接受胃肠内镜检查患者对麻醉后认知功能障碍的知识、态度和行为
Knowledge, attitudes, and practices regarding Post-anesthesia cognitive dysfunction in patients undergoing gastrointestinal endoscopy.
作者信息
Liu Xuling, Ren Yelong, Jin Wenjun, Li Peng, Wang Leilei
机构信息
Department of Pathology, The First Affiliated Hospital of Wenzhou Medical University, Xuefu Road, Ouhai District, Wenzhou, 325000, Zhejiang Province, China.
Department of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Xuefu Road, Ouhai District, Wenzhou, 325000, Zhejiang Province, China.
出版信息
BMC Anesthesiol. 2024 Jul 31;24(1):264. doi: 10.1186/s12871-024-02629-z.
BACKGROUND
The administration of anesthesia during gastrointestinal endoscopy potentially contributes to post-anesthesia cognitive dysfunction (PACD), with detrimental impacts for cognitive function. This study aimed to assess the knowledge, attitudes, and practices (KAP) towards PACD among patients undergoing gastrointestinal endoscopy in Wenzhou region.
METHODS
This cross-sectional study was conducted between June and August 2023, and recruited individuals undergoing gastrointestinal endoscopy. Demographic data and KAP scores were collected through questionnaires. Pearson correlation analysis was applied to evaluate correlations between KAP scores, and logistic regression was utilized to identify influential factors.
RESULTS
We collected 405 valid questionnaires, with 54.57% being male and 29.88% aged 31-40 years. Mean KAP scores were 13.99 ± 4.80, 16.19 ± 2.35, and 15.61 ± 2.86, respectively (possible range: 0-16, 0-25, and 0-25). Pearson correlation analysis demonstrated significant positive correlations between knowledge and practice (r = 0.209, P < 0.001), attitude and practice (r = 0.233, P < 0.001), and knowledge and attitude (r = 0.328, P < 0.001). Multivariate logistic regression revealed negative associations of opting for standard gastrointestinal endoscopy (without anesthesia) with knowledge (OR = 0.227, 95%CI: 0.088-0.582, P = 0.002) and practice scores (OR = 0.336, 95%CI: 0.154-0.731, P = 0.006). Additionally, the presence of cognitive-related diseases or symptoms before undergoing gastrointestinal endoscopy was negatively associated with knowledge scores (OR = 0.429, 95%CI: 0.225-0.818, P = 0.010).
CONCLUSION
Patients undergoing gastrointestinal endoscopy demonstrated good knowledge, neutral attitudes, and moderate practices regarding PACD. Educational interventions and behavior modification are recommended, particularly for individuals with lower monthly income, undergoing standard gastrointestinal endoscopy, or experiencing cognitive-related conditions.
背景
胃肠内镜检查期间实施麻醉可能会导致麻醉后认知功能障碍（PACD），对认知功能产生不利影响。本研究旨在评估温州地区接受胃肠内镜检查的患者对PACD的知识、态度和行为（KAP）。
方法
本横断面研究于2023年6月至8月进行，招募接受胃肠内镜检查的个体。通过问卷调查收集人口统计学数据和KAP评分。采用Pearson相关性分析评估KAP评分之间的相关性，并利用逻辑回归确定影响因素。
结果
我们收集了405份有效问卷，其中男性占54.57%，年龄在31 - 40岁之间的占29.88%。KAP平均得分分别为13.99±4.80、16.19±2.35和15.61±2.86（可能范围：0 - 16、0 - 25和0 - 25）。Pearson相关性分析显示，知识与行为之间存在显著正相关（r = 0.209，P < 0.001），态度与行为之间存在显著正相关（r = 0.233，P < 0.001），知识与态度之间存在显著正相关（r = 0.328，P < 0.001）。多因素逻辑回归显示，选择标准胃肠内镜检查（无麻醉）与知识（OR = 0.227，95%CI：0.088 - 0.582，P = 0.002）和行为评分（OR = 0.336，95%CI：0.154 - 0.731，P = 0.006）呈负相关。此外，在接受胃肠内镜检查前存在认知相关疾病或症状与知识评分呈负相关（OR = 0.429，95%CI：0.225 - 0.818，P = 0.010）。
结论
接受胃肠内镜检查的患者对PACD表现出良好的知识、中立的态度和适度的行为。建议进行教育干预和行为改变，特别是对于月收入较低、接受标准胃肠内镜检查或患有认知相关疾病的个体。
Zotero 插件