Knowledge, Attitudes, and Practices of Healthcare Workers Regarding Postoperative Behavioral Changes in Pediatric Anaesthesia.

IF 2.4 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Journal of Multidisciplinary Healthcare Pub Date : 2025-09-30 eCollection Date: 2025-01-01 DOI:10.2147/JMDH.S545702
Jianxing Chen, Zanhui Gong, Shuhui Hu, Xijiang Liu, Yinjun Mao, Yajun Wu, Dongjin Wu
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引用次数: 0

Abstract

Purpose: Postoperative behavioral changes (POBC) pose significant challenges in pediatric anesthesia. Understanding healthcare workers' knowledge, attitudes, and practices (KAP) towards POBC is essential for improving patient care.

Patients and methods: A cross-sectional study was conducted between April and May 2024 across China, involving 618 healthcare workers (75.57% physicians; mean experience: 9.44 [SD = 6.36] years). The respondents' feedback was collected using a self-developed questionnaire assessing KAP of POBC in children.

Results: Moderate knowledge (score: 20.49, SD = 6.35), positive attitudes (score: 34.21, SD = 5.25), but suboptimal practices (score: 19.89, SD = 7.42). Structural equation modeling indicated that knowledge was associated with attitude (β=0.15, P=0.010) and practice (β=0.35, P=0.018). Attitude was also associated with practice (β=0.10, P=0.017), and knowledge showed an indirect association with practice mediated through attitude (β=0.02, P=0.008). Similar trends were observed in physicians. Among nurses, knowledge was directly associated with practice (β=0.27, P=0.012), highlighting differences based on professional roles.

Conclusion: While healthcare workers demonstrated a foundational understanding and positive attitudes towards POBC, their clinical practices require improvement. Targeted training interventions are recommended to enhance practice skills and optimize pediatric anesthesia outcomes.

医护人员关于小儿麻醉术后行为改变的知识、态度和实践。
目的:术后行为改变(POBC)对小儿麻醉提出了重大挑战。了解医护人员对POBC的知识、态度和实践(KAP)对于改善患者护理至关重要。患者和方法:本研究于2024年4月至5月在中国开展了一项横断面研究,涉及618名医护人员(75.57%为医生,平均经验:9.44 [SD = 6.36]年)。使用自行开发的评估儿童POBC的KAP的问卷收集受访者的反馈。结果:知识一般(得分:20.49,SD = 6.35),态度积极(得分:34.21,SD = 5.25),行为次优(得分:19.89,SD = 7.42)。结构方程模型显示,知识与态度(β=0.15, P=0.010)和实践(β=0.35, P=0.018)相关。态度与实践也存在相关性(β=0.10, P=0.017),知识通过态度介导与实践存在间接相关性(β=0.02, P=0.008)。在医生中也观察到类似的趋势。在护士中,知识与实践直接相关(β=0.27, P=0.012),突出了基于职业角色的差异。结论:虽然医护人员对POBC有基本的认识和积极的态度,但他们的临床实践需要改进。建议有针对性的培训干预,以提高实践技能和优化儿科麻醉结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Multidisciplinary Healthcare
Journal of Multidisciplinary Healthcare Nursing-General Nursing
CiteScore
4.60
自引率
3.00%
发文量
287
审稿时长
16 weeks
期刊介绍: The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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