Preoperative anesthesia clinic patient education resulted in a mean perioperative awareness score of 8.37 out of 15, with awareness rates of 51.2-62.7%, indicating suboptimal patient knowledge despite high satisfaction.
Cross-Sectional (n=1,300)
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Despite high satisfaction with preoperative anesthesia clinics, patient awareness of perioperative instructions and risks remains suboptimal, highlighting the need for multimodal and interactive educational approaches.
Purpose: To meet the rapidly growing demand for digestive endoscopies and daytime surgeries, the setup of preoperative assessment clinics is increasing explosively in China. This study aims to explore patient attitudes to patient education and to assess patient awareness scores regarding informed consent and perioperative instructions in preoperative anesthesia clinic, as well as to evaluate the preference of current patient education tools. Patients and Methods: A cross-sectional study was conducted across five hospitals. A 37-item digital questionnaire was administered to patients who attended preoperative anesthesia assessment clinics and underwent digestive endoscopies between September 1 and September 20, 2024. Awareness scores were calculated as the sum of correct responses to 15 questions assessing perioperative knowledge, with a total score ranging from 0 to 15, and higher scores indicating greater awareness. Results: A total of 1300 participants were included in the study. Over 97% of the patients reported a positive attitude to the preoperative assessment clinic. Approximately 20% of patients reported poor recall of the information provided by anesthesiologists. Mean awareness rates were 51.2% for preoperative precautions, 62.7% for anesthesia-related risks, and 56.7% for postoperative precautions, with an overall awareness score of 8.37 ± 4.2 points. Higher awareness scores correlated with higher education levels (p < 0.05), shorter intervals (≤ 1 week) between clinic visits and procedures (p < 0.05), and the use of multimedia and interactive educational methods (p < 0.05). Conclusion: Sole reliance on preoperative anesthesia assessment clinics for patient education on informed consent and perioperative instructions is inadequate. We recommend a multimodal, patient-centered approach that accounts for educational background, integrates periodic reinforcement, and employs diverse educational tools, including multimedia and interactive strategies, to optimize information comprehension and retention. Keywords: preoperative anesthesia clinic, risk informing, patient education, awareness, perioperative instructions
Ma et al. (Sun,) conducted a cross-sectional in Patients undergoing digestive endoscopies (n=1,300). Preoperative anesthesia clinic patient education using various modalities was evaluated on Patient awareness score of anesthesia-related risks and perioperative knowledge (scale 0-15). Preoperative anesthesia clinic patient education resulted in a mean perioperative awareness score of 8.37 out of 15, with awareness rates of 51.2-62.7%, indicating suboptimal patient knowledge despite high satisfaction.