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医学影像学工作者对 COVID-19 的预防和诊断的知识、态度和实践:中国多中心横断面研究。

Knowledge, attitude, and practