Mei Ying, Yan-Ju Li, Yan Chen, Ming-Yan Fu, Ge Zhang
{"title":"卫生保健专业人员对缺血性肠病的知识、态度和做法。","authors":"Mei Ying, Yan-Ju Li, Yan Chen, Ming-Yan Fu, Ge Zhang","doi":"10.4240/wjgs.v17.i2.96493","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Ischemic bowel disease (IBD) is a critical condition caused by reduced blood flow to the intestines, leading to tissue damage and potentially severe complications. Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.</p><p><strong>Aim: </strong>To evaluate the knowledge, attitude and practice (KAP) of healthcare professionals regarding IBD.</p><p><strong>Methods: </strong>This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.</p><p><strong>Results: </strong>A total of 315 valid questionnaires were analyzed, with 215 participants (68.25%) being female. The mean KAP scores were 17.55 ± 5.35 (range: 0-24), 27.65 ± 2.77 (range: 8-40), and 18.88 ± 4.23 (range: 6-30), respectively. Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge: Age 26-35 years (<i>β</i> = 2.80, 95%CI: 0.31-5.30, <i>P</i> = 0.028), professional title (<i>β</i> = 2.66, 95%CI: 0.91-4.41, <i>P</i> = 0.003), position (<i>β</i> = -3.78, 95%CI: -5.45 to -2.11, <i>P</i> < 0.001), participation in IBD-related training (<i>β</i> = 3.45, 95%CI: 2.39-4.51, <i>P</i> < 0.001), and admission of more than five IBD cases in the past month (<i>β</i> = 3.25, 95%CI: 1.58-4.92, <i>P</i> < 0.001). Attitude was independently associated with knowledge (<i>β</i> = 0.20, 95%CI: 0.15-0.26, <i>P</i> < 0.001) and being a nurse or nursing supervisor (<i>β</i> = -1.30, 95%CI: -2.16 to -0.40, <i>P</i> = 0.003). Practice was independently associated with knowledge (<i>β</i> = 0.20, 95%CI: 0.10-0.30, <i>P</i> < 0.001) and attitude (<i>β</i> = 0.24, 95%CI: 0.06-0.42, <i>P</i> = 0.007). Structural equation modeling demonstrated direct effects of knowledge on attitude (<i>β</i> = 0.24, <i>P</i> < 0.001) and practice (<i>β</i> = 0.26, <i>P</i> < 0.001), as well as of attitude on practice (<i>β</i> = 0.22, <i>P</i> = 0.012).</p><p><strong>Conclusion: </strong>Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD. Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 2","pages":"96493"},"PeriodicalIF":1.8000,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885997/pdf/","citationCount":"0","resultStr":"{\"title\":\"Healthcare professionals' knowledge, attitude and practice towards ischemic bowel disease.\",\"authors\":\"Mei Ying, Yan-Ju Li, Yan Chen, Ming-Yan Fu, Ge Zhang\",\"doi\":\"10.4240/wjgs.v17.i2.96493\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Ischemic bowel disease (IBD) is a critical condition caused by reduced blood flow to the intestines, leading to tissue damage and potentially severe complications. Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.</p><p><strong>Aim: </strong>To evaluate the knowledge, attitude and practice (KAP) of healthcare professionals regarding IBD.</p><p><strong>Methods: </strong>This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.</p><p><strong>Results: </strong>A total of 315 valid questionnaires were analyzed, with 215 participants (68.25%) being female. The mean KAP scores were 17.55 ± 5.35 (range: 0-24), 27.65 ± 2.77 (range: 8-40), and 18.88 ± 4.23 (range: 6-30), respectively. Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge: Age 26-35 years (<i>β</i> = 2.80, 95%CI: 0.31-5.30, <i>P</i> = 0.028), professional title (<i>β</i> = 2.66, 95%CI: 0.91-4.41, <i>P</i> = 0.003), position (<i>β</i> = -3.78, 95%CI: -5.45 to -2.11, <i>P</i> < 0.001), participation in IBD-related training (<i>β</i> = 3.45, 95%CI: 2.39-4.51, <i>P</i> < 0.001), and admission of more than five IBD cases in the past month (<i>β</i> = 3.25, 95%CI: 1.58-4.92, <i>P</i> < 0.001). Attitude was independently associated with knowledge (<i>β</i> = 0.20, 95%CI: 0.15-0.26, <i>P</i> < 0.001) and being a nurse or nursing supervisor (<i>β</i> = -1.30, 95%CI: -2.16 to -0.40, <i>P</i> = 0.003). Practice was independently associated with knowledge (<i>β</i> = 0.20, 95%CI: 0.10-0.30, <i>P</i> < 0.001) and attitude (<i>β</i> = 0.24, 95%CI: 0.06-0.42, <i>P</i> = 0.007). Structural equation modeling demonstrated direct effects of knowledge on attitude (<i>β</i> = 0.24, <i>P</i> < 0.001) and practice (<i>β</i> = 0.26, <i>P</i> < 0.001), as well as of attitude on practice (<i>β</i> = 0.22, <i>P</i> = 0.012).