Patient Awareness Research Articles

Expert opinion regarding early screening, patient awareness, and telemedicine practices in Indian settings

Objective: To collect clinicians’ perspectives regarding the significance of early screening, patient awareness, and telemedicine practice in routine Indian settings for diabetes management. Methodology: The study employed a 25-item questionnaire to gather insights from specialists across different Indian settings regarding their perspectives on early screening, patient awareness, and telemedicine practices among diabetologists. Results: According to the cross-sectional survey, 59% of respondents believed that regular awareness programs were helpful in the early screening of diabetes among high-risk individuals. Meanwhile, 64% of clinicians reported that clinical-level screening was a more effective tool for early screening. Around 74% of clinicians reported that microvascular complications namely diabetic retinopathy, diabetic neuropathy, and diabetic kidney diseases should be targeted during early screening of diabetes. The American Diabetes Association (ADA) risk score was the most commonly used risk score for early diabetes screening, according to 54% of clinicians. Moreover, 67% of clinicians reported that 11 to 25% of diabetic individuals had complications of lipitension, and 64% reported that 11 to 20% of T2DM individuals had depression. Regarding telemedicine, 65% of clinicians preferred to use it occasionally. However, at an individual level, factors like cost, literacy, less familiarity with using the tool, and emotional reasons hindered the effective adoption of telemedicine, as reported by 56% of clinicians. Conclusion: The survey highlighted the effectiveness of awareness programs and clinical-level screening for early diabetes management, emphasizing the importance of targeting microvascular complications. Increased prevalence of complications like lipitension and depression was noted in diabetic individuals. Telemedicine, though recognized as valuable, faces challenges due to individual-level factors.

Optimizing the Health of Type 2 Diabetes Mellitus Patients with Islamic Approaches and Volunteers

Depression, which is prevalent in patients with diabetes mellitus, can be addressed by integrating Islamic mindfulness practices and family volunteer support. This study assessed the impact of combining Islamic mindfulness practice (IMP) with family volunteer support on depressive symptoms and knowledge in patients with type 2 diabetes mellitus (T2DM). A total of 120 Muslim patients diagnosed with T2DM and having a Beck's Depression Inventory (BDI) score >17 participated. The intervention group engaged in facilitated group discussions led by family volunteers, focusing on Islamic mindfulness techniques and diabetes education. The results underscored the importance of family volunteer support combined with Islamic awareness for T2DM patients with depression, showing reduced depressive symptoms as measured by the BDI after the intervention. In addition, the intervention group showed improved knowledge of the chronic condition based on Diabetes Knowledge Questionnaire (DKQ) data compared to the control group. In conclusion, integrating Islamic awareness and family volunteer support in caring for T2DM patients with depression can reduce depressive symptoms and improve T2DM knowledge.

Socioeconomic determinants influencing adherence to secondary prophylaxis in patients with rheumatic heart disease- a systematic review

Introduction: Rheumatic Heart Disease (RHD) poses a substantial global health challenge, especially impacting resource-limited nations, with over 40.5 million cases reported in 2019. The crucial role of Benzathine penicillin G in both primary and secondary prevention, particularly the latter, emphasizes its significance. Method: Following PRISMA guidelines, our systematic review explored Medline, Scopus, Google Scholar, and Embase databases from 1990 to 2022. Registered with PROSPERO ), the review utilized quality appraisal tools, including the PRISMA checklist, Cochrane bias tool and Newcastle-Ottawa scale. The objective was to identify and stratify the impact of socioeconomic factors on adherence to secondary prophylaxis in RHD. Results and Discussion: The impact of education on adherence has been found to be significant. Socially disadvantaged environments significantly influenced adherence, shaped by education, socioeconomic status, and geographical location and access to healthcare. Surprisingly, lower education levels were associated with better adherence in certain cases. Factors contributing to decreased adherence included forgetfulness, injection-related fears, and healthcare provider-related issues. Conversely, higher adherence correlated with younger age, latent disease onset, increased healthcare resources, and easy access. Conclusion: Patient education and awareness were crucial for improving adherence. Structured frameworks, community initiatives, and outreach healthcare programs were identified as essential in overcoming barriers to secondary prophylaxis. Taking active steps to address obstacles like long-distance commute, waiting time, injection fears, and financial issues has the potential to greatly improve adherence. This, in turn, can lead to a more effective prevention of complications associated with RHD.

