JOURNAL
Current Issue
Journal Archive
.............................................................
April 2021 -
Volume 19, Issue 4


View this issue in pdf format

........................................................
From the Editor

Editorial
A. Abyad (Chief Editor)
........................................................

 

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
.........................................................

Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center,
PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
.........................................................

Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
.........................................................

Editorial Enquiries -
abyad@cyberia.net.lb
.........................................................

Advertising Enquiries -
lesleypocock@mediworld.com.au
.........................................................

While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.
April 2021 - Volume 19, Issue 4

Assessment of Patients’ Comprehension of Discharge Instructions and Associated Factors

Hasan M. Alzahrani (1)
Safar A. Alsaleem (2)
Lubna F. Abbag (3)
Eman Saeed Salem (3)
Shahad Awad Al-Qahtani (4)
Bayan Mohammed Hanif Alqhatani (5)
Malak Hadi Assiri (6)

(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.







 


 
.................................................................................................................