ArticleBMJ open2025
Knowledge, attitude and practices towards out-of-operating-room anaesthesia and sedation among patients undergoing gastrointestinal endoscopy in a Chinese hospital: a cross-sectional study.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesThis study aimed to investigate the knowledge, attitude and practices (KAP) of patients undergoing gastrointestinal endoscopy regarding out-of-operating-room anaesthesia and sedation.
designA cross-sectional study.
settingThe study took place at the Second Affiliated Hospital of Hainan Medical University in Haikou from January to June 2024.
participantsA total of 638 participants were included, with 339 (53.13%) being male. Among them, 232 (36.36%) had previously received out-of-operating-room anaesthesia during gastrointestinal endoscopy.
interventionsParticipants completed a questionnaire designed to evaluate their KAP related to anaesthesia and sedation. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcomes measured were knowledge scores (possible range: 0-10), attitude scores (possible range: 8-40) and practice scores (possible range: 6-30), which were derived from responses to the KAP questionnaire. Secondary outcomes included factors associated with proactive practices.
resultsMean scores for KAP were 4 (1, 7), 31 (30, 35) and 24 (20, 27), respectively. Multivariate logistic regression analysis indicated that knowledge score (OR=1.210, p<0.001), attitude score (OR=1.273, p<0.001), female gender (OR=1.899, p=0.008) and agreeing to family presence (OR=1.772, p=0.014) were associated with proactive practices. Structural equation modelling showed knowledge directly influenced both attitude (β=0.761) and practices (β=0.733), while attitude directly influenced practices (β=0.791).
conclusionsPatients displayed inadequate knowledge but positive attitudes and proactive practices regarding out-of-operating-room anaesthesia and sedation. Educational interventions by healthcare providers are recommended to improve patient knowledge, enhancing attitudes and practices.
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