Video-Assisted informed consent in endoscopic urology: a randomized trial on ureterorenoscopy.

The aim of this study is to evaluate the possible beneficial effect of using the video - consent in the preoperative URS consent giving process. Prospective randomized trial took place at two Italian tertiary-care centers from March 2022 to September 2022. Patients were randomly assigned to two groups: Group A (standard verbal/written informed consent) and Group B (informed consent supported by video). We investigated the impact of both types of the informed consent on the level of patients' anxiety assessed with the STAI questionnaire pre- and postoperatively. Additionally, we evaluated the effect of informed consents on the postoperative pain, measured with the VAS scale, and the number of assistances calls during hospitalization as secondary outcomes. To assess the satisfaction level related to the whole process, we asked patients to rate their experience on a scale of 1-10, with 1 indicating "not satisfied" and 10 indicating "completely satisfied." Overall, 166 patients were randomized 1:1 in each group. According to the multivariable regression model, the video-assisted informed consent significantly increased the difference between postoperative and preoperative STAI, reducing the level of anxiety. The video-assisted informed consent significantly predicted the number of assistance calls during the hospitalization. Video-consent for ureteroscopies are a valid tool to improve patients' satisfaction and awareness of the procedure. Video-consent is able to reduce patients' anxiety related to the procedure and assistance calls during the postoperative period, resulting in a useful tool to administer a better-informed consent for endourological procedures.

Uterine Fibroid Embolization Survey in Canada: Challenges, Opportunities, and Differences in Practices Across the Country.

Purpose: To assess the current practices surrounding Uterine Fibroid Embolization (UFE) in Canada. Methods: An online survey was sent to Canadian Association for Interventional Radiology (CAIR) members. It included questions on symptoms prompting UFE, patient awareness, investigation, UFE settings, the number of UFE procedures, and post-UFE care. The findings were discussed at CAIR's 2023 annual meeting by an expert panel. Results: Out of 792 surveys sent, 87 were filled (11%). Menorrhagia is the most common indication for UFE (87%). Women's awareness of UFE as a treatment option for fibroids is viewed as poor or average by 94% of our survey respondents. Most respondents see patients in clinics (92%) before the procedure and evaluate fibroids with MRI pre-UFE (76%). There is variability in care post-UFE, with 33% of procedures being performed as day surgery while 67% lead to overnight stay. For pain management, intravenous analgesia (including patient-controlled analgesia) is used in 76% (63/83) of cases while 19% (16/83) of respondents mentioned using epidural analgesia. Finally, there is an even split between embolic agent used; non-spherical polyvinyl alcohol (50%) and spherical particles (50%). Conclusion: Respondents believe patients in Canada still have limited awareness of UFE. Interventional radiologists are increasingly involved in the entire patient care trajectory, overseeing pre-and post-procedure care and hospitalizing patients. For pain management after UFE, it is observed that while epidural analgesia has been demonstrated more effective than alternatives, it is not widely used as the primary method.

Awareness of orthodontic patients towards smartphone orthodontic apps.