</p><p><strong>Conclusion: </strong>Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD. Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.</p>\",\"PeriodicalId\":23759,\"journal\":{\"name\":\"World Journal of Gastrointestinal Surgery\",\"volume\":\"17 2\",\"pages\":\"96493\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-02-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885997/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"World Journal of Gastrointestinal Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.4240/wjgs.v17.i2.96493\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Gastrointestinal Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4240/wjgs.v17.i2.96493","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景：缺血性肠病（IBD）是一种由肠道血流量减少引起的危重疾病，可导致组织损伤和潜在的严重并发症。早期识别和及时管理对于改善患者预后和降低与IBD相关的发病率和死亡率至关重要。目的：了解卫生保健专业人员对IBD的知识、态度和行为（KAP）。方法：采用自行设计的调查问卷，于2023年11月至2023年12月在中国卫生保健专业人员中进行横断面研究。结果：共分析有效问卷315份，其中女性215份，占68.25%。平均KAP评分分别为17.55±5.35（范围0 ~ 24）、27.65±2.77（范围8 ~ 40）和18.88±4.23（范围6 ~ 30）。多因素线性回归分析显示，年龄26 ~ 35岁（β = 2.80, 95%CI: 0.31 ~ 5.30, P = 0.028）、职称（β = 2.66, 95%CI: 0.91 ~ 4.41, P = 0.003）、职位（β = -3.78, 95%CI: -5.45 ~ -2.11, P < 0.001）、参加过IBD相关培训（β = 3.45, 95%CI: 2.39 ~ 4.51, P < 0.001）、近一个月IBD住院5例以上（β = 3.25, 95%CI: 1.58 ~ 4.92, P < 0.001）与知识独立相关。态度与知识（β = 0.20, 95%CI: 0.15 ~ 0.26, P < 0.001）和护士或护理主管（β = -1.30, 95%CI: -2.16 ~ -0.40, P = 0.003）独立相关。实践与知识（β = 0.20, 95%CI: 0.10 ~ 0.30, P < 0.001）和态度（β = 0.24, 95%CI: 0.06 ~ 0.42, P = 0.007）独立相关。结构方程模型显示知识对态度（β = 0.24, P < 0.001）和实践（β = 0.26, P < 0.001）以及态度对实践（β = 0.22, P = 0.012）有直接影响。结论：卫生保健专业人员对IBD的认识充分，但态度温和，行为不积极。通过有针对性的培训计划和干预措施来解决态度和实践方面的差距，对于改善患者护理和结果至关重要。
Healthcare professionals' knowledge, attitude and practice towards ischemic bowel disease.
Background: Ischemic bowel disease (IBD) is a critical condition caused by reduced blood flow to the intestines, leading to tissue damage and potentially severe complications. Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.
Aim: To evaluate the knowledge, attitude and practice (KAP) of healthcare professionals regarding IBD.
Methods: This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.
Results: A total of 315 valid questionnaires were analyzed, with 215 participants (68.25%) being female. The mean KAP scores were 17.55 ± 5.35 (range: 0-24), 27.65 ± 2.77 (range: 8-40), and 18.88 ± 4.23 (range: 6-30), respectively. Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge: Age 26-35 years (β = 2.80, 95%CI: 0.31-5.30, P = 0.028), professional title (β = 2.66, 95%CI: 0.91-4.41, P = 0.003), position (β = -3.78, 95%CI: -5.45 to -2.11, P < 0.001), participation in IBD-related training (β = 3.45, 95%CI: 2.39-4.51, P < 0.001), and admission of more than five IBD cases in the past month (β = 3.25, 95%CI: 1.58-4.92, P < 0.001). Attitude was independently associated with knowledge (β = 0.20, 95%CI: 0.15-0.26, P < 0.001) and being a nurse or nursing supervisor (β = -1.30, 95%CI: -2.16 to -0.40, P = 0.003). Practice was independently associated with knowledge (β = 0.20, 95%CI: 0.10-0.30, P < 0.001) and attitude (β = 0.24, 95%CI: 0.06-0.42, P = 0.007). Structural equation modeling demonstrated direct effects of knowledge on attitude (β = 0.24, P < 0.001) and practice (β = 0.26, P < 0.001), as well as of attitude on practice (β = 0.22, P = 0.012).
Conclusion: Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD. Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.
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