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已发表论文
儿科麻醉术后行为变化方面医护人员的知识、态度和实践
Authors Chen J, Gong Z, Hu S, Liu X, Mao Y, Wu Y, Wu D
Received 9 June 2025
Accepted for publication 24 September 2025
Published 30 September 2025 Volume 2025:18 Pages 6219—6231
DOI https://doi.org/10.2147/JMDH.S545702
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Paul Kilgore
Jianxing Chen,1– 3,* Zanhui Gong,4,* Shuhui Hu,5,* Xijiang Liu,6 Yinjun Mao,7 Yajun Wu,8 Dongjin Wu5
1Department of Anesthesiology, The First Affiliated Hospital, Fujian Medical University, Fuzhou, People’s Republic of China; 2Department of Anesthesiology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, People’s Republic of China; 3Anesthesiology Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, People’s Republic of China; 4Department of Anesthesiology, The First Affiliated Hospital of Xiamen University, Xiamen, People’s Republic of China; 5Department of Anesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, People’s Republic of China; 6Department of Anesthesiology, Yongchun County Hospital, Quanzhou, People’s Republic of China; 7Department of Pharmacy, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, People’s Republic of China; 8Department of Anesthesiology, Xiamen Children’s Hospital, Xiamen, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Yajun Wu, Department of Anaesthesiology, Xiamen Children’s Hospital, Xiamen, 361006, People’s Republic of China, Tel +8613806068390, Email 13806038390@163.com Dongjin Wu, Department of Anaesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, 361001, People’s Republic of China, Email wdj077528@163.com
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.
Keywords: knowledge, attitudes, practices, healthcare professional, postoperative behavioral changes, emergence agitation, pediatric anesthesia
1Department of Anesthesiology, The First Affiliated Hospital, Fujian Medical University, Fuzhou, People’s Republic of China; 2Department of Anesthesiology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, People’s Republic of China; 3Anesthesiology Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, People’s Republic of China; 4Department of Anesthesiology, The First Affiliated Hospital of Xiamen University, Xiamen, People’s Republic of China; 5Department of Anesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, People’s Republic of China; 6Department of Anesthesiology, Yongchun County Hospital, Quanzhou, People’s Republic of China; 7Department of Pharmacy, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, People’s Republic of China; 8Department of Anesthesiology, Xiamen Children’s Hospital, Xiamen, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Yajun Wu, Department of Anaesthesiology, Xiamen Children’s Hospital, Xiamen, 361006, People’s Republic of China, Tel +8613806068390, Email 13806038390@163.com Dongjin Wu, Department of Anaesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, 361001, People’s Republic of China, Email wdj077528@163.com
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.
Keywords: knowledge, attitudes, practices, healthcare professional, postoperative behavioral changes, emergence agitation, pediatric anesthesia