Mobile phone applications (apps) can potentially enhance patient care as they are easy to use and offer multifunctions. In 2019, 305 orthodontic apps were documented, many of which were patient-focused; however, there was little information on how popular these applications are with orthodontic patients. The main aim of this study was to evaluate how well patients were now aware of orthodontic applications. A survey asking 700 orthodontic patients about their knowledge of, access to, and use of orthodontic apps to facilitate their treatment resulted in 615 responses. The results showed that a smartphone was owned by 96% of patients. Apple (Apple Inc., Cupertino, CA, USA) was the most used platform, followed by Android (Google LLC, Mountain View, CA, USA). Seventy-five percent of patients have previously used social media to research information, with YouTube (YouTube, San Mateo, CA, USA) being the most popular site. Only 3% of patients knew that applications were available to aid with orthodontic therapy and 12 patients had utilized an app linked to orthodontics. Nevertheless, 88% of patients said they would be open to using an app to supplement their treatment. Although 88% of patients said they would be prepared to use an app to help with orthodontic treatment, there is currently a low level of knowledge of the existence of apps. Given the availability of applications geared toward those patients, it is necessary to evaluate these apps' quality and, when critical, direct patients toward high-quality, efficient apps.

MAGENTA: a Multinational patient survey assessing the Awareness, perceptions and unmet needs in GENetic Testing and counselling among patients with breAst cancer

ObjectiveGenetic testing and counselling are critical in assessing breast cancer risk and tailoring treatment strategies. However, several barriers hinder patients from opting for genetic testing/counselling, leading to fewer than one-third of patients undergoing testing and even fewer being offered counselling. A granular understanding of these barriers is essential in overcoming them.MethodsA multinational survey developed by patient authors was conducted in 9 countries, to identify the specific local/regional barriers. The survey question pathway was individualized, based on responses to prior questions. Percentage responses to a response option were calculated based on the total number of respondents to that question. Chi-square tests were used to assess the significance of the results, if applicable.ResultsThe final analysis set (FAS) included 1,176 respondents, with a subset of this responding to all questions. In the FAS, 63% of respondents had undergone testing. Among those who got tested, 70% were offered testing. Among untested respondents, only 40% were offered the test but eventually did not get tested. In the tested population, 44% received counselling, which was significantly higher than 7% (p<0.00001) in the untested group. Among those reporting on awareness, 71% reported awareness level between ‘very low’ and ‘moderate’ prior to cancer diagnosis. Most respondents (71%) agreed that all breast cancer patients should undergo testing before treatment initiation. However, Asian patients were less likely to endorse this view compared to respondents from other regions (25% vs ≥50%; p<0.00001). A higher proportion of tested respondents were ‘very willing’ to get their family members tested (44%) versus untested respondents (11%), with relatively higher willingness among Australian (77%) and Russian respondents (56%), the regional variation being statistically significant (p<0.00001).ConclusionsCritical gaps remain in the access, awareness and perceived value of genetic testing and counselling, with regional variance or difference between the tested and untested groups. Most patients are not offered counselling, which may be associated with the low uptake of testing. Strategic action is needed to drive policy-shaping and improve access to testing and counselling, including raising patient awareness and improving patient experience for better treatment outcomes.

Expectations of emergency patients regarding triage system knowledge upon arrival: an interpretive study.

One of the most important aspects of healthcare knowledge is having a thorough understanding of the triage system which is used in emergency departments. This study aims to assess the level of awareness of Jordanian patients who visit the ED about the triage procedure. A descriptive, cross-sectional design was utilized in the emergency department at the biggest public hospital in Jordan. A convenience sample of a self-administrated questionnaire utilizing a Discounted Cash Flow Interview (DCF) survey was filled out. A total of 726 participants were recruited with a response rate of 90.8%. The mean age of the participants was M = 38.1 (SD = 12.9), and the age of the participants varied from 18 to 89years. More than half of the participants were male (n = 383, 52.8%) and married (n = 425, 58.5%). A significant relationship between the overall perception of knowing what a teaching hospital is and patients' educational level (X2 = 11.9, P < 0.003), current job (X2 = 25.2, P < 0.001), nationality (X2 = 7.20, P < 0.007), and family income (X2 = 15.9, P < 0.001). More investigation is required to determine the causes of the low knowledge of the triage system. The study suggests increasing staffing levels, giving nursing staff ongoing education and training, and integrating technology and automation to reduce the load of patient care.

