{"title":"医护人员关于小儿麻醉术后行为改变的知识、态度和实践。","authors":"Jianxing Chen, Zanhui Gong, Shuhui Hu, Xijiang Liu, Yinjun Mao, Yajun Wu, Dongjin Wu","doi":"10.2147/JMDH.S545702","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Patients and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"6219-6231"},"PeriodicalIF":2.4000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495970/pdf/","citationCount":"0","resultStr":"{\"title\":\"Knowledge, Attitudes, and Practices of Healthcare Workers Regarding Postoperative Behavioral Changes in Pediatric Anaesthesia.\",\"authors\":\"Jianxing Chen, Zanhui Gong, Shuhui Hu, Xijiang Liu, Yinjun Mao, Yajun Wu, Dongjin Wu\",\"doi\":\"10.2147/JMDH.S545702\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>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.</p><p><strong>Patients and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":16357,\"journal\":{\"name\":\"Journal of Multidisciplinary Healthcare\",\"volume\":\"18 \",\"pages\":\"6219-6231\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-09-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495970/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Multidisciplinary Healthcare\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/JMDH.S545702\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Multidisciplinary Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JMDH.S545702","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Knowledge, Attitudes, and Practices of Healthcare Workers Regarding Postoperative Behavioral Changes in Pediatric Anaesthesia.
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.
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.