Key result
Higher attitude scores toward anesthesia assessment outpatient clinics were independently associated with better practice scores (OR 2.055) among patients in Shanghai.
Why the study?
Anesthesia assessment outpatient clinics can personalize anesthesia care and alleviate anxiety, but patient knowledge, attitudes, and practices regarding these clinics needed investigation.
Cross-Sectional (n=531)
No
Odds Ratio: 2.055 (95% CI 1.756–2.404)
p-value: p=<0.001
Patients in Jinshan District demonstrated good knowledge, attitudes, and practices toward anesthesia assessment outpatient clinics, with attitudes and prior experience independently predicting positive practices.
Background: Anesthesia assessment outpatient clinics (AAOCs) can help personalize the anesthesia experience, alleviate anesthesia-related anxiety, and offer health management advice. This study investigated the knowledge, attitude, and practice (KAP) of patients from the anesthesia clinic in Jinshan District, Shanghai, China, regarding AAOCs. Methods: This cross-sectional study was conducted from July 10, 2023, to October 15, 2023, at Jinshan Hospital affiliated to Fudan University. The final version of the questionnaire included four dimensions: demographic information, knowledge dimension (seven items, scores 0-7), attitude dimension (six items, scores 6-30), and practice dimension (six items, scores 6-30). The Cronbach's α was 0.935. The risk factors for the practice dimension were examined through univariable and multivariable logistic regression. The relationships among the KAP dimensions were explored using a structural equation model (SEM). Results: A total of 531 questionnaires were included for analysis. The mean knowledge score was 5.5±1.9 (/7 points, 79.0%). The mean attitude score was 26.3±3.7 (/30, 87.8%). The mean practice score was 25.5±3.4 (/30, 85.0%). However, still over 10% of participants did not recognize AAOCs' ability to alleviate anesthesia-related fears and did not believe AAOCs affect future health management. The knowledge scores correlated to the attitude (r=0.401, P<0.001) and practice (r=0.379, P<0.001) scores, while the attitude scores correlated to the practice scores (r=0.742, P<0.001). The SEM showed that knowledge influenced attitude (β=2.409, P<0.001), while attitude influenced practice (β=0.721, P<0.001). The attitude scores (OR=2.055, 95% CI: 1.756-2.404, P<0.001) and personal/relative/friend experience with AAOCs (OR=2.771, 95% CI: 1.002-7.664, P=0.050) were independently associated with the practice scores. Conclusion: Patients in Jinshan District had a good KAP toward AAOCs. Improving knowledge of AAOCs should improve attitudes and the use of AAOCs to improve the patient experience and outcomes of anesthesia.
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Chen et al. (2025) conducted a cross-sectional in Patients visiting an anesthesia assessment outpatient clinic (n=531). Attitude toward anesthesia assessment outpatient clinics was evaluated on Practice score (cutoff=28) (OR 2.055, 95% CI 1.756-2.404, p=<0.001). Higher attitude scores toward anesthesia assessment outpatient clinics were independently associated with better practice scores (OR 2.055) among patients in Shanghai.
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