Pharmaceutical treatment status of patients with COPD in the community based on medical Internet of Things: a real-world study

This study aimed to investigate the real-world standardisation and adherence of medical treatment regimens in patients with chronic obstructive pulmonary disease (COPD) in the community for making future management strategy. The follow-up data and treatment information of patients with COPD, which were collected through the Management Information Center of COPD (MICCOPD) in 21 community health service centres in Songjiang District, a countryside region of Shanghai. Concordance between the pharmaceutical treatment plan and recommendation of 2017 Global Initiative for Chronic Obstructive Lung Disease (GOLD) report during the follow-up management period, as well as the medication adherence by patients,were analysed. Out of the 2044 patients diagnosed with COPD, 814 patients (39.8%) who had an initial record of medication use were found to meet the inclusion criteria. The most common medication regimens were long-acting beta-agonist plus inhaled corticosteroids (35.9%) and oral bronchodilators (41.9%). Among these 814 patients, 45.7%, 38.0%, 31.6% and 14.6% adhered to the treatment after 6, 12, 18 and 24 months of follow-up, respectively. The concordance rate with the regimens recommended by the 2017 GOLD guidelines was 35.5% at baseline, 35.5% at 6 months, 32.7% at 12 months, 35.4% at 18 months and 37% at 24 months. The compliance and guideline consistency rates of patients with COPD in the community under the management of general practitioners need to be improved. Enhancing general practitioner proficiency in the prevention and management of COPD and increasing patient awareness of the condition, are crucial standardising and improving adherence to initial and follow-up COPD treatments.

The misuse of codeine containing medicines: Perceptions and behaviours of qualified pharmacy professionals

Background: Pharmacy professionals working in community pharmacies frequently provide pharmacist-initiated therapy, including codeine-containing medicines. Codeine is an opioid with great potential for misuse, adding to the global opioid epidemic burden. Professional pharmacy personnel are the first intervention point in relation to management of codeine use. This study highlights the importance of pharmacy professionals’ perceptions and behaviours in combatting the opioid epidemic.Methods: A descriptive cross-sectional study was conducted. Simple random sampling included pharmacy professionals in the metropolitan city of Johannesburg. An electronic questionnaire was distributed via e-mail and data analysed descriptively.Results: Findings indicate that pharmacy personnel routinely ask patients about codeine use (n = 48; 53.9%), avoid dispensing over-the-counter (OTC) codeine as an initial treatment (n = 61; 69%) and express confidence to identify and manage codeine misuse (n = 69; 77.5%). Despite this, increased patient demands for OTC codeine (n = 69; 77.5%) were concerning, highlighting the ease of availability from internet sources (n = 76; 85.4%) and multiple pharmacies (n = 84; 94.4%). Apprehension about the lack of patient awareness on adverse health consequences (n = 66; 74.2%) and the risk of codeine dependence (n = 79; 88.8%) was expressed.Conclusion: Growing concern regarding availability and accessibility of codeine-containing medicines within the community pharmacy sector is highlighted. Adverse health consequences of codeine misuse and dependence are not understood by customers and the ineffective information provided by pharmacy personnel was highlighted as a concern.Contribution: The results of this study give insight to the influence of dispensing personnel’s attitude towards the growing challenges with respect to codeine containing medication abuse.

