患者对间歇性肺病的知识,态度和实践:一个横截面研究
Wenjie Xu1, Qiuhong Li1, Yanjun Mao2
1Department of Respiratory and Critical Care Medicine No. 1, Shanghai Pulmonary Hospital, Shanghai, China.
Frontiers in medicine
|July 5, 2024
概括
在中国,患有间歇性肺病 (ILD) 的患者表现出缺乏知识,但积极实践. 结果表明需要加强健康教育,以改善患者对ILD管理的理解和态度.
科学领域:
- 肺部医学 肺部医学
- 公共卫生 公共卫生
- 患者教育 患者教育
背景情况:
- 间歇性肺病 (ILD) 涵盖了一组具有不同预后的慢性呼吸道疾病.
- 了解患者的知识,态度和实践 (KAP) 对于有效的疾病管理和改善患者的结果至关重要.
- 关于中国患者中ILD的KAP数据有限.
研究的目的:
- 评估患者对间歇性肺病 (ILD) 的知识,态度和实践 (KAP).
- 在被诊断为ILD的患者中确定影响KAP的因素.
- 为ILD患者提供针对性健康教育策略的见解.
主要方法:
- 一项涉及397名上海肺部医院ILD患者的横截面研究.
- 用自我管理的问卷来评估KAP与ILD之间的关系.
- 用多变量回归分析和结构方程建模 (SEM) 来分析影响因素及其相互作用.
主要成果:
- 患者表现出缺乏知识 (平均得分为4.60/12),中等态度 (16.97/25) 和主动实践 (32.60/45).
- 更高的教育水平和更长的疾病持续时间 (≥5年) 与更好的知识相关.
- 知识和更长的疾病持续时间与积极的态度有关,而知识,态度和年龄大 (>70岁) 则影响了主动实践. SEM证实了知识和态度直接影响实践.
结论:
- 中国的ILD患者通常知识不足,但表现出积极的实践.
- 在知识和实践之间存在很大的差距,突出了改善健康教育的必要性.
- 干预措施应侧重于提高患者的理解,并培养对ILD更知情的态度.
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