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Updated: Jun 18, 2025

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Knowledge, attitudes, and practices regarding Post-anesthesia cognitive dysfunction in patients undergoing

Xuling Liu1, Yelong Ren2, Wenjun Jin2

  • 1Department of Pathology, The First Affiliated Hospital of Wenzhou Medical University, Xuefu Road, Ouhai District, Wenzhou, 325000, Zhejiang Province, China.

BMC Anesthesiology
|July 31, 2024
PubMed
Summary

Patients undergoing gastrointestinal endoscopy show good knowledge but moderate practices regarding post-anesthesia cognitive dysfunction (PACD). Educational interventions are recommended for those with lower income or cognitive issues.

Keywords:
AttitudeGastrointestinal endoscopyKnowledgePost-anesthesia cognitive dysfunctionPractice

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Area of Science:

  • Anesthesiology
  • Gastroenterology
  • Cognitive Science

Background:

  • Anesthesia during gastrointestinal endoscopy may lead to post-anesthesia cognitive dysfunction (PACD).
  • PACD can negatively impact cognitive function.
  • Understanding patient awareness is crucial for mitigating risks.

Purpose of the Study:

  • To assess patient knowledge, attitudes, and practices (KAP) concerning PACD.
  • To identify factors influencing KAP regarding PACD in patients undergoing gastrointestinal endoscopy.
  • To inform targeted interventions for improving patient outcomes.

Main Methods:

  • Cross-sectional study conducted from June to August 2023.
  • Inclusion of 405 patients undergoing gastrointestinal endoscopy.
  • Data collection via questionnaires, analyzed using Pearson correlation and logistic regression.

Main Results:

  • Positive correlations found between knowledge, attitude, and practice scores.
  • Lower knowledge and practice scores were associated with standard (non-anesthetized) gastrointestinal endoscopy.
  • Pre-existing cognitive conditions negatively impacted knowledge scores.

Conclusions:

  • Patients exhibit good knowledge but moderate practices regarding PACD.
  • Educational interventions and behavior modification are recommended.
  • Targeted support is needed for low-income individuals, those undergoing standard procedures, and those with cognitive issues.