Weakly-supervised preclinical tumor localization associated with survival prediction from lung cancer screening Chest X-ray images

In this paper, we hypothesize that it is possible to localize image regions of preclinical tumors in a Chest X-ray (CXR) image by a weakly-supervised training of a survival prediction model using a dataset containing CXR images of healthy patients and their time-to-death label. These visual explanations can empower clinicians in early lung cancer detection and increase patient awareness of their susceptibility to the disease. To test this hypothesis, we train a censor-aware multi-class survival prediction deep learning classifier that is robust to imbalanced training, where classes represent quantized number of days for time-to-death prediction. Such multi-class model allows us to use post-hoc interpretability methods, such as Grad-CAM, to localize image regions of preclinical tumors. For the experiments, we propose a new benchmark based on the National Lung Cancer Screening Trial (NLST) dataset to test weakly-supervised preclinical tumor localization and survival prediction models, and results suggest that our proposed method shows state-of-the-art C-index survival prediction and weakly-supervised preclinical tumor localization results. To our knowledge, this constitutes a pioneer approach in the field that is able to produce visual explanations of preclinical events associated with survival prediction results.

Access to primary health care: perspectives of primary care physicians and community stakeholders

BackgroundAction on the social determinants of health is important to strengthen primary health care and promote access among underserved populations. We report on findings from stakeholder consultations undertaken at one of the Canadian sites of the Innovative Models Promoting Access-to-Care Transformation (IMPACT) program, as part of the development of a best practice intervention to improve access to primary health care. The overarching objective of this qualitative study was to understand the processes, barriers, and facilitators to connect patients to health enabling community resources (HERs) to inform a patient navigation model situated in primary care.MethodsFocus groups and interviews were conducted with primary care physicians, and community health and social service providers to understand their experiences in supporting patients in reaching HERs. Current gaps in access to primary health care and the potential of patient navigation were also explored. We applied Levesque et al., (2013) access framework to code the data and four themes emerged: (1) Approachability and Ability to Perceive, (2) Acceptability and Ability to Seek, (3) Availability and Accommodation, and Ability to Reach, and (4) Appropriateness.ResultsDeterminants of access included patient and provider awareness of HERs, the nature of the patient-provider relationship, funding of HERs, integration of primary and community care services, and continuity of information. Participants’ perspectives about the potential scope and role of a patient navigator provided valuable insight for the development of the Access to Resources in the Community (ARC) navigation model and how it could be embedded in a primary care setting.ConclusionAdditional consultation with key stakeholders in the health region is needed to gain a broader understanding of the challenges in caring for primary care patients with social barriers and how to support them in accessing community-based primary health care to inform the design of the ARC intervention.

Feasibility, safety, efficacy and potential scaling-up of sofosbuvir-based HCV treatment in Central and West Africa: (TAC ANRS 12311 trial)

Access to Hepatis C treatment in Sub-Saharan Africa is a clinical, public health and ethical concern. The multi-country open-label trial TAC ANRS 12311 allowed assessing the feasibility, safety, efficacy of a specific care model of HCV treatment and retreatment in patients with hepatitis C in Sub Saharan Africa. Between November 2015 and March 2017, with follow-up until mid 2019, treatment-naïve patients with HCV without decompensated cirrhosis or liver cancer were recruited to receive 12 week-treatment with either sofosbuvir + ribavirin (HCV genotype 2) or sofosbuvir + ledipasvir (genotype 1 or 4) and retreatment with sofosbuvir + velpatasvir + voxilaprevir in case of virological failure. The primary outcome was sustained virological response at 12 weeks after end of treatment (SVR12). Secondary outcomes included treatment adherence, safety and SVR12 in patients who were retreated due to non-response to first-line treatment. The model of care relied on both viral load assessment and educational sessions to increase patient awareness, adherence and health literacy. The study recruited 120 participants, 36 HIV-co-infected, and 14 cirrhotic. Only one patient discontinued treatment because of return to home country. Neither death nor severe adverse event occurred. SVR12 was reached in 107 patients (89%): (90%) in genotype 1 or 2, and 88% in GT-4. All retreated patients (n = 13) reached SVR12. HCV treatment is highly acceptable, safe and effective under this model of care. Implementation research is now needed to scale up point-of-care HCV testing and SVR assessment, along with community involvement in patient education, to achieve HCV elimination in Sub-Saharan Africa.

