprehension differed significantly according to their department (p=0.009), with best comprehension among those discharged from the Surgery Department, while the worst comprehension was observed among patients discharged from the Urology and Orthopedics Departments (63.6% and 48.1%, respectively).

Conclusions: About one-third of patients have poor comprehension regarding their discharge instructions. Verbal methods for discharge instructions are preferred by about half of patients, while 41% prefer both verbal and written methods. Patients’ poor comprehension is significantly associated with patients’ illiteracy, older age (>50 years) and social isolation.

Key words: Discharge instructions, patients’ comprehension, risk factors.







 


 

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