Knowledge, Attitude, and Practice of Anesthesiologists Regarding Perioperative Neurocognitive Dysfunction: A Cross-Sectional Study

IF 2.4 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Clinical Practice Pub Date : 2025-10-03 DOI:10.1155/ijcp/7302873

Rui Zhou, Yumeng Fu, Xinmin Yan, Baoli Cheng

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Abstract

This study assessed anesthesiologists’ knowledge, attitude, and practice (KAP) regarding perioperative neurocognitive dysfunction (PND). This multicenter, cross-sectional study was conducted among anesthesiologists in mainland China from February 23, 2024, to March 23, 2024. Self-administered questionnaires were used to collect demographic information and assess KAP scores. Finally, 594 nonproblematic questionnaires were included. Among the respondents, 311 (52.36%) were male, and 172 (28.96%) had received training related to PND. The mean scores for the KAP dimensions were 8.98 ± 2.32 (range: 0–13), 35.53 ± 3.00 (range: 8–40), and 28.49 ± 6.70 (range: 8–40), respectively. According to multivariable logistic regression analysis, higher knowledge scores (odds ratio [OR] = 1.099, 95% confidence interval [CI]: 1.012–1.194, p = 0.025), higher attitude scores (OR = 1.112, 95% CI: 1.043–1.188, p = 0.001), and participation in PND-related training (OR = 2.876, 95% CI: 1.973–4.207, p < 0.001) were associated with proactive practice. Path analysis revealed that knowledge was associated with attitude (β = 0.31, p < 0.001) and practice (β = 0.52, p < 0.001) and that attitude was associated with practice (β = 0.29, p = 0.002). Anesthesiologists in mainland China demonstrate limited knowledge but a positive attitude and a proactive approach to PND. Targeted educational interventions are recommended to improve anesthesiologists’ understanding and management of PND, enhancing perioperative care and patient outcomes.

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麻醉医师关于围手术期神经认知功能障碍的知识、态度和实践：一项横断面研究

本研究评估了麻醉医师关于围手术期神经认知功能障碍（PND）的知识、态度和实践（KAP）。本多中心横断面研究于2024年2月23日至2024年3月23日在中国大陆的麻醉医师中进行。采用自填问卷收集人口统计信息并评估KAP分数。最后，包括594份无问题问卷。受访者中，男性311人（52.36%），接受过PND相关培训的172人（28.96%）。KAP各维度的平均得分分别为8.98±2.32（范围0 ~ 13）、35.53±3.00（范围8 ~ 40）和28.49±6.70（范围8 ~ 40）。多变量logistic回归分析显示，较高的知识得分（优势比[OR] = 1.099, 95%可信区间[CI]: 1.012-1.194, p = 0.025）、较高的态度得分（OR = 1.112, 95% CI: 1.043-1.188, p = 0.001）和参加pnd相关培训（OR = 2.876, 95% CI: 1.973-4.207, p < 0.001）与主动实践相关。通径分析显示，知识与态度（β = 0.31, p < 0.001）和实践（β = 0.52, p < 0.001）相关，态度与实践（β = 0.29, p = 0.002）相关。中国大陆的麻醉师知识有限，但对PND有积极的态度和积极的态度。建议有针对性的教育干预，以提高麻醉医师对PND的理解和管理，加强围手术期护理和患者预后。

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来源期刊

International Journal of Clinical Practice 医学-医学：内科

CiteScore

5.30

自引率

0.00%

发文量

274

审稿时长

3-8 weeks

期刊介绍： IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.