An evaluation of the validity and reliability of the tuberculosis patient knowledge questionnaire

Background: Poor knowledge of tuberculosis (TB) patients on tuberculosis affects adherence. It is necessary to measure patient awareness of the disease and treatment to assess the extent to which patients know about the disease and its treatment. A good questionnaire has been tested for validity and reliability. Currently, some studies need to show the validity process of the TB knowledge questionnaire directly. Objective: To measure the validity and reliability of the tuberculosis patient knowledge questionnaire. Method: Accidental sampling was used in the research approach. By comparing the corrected item-total item values, the construct validity and reliability of the final knowledge questionnaire were evaluated. Additionally, an internal consistency test with an alpha coefficient (Cronbach's Alpha) was used to assess the questionnaire’s reliability. Result: A total of 93 respondents were picked from different Bengkulu healthcare centers. The validity test results indicate the corrected item-total item &gt; 0.30. According to the findings of the reliability test, Cronbach's alpha &gt; 0.60 throughout. Conclusion: This study proves the validity and reliability of the knowledge questionnaire as a tool for measuring knowledge.

An exploratory study to identify the factors influencing community pharmacist retention by using COM-B model

BackgroundDue to multitude of gaps in Pakistan's healthcare system, community pharmacies serve as the” first port of call” for various illnesses. However, the present scarcity of pharmacists in these settings poses significant challenges to healthcare delivery in the country. This scarcity is primarily due to difficulties in retaining pharmacists for community practice. The aim of this study was to explore the factors that influence the retention of community pharmacists by using COM-B model. MethodsA qualitative methodology employing the COM-|B model was utilized to design this study. In-depth interviews were conducted with pharmacists experienced in community pharmacy practice, at time and place convenient to them. Data were transcribed, translated and analyzed by deductive thematic analysis in accordance with the constructs of COM-B model. ResultsA diverse range of factors were identified that negatively influenced the retention of community pharmacists including working conditions and proprietor's demeanor, deficiency in training and intern experience, lack of career planning, low social acceptance, less salary and job satisfaction, less regulatory control and aptitude of renting out category. Conversely, the study also identified the factors that motivate community pharmacists to stay in their roles despite the challenges including strong educational background, abundant job opportunities, flexible schedules, direct patient engagement and positive impact on sales. ConclusionThere was an observed discrepancy between the challenges faced by community pharmacists and the motivators that encourage them to continue their job. Due to a disparity and abundance of challenges rather than motivators, retention rates for community pharmacists are low. This imbalance shed light on areas where improvements are needed to enhance pharmacist retention. Various areas for change were highlighted including strict implementation of regulations, integration of practical experience of community pharmacy practice and internships into academic programs, career guidance, and raising patient awareness about the roles of community pharmacists.

Increasing patient awareness of ketoacidosis with gliflozins

While SGLT2 inhibitors are generally well tolerated, their use has been associated with cases of ketoacidosis. It is therefore important to make patients aware of what steps they can take to minimise the risk of this potentially serious adverse effect.

Patient Awareness and Attitude toward Replacing Missing Teeth with Dental Implants

Patient Awareness and Attitude toward Replacing Missing Teeth with Dental Implants

Evaluating Content, Quality, and Adequacy of Maxillofacial Trauma Videos on YouTube

