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Background <p>This study aimed to explore the knowledge, attitudes, and practices (KAP) of caregivers regarding postoperative analgesia in children undergoing coblation tonsillectomy and adenoidectomy.</p> Methods <p>A cross-sectional survey was conducted at Wuhan Children’s Hospital, China, from July 2023 to February 2024. A structured questionnaire covering four domains (demographics, knowledge, attitudes, and practices) was administered to caregivers. Adequate knowledge, positive attitudes, and proactive practices were defined as scores exceeding 70% of the maximum for each dimension. Multivariate logistic regression and structural equation modeling (SEM) were performed to identify associated factors and explore interrelationships among KAP components.</p> Results <p>A total of 435 valid questionnaires were analyzed. Knowledge and attitude scores were independently associated with proactive practices (knowledge: OR = 1.12, 95% CI: 1.03–1.22, <i>P</i> = 0.007; attitude: OR = 1.15, 95% CI: 1.08–1.21, <i>P</i> &lt; 0.001). SEM demonstrated acceptable model fit (RMSEA = 0.052, SRMR = 0.060, TLI = 0.805, CFI = 0.823). Knowledge had a significant direct effect on attitude (β = 0.513, <i>P</i> &lt; 0.001), and attitude had a significant direct effect on practice (β = 0.885, <i>P</i> &lt; 0.001). Knowledge also showed a significant indirect effect on practice through attitude (β = 0.454, <i>P</i> &lt; 0.001).</p> Conclusion <p>Caregivers of children undergoing coblation tonsillectomy and adenoidectomy demonstrated insufficient knowledge, suboptimal attitudes, and inadequate postoperative analgesia practices. Targeted educational interventions focusing on caregiver knowledge and attitudes may help improve postoperative pain management and clinical outcomes in pediatric patients.</p>

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Knowledge, Attitudes, and Practices (KAP) survey of caregivers of children undergoing plasma tonsillectomy and adenoidectomy regarding postoperative pain management

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  • 发表日期：

    2026年4月6日

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  • Lei Zhang,
  • Feng Liu,
  • Jianyan Chen,
  • Ling Zhong,
  • Jiang Wu

摘要

Background

This study aimed to explore the knowledge, attitudes, and practices (KAP) of caregivers regarding postoperative analgesia in children undergoing coblation tonsillectomy and adenoidectomy.

Methods

A cross-sectional survey was conducted at Wuhan Children’s Hospital, China, from July 2023 to February 2024. A structured questionnaire covering four domains (demographics, knowledge, attitudes, and practices) was administered to caregivers. Adequate knowledge, positive attitudes, and proactive practices were defined as scores exceeding 70% of the maximum for each dimension. Multivariate logistic regression and structural equation modeling (SEM) were performed to identify associated factors and explore interrelationships among KAP components.

Results

A total of 435 valid questionnaires were analyzed. Knowledge and attitude scores were independently associated with proactive practices (knowledge: OR = 1.12, 95% CI: 1.03–1.22, P = 0.007; attitude: OR = 1.15, 95% CI: 1.08–1.21, P < 0.001). SEM demonstrated acceptable model fit (RMSEA = 0.052, SRMR = 0.060, TLI = 0.805, CFI = 0.823). Knowledge had a significant direct effect on attitude (β = 0.513, P < 0.001), and attitude had a significant direct effect on practice (β = 0.885, P < 0.001). Knowledge also showed a significant indirect effect on practice through attitude (β = 0.454, P < 0.001).

Conclusion

Caregivers of children undergoing coblation tonsillectomy and adenoidectomy demonstrated insufficient knowledge, suboptimal attitudes, and inadequate postoperative analgesia practices. Targeted educational interventions focusing on caregiver knowledge and attitudes may help improve postoperative pain management and clinical outcomes in pediatric patients.