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麻醉从业者对围手术期神经认知障碍的知识、态度和实践。

Knowledge, attitudes, and practices regarding perioperative neurocognitive disorders among anesthesia practitioners.

作者信息

Luo Yi, Shen Zijin, Wang Haibin, Dong Rong

机构信息

Department of Anesthesiology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China.

出版信息

Heliyon. 2024 Aug 16;10(16):e36491. doi: 10.1016/j.heliyon.2024.e36491. eCollection 2024 Aug 30.

Abstract

OBJECTIVES

This study aimed to investigate the knowledge, attitudes, and practices (KAP) among anesthesia practitioners concerning perioperative neurocognitive disorders (PND).

METHODS

This cross-sectional study enrolled anesthesia practitioners from 18 hospitals in China using s self-administered questionnaire between July and September 2023.

RESULTS

A total of 200 (98.04 %) valid questionnaire were enrolled, the responders of which aged 36.56 ± 8.24 years, including 130 (65 %) females. The mean KAP scores were 12.28 ± 3.78 (possible range: 0 20),29.22 ± 3.28 (possible range: 8-40), and 29.32 ± 4.30 (possible range: 8-40), respectively. The path analysis demonstrated that number of daily surgical cases (β = 0.82, p = 0.018), education (β = 1.49, p < 0.001), and participation in a related research project (β = 1.32, p = 0.003) had direct effects on knowledge. Working in teaching hospital has direct effect on attitude (β = 1.82, p = 0.027). Furthermore, knowledge (β = 0.29, p < 0.001) and attitude (β = 0.20, p = 0.026) also have direct effects on practice.

CONCLUSIONS

Anesthesia practitioners had inadequate knowledge, positive attitude, and proactive practice towards PND. Number of daily surgical cases, education, participation in a related research project, and working in teaching hospital might have effects on their KAP.

摘要

目的

本研究旨在调查麻醉从业人员对围手术期神经认知障碍(PND)的知识、态度和实践情况。

方法

本横断面研究于2023年7月至9月使用自填式问卷在中国18家医院招募麻醉从业人员。

结果

共纳入200份有效问卷(98.04%),应答者年龄为36.56±8.24岁,其中130名(65%)为女性。知识、态度和实践的平均得分分别为12.28±3.78(可能范围:0-20)、29.22±3.28(可能范围:8-40)和29.32±4.30(可能范围:8-40)。路径分析表明,每日手术病例数(β=0.82,p=0.018)、学历(β=1.49,p<0.001)和参与相关研究项目(β=1.32,p=0.003)对知识有直接影响。在教学医院工作对态度有直接影响(β=1.82,p=0.027)。此外,知识(β=0.29,p<0.001)和态度(β=0.20,p=0.026)也对实践有直接影响。

结论

麻醉从业人员对PND的知识掌握不足,但态度积极,实践主动。每日手术病例数、学历、参与相关研究项目以及在教学医院工作可能会影响他们的知识、态度和实践情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8745/11386043/7ccb8bb05c06/gr1.jpg

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