Aim: The study aimed to analyze the content, quality and adequacy of information on YouTube videos regarding maxillofacial trauma. Material and Methods: The keyword “maxillofacial trauma” was obtained from Google Trends, YouTube was then searched, and 200 videos were selected to be analyzed for the study. Of the 200 videos, 108 were found eligible and then rated for quality and adequacy. After evaluating the demographic features of the videos, the viewing rates of the videos were determined. The quality of the videos was assessed by the Information Quality Index (VIQI) and the Global Quality Scale (GQS). The videos were categorized as low and high-content groups using a 16-point score system. Shapiro-Wilk test, Mann-Whitney U test, Pearson chi-square test and Fisher-Freeman-Halton were used for statistical analysis. Results: The vast majority of YouTube videos were uploaded by healthcare professionals (55.6%). The low content videos were classified as 88 videos (81.5%) and 20 videos (18.5%) as high content. The anatomic structures were the most covered topic (43.5%), followed by trauma area (40.7%), treatment procedure (32.4%), intraoral complications (31.5%), and definition of maxillofacial trauma (30.6%). A lower percentage of videos (13.9%) mentioned post-operative. Prognosis and survival (17.6%) were another low finding. The high-content video group had a significantly higher median value of GQS and VIQI score. A positive correlation was obtained from the total content score along with the total VIQI (r=0.792, p&lt;0.001) and GQS (r=0.778, p&lt;0.001) score and also it was determined that there was a statistically significant positive correlation between VIQI and GQS scores (r=0.930, p&lt;0.001). Conclusions: The findings of this study highlight the need for improved content quality and accuracy of YouTube videos on maxillofacial trauma, particularly for layperson audiences. This could be achieved through collaboration between healthcare professionals, commercial entities, laypersons and YouTube to create, review, and promote reliable educational content. By doing so, YouTube can become a more valuable resource for patient education and awareness regarding maxillofacial trauma management and treatment.

Assessment of Knowledge of General and Local Anesthesia among Patients Undergoing Elective Surgery

Objective Adequate knowledge of anesthesia and anesthesiologists can reduce patient anxiety. However, patients in developing countries are known to have relatively lesser knowledge and awareness regarding anesthesia. This study aims to evaluate the knowledge of patients referred for elective surgery regarding regional and general anesthesia and related factors. Methods In this descriptive-analytic cross-sectional study, 370 subjects were evaluated by a simple non-random sampling method. The researcher constructed a questionnaire study tool to assess demographic variables, backgrounds, and patients' level of awareness. After the collection, data were entered into the SPSS 21 software and were analyzed using chi-square, variance analysis and independent t-test. Results The mean age of our patients was 43.09±17.79 years and the mean score of knowledge regarding general and local anesthesia was 3.62±1.35 and 2.65±1.53, respectively. In this study, patients' awareness about general and local anesthesia had a significant association with female gender, age group 30-40 years, postgraduate education, government job previous local anesthesia, trust in the physician, having a history of surgery and willingness to visit the anesthesiologist before the surgery. In addition, patients who had eyes, nose and throat surgeries, and their source of information was limited, had greater scores, p&lt;0.005. Individuals were more aware of common side effects of local anesthesia than those of general anesthesia. However, over half of the patients preferred general anesthesia due to fear of live experience and sound during surgery. Conclusion Based on the results of the study, the awareness of patients about general anesthesia was greater than regional anesthesia. Overall, increasing awareness by strengthening the level of confidence and trust in anesthesiologists can lead to better postoperative outcomes and reduce patients’ anxiety levels.

Application Effect of Staged Health Education in the Nursing Care of Patients with Upper Gastrointestinal Bleeding

Objective: To investigate the application effect of staged health education in the care of patients with upper gastrointestinal bleeding. Methods: This study takes health education in the care of patients with upper gastrointestinal bleeding as the main direction. 160 patients with upper gastrointestinal bleeding who received treatment in our hospital were selected as samples, and the grouping software was used to divide them into the reference group and the study group, with 80 patients each. The reference group and the study group used routine health education and staged health education respectively. Relevant research data were recorded during the nursing process, analyzed, and used as research indicators. Results: The compliance behavior of the study group was higher than that of the reference group after the staged nursing care, and at the same time, the nursing care satisfaction of the study group was higher than that of the reference group (P &lt; 0.05). Conclusion: The use of staged health education for the care of patients with upper gastrointestinal bleeding not only enhances the degree of patient awareness and compliance but also improves nursing satisfaction, which is worthy of promotion and application.