Luo Yi, Shen Zijin, Wang Haibin, Dong Rong
Department of Anesthesiology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China.
Heliyon. 2024 Aug 16;10(16):e36491. doi: 10.1016/j.heliyon.2024.e36491. eCollection 2024 Aug 30.
This study aimed to investigate the knowledge, attitudes, and practices (KAP) among anesthesia practitioners concerning perioperative neurocognitive disorders (PND).
This cross-sectional study enrolled anesthesia practitioners from 18 hospitals in China using s self-administered questionnaire between July and September 2023.
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.
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.
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。
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。
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。
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。