Knowledge, Attitude, and Practice Toward Liver Fibrosis/Cirrhosis and Traditional Chinese Medicine Treatment Among Medical Staff

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-01-20 DOI:10.1111/jep.14261

Aize Xie, Sarisak Soontornchai, Somchai Bovornkitti, Dewen Mao, Qinglan Shi, Jianpeng You

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引用次数: 0

Abstract

Rationale

Liver fibrosis is a critical stage in the progression from liver injury to cirrhosis or tumor formation. Traditional Chinese medicine (TCM) has shown certain effectiveness in treating liver fibrosis. However, there is currently a lack of knowledge, attitude, and practice (KAP) studies regarding this topic.

Aims and Objectives

This study aimed to assess medical staff's KAP toward liver fibrosis/cirrhosis and TCM treatment, and to explore the association between KAP scores and demographic factors.

Methods

Demographic information and KAP scores were collected through a self-administered questionnaire.

Results

A total of 262 questionnaires were collected, with 155 (69.82%) females and a mean age of 32.83 ± 8.17 years. Mean knowledge, attitude, and practice scores were 15.99 ± 4.58, 22.69 ± 4.11, and 23.09 ± 3.36, respectively. Working in a teaching hospital (OR = 3.562, 95% CI: 1.214–10.448) was independently associated with adequate knowledge. Knowledge score (OR = 1.104, 95% CI: 1.026–1.186) was independently linked to a positive attitude. Knowledge (OR = 1.263, 95% CI: 1.166–1.368) and attitude score (OR = 1.105, 95% CI 1.010–1.198) were independent predictors of proactive practice. Pathway analysis revealed that knowledge positively affected attitude (β = 0.24, p < 0.001) and practice (β = 0.30, p < 0.001), and attitude directly influenced practice (β = 0.22, p < 0.001).

Conclusion

Medical staff demonstrated adequate knowledge, a negative attitude, and proactive practices regarding liver fibrosis/cirrhosis and TCM treatment. Targeted educational programs, interdisciplinary training, and awareness campaigns should be implemented to improve attitudes and promote proactive patient care.

查看原文本刊更多论文

医务人员对肝纤维化/肝硬化及中医治疗的认识、态度与实践

理论基础：肝纤维化是肝损伤发展为肝硬化或肿瘤形成的关键阶段。中药治疗肝纤维化已显示出一定的疗效。然而，目前缺乏关于这一主题的知识，态度和实践（KAP）研究。目的与目的：本研究旨在评估医务人员对肝纤维化/肝硬化及中医治疗的KAP评分，并探讨KAP评分与人口统计学因素的关系。方法：采用自填问卷收集人口统计信息和KAP评分。结果：共回收问卷262份，其中女性155份（69.82%），平均年龄32.83±8.17岁。平均知识、态度和实践得分分别为15.99±4.58分、22.69±4.11分和23.09±3.36分。在教学医院工作（OR = 3.562, 95% CI: 1.214-10.448）与知识充足独立相关。知识得分（OR = 1.104, 95% CI: 1.026-1.186）与积极态度独立相关。知识（OR = 1.263, 95% CI: 1.166 ~ 1.368）和态度评分（OR = 1.105, 95% CI 1.010 ~ 1.198）是主动性实践的独立预测因子。结论：医护人员对肝纤维化/肝硬化及中医治疗的认知程度充分，态度消极，行动积极。应该实施有针对性的教育计划、跨学科培训和意识运动，以改善态度并促进积极主动的患者护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.