Knowledge, Attitudes, and Practices of Patients with Urolithiasis Regarding Stone Examination Methods: A Cross-Sectional Study in China.

IF 2.6 3区医学 Q2 MEDICINE, GENERAL & INTERNAL

Patient preference and adherence Pub Date : 2026-09-26 eCollection Date: 2026-01-01 DOI:10.2147/PPA.S631885

Xiaodong Liu, Zhaoyuan Gong, Sichen Liu, Xuejie Li, Yanhu Wang, Lianpeng Yang, Yu Zhao, Xing Zheng

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引用次数: 0

Abstract

Background: This study aims to assess the knowledge, attitudes, and practices (KAP) of patients with urolithiasis regarding stone examination methods.

Methods: A cross-sectional survey was conducted in Wuhai City, Inner Mongolia Autonomous Region, between September 16, 2023, and December 30, 2024. Data were collected using a structured questionnaire, which included demographic information and KAP-related items. KAP scores were calculated, and their variations across different demographic groups were analyzed, with structural equation modeling (SEM) used to examine the interrelationships among the KAP dimensions.

Results: A total of 457 valid responses were obtained, with 251 participants (54.92%) being male. Among the respondents, 373 (81.62%) reported experiencing pain in the lower back or abdomen. The mean knowledge, attitude, and practice scores were 11.23±2.98 (possible range: 0-18), 19.18±1.67 (possible range: 4-20), and 18.04±2.88 (possible range: 4-20), respectively. The mediation analysis showed that knowledge directly affected attitude (β = 0.462, P = 0.015) and practice (β = 0.312, P = 0.013), and attitude directly affected practice (β = 0.501, P = 0.009), as well as the knowledge indirectly affected practice (β = 0.231, P = 0.012).

Conclusion: Patients with urolithiasis demonstrated inadequate knowledge but self-reported highly positive attitudes and proactive practices, which were likely influenced by social desirability bias. Targeted educational interventions are urgently needed to translate these positive declarations into genuine clinical examination adherence.

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中国尿石症患者关于结石检查方法的知识、态度和实践：一项横断面研究。

背景：本研究旨在评估尿石症患者对结石检查方法的知识、态度和实践（KAP）。方法：于2023年9月16日至2024年12月30日在内蒙古自治区乌海市进行横断面调查。使用结构化问卷收集数据，其中包括人口统计信息和kapa相关项目。计算KAP得分，并分析其在不同人口群体中的变化，使用结构方程模型（SEM）检查KAP维度之间的相互关系。结果：共获得有效问卷457份，其中男性251份，占54.92%。在受访者中，373人（81.62%）表示下背部或腹部疼痛。平均知识、态度和实践得分分别为11.23±2.98（可能范围0 ~ 18）、19.18±1.67（可能范围4 ~ 20）和18.04±2.88（可能范围4 ~ 20）。中介分析显示，知识直接影响态度（β = 0.462, P = 0.015）和实践（β = 0.312, P = 0.013），态度直接影响实践（β = 0.501, P = 0.009），知识间接影响实践（β = 0.231, P = 0.012）。结论：尿石症患者知识不足，但自我报告的态度和行为高度积极，这可能受到社会期望偏差的影响。迫切需要有针对性的教育干预，将这些积极的声明转化为真正的临床检查依从性。

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

Patient preference and adherence MEDICINE, GENERAL & INTERNAL-

CiteScore

3.60

自引率

4.50%

发文量

354

审稿时长

6-12 weeks

期刊介绍： Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.