Culture and Patients' Perception to Maxillofacial Surgical Practices in Kano, Nigeria

Authors

  • Kevin U. OMEJE
  • Akinwale A. EFUNKOYA
  • Olusola I. AMOLE
  • Benjamin I. AKHIWU
  • Otasowie D. OSUNDE
  • Rowland AGBARA

Keywords:

Culture, Maxillofacial surgery

Abstract

Background: Culture is the way of life of a people; and is an integral component of their day-to-day existence. It influences the daily routine of a people, including their diet, dressing, religious disposition, and surprisingly, the degree to which orthodox medical practices impact their daily lives. Appreciating underlying cultural context will help health care workers influence patient's perceptions, especially where cultural practices are not in tandem with medical best practices. This is important, for example, in administration of informed consent for surgery.

Objective: To explore cultural beliefs of patients in relation to some common maxillofacial practices in Kano, Nigeria.

Methods: Patient's perceptions on oral cancers, use of nasogastric tubes, and tooth extraction was conducted amongst patients attending maxillofacial outpatient clinic of a tertiary Nigerian hospital from January to December 2015 using a non-structured, interviewer-administered questionnaire.

Results: Seventy-seven (77) patients were surveyed (52 males and 25 females), with ages ranging from 16 to 75 years. Most were aged 51-60 years (44.2%). Only 6.5% of respondents had higher than secondary education. Responses to the aetiology and treatment of oral cancers, use of nasogastric tubes for maxillofacial surgery patients and extraction of teeth showed cultural perceptions usually at variance with medical best practices.

Conclusion: Patients' expectations and fears of maxillofacial surgery procedures are affected by their cultural beliefs. Proper acceptance of this, combined with targeted education and counselling may enhance patient's co-operation and acceptance of necessary surgical procedures when orthodox medical care is sought.

Key words: Culture, Maxillofacial surgery, Kano

Author Biographies

Kevin U. OMEJE

Department of Oral and Maxillofacial Surgery, Bayero University, Kano and Aminu Kano Teaching Hospital, Kano, Nigeria

Akinwale A. EFUNKOYA

Department of Oral and Maxillofacial Surgery, Bayero University, Kano and Aminu Kano Teaching Hospital, Kano, Nigeria

Olusola I. AMOLE

Department of Oral and Maxillofacial Surgery, Bayero University, Kano and Aminu Kano Teaching Hospital, Kano, Nigeria

Benjamin I. AKHIWU

Department of Dental and Maxillofacial Surgery, University of Jos, and Jos University Teaching Hospital, Jos, Nigeria

Otasowie D. OSUNDE

Department of Oral and Maxillofacial Surgery, University of Calabar, and University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria

Rowland AGBARA

Department of Dental and Maxillofacial Surgery, University of Jos, and Jos University Teaching Hospital, Jos, Nigeria

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Published

2018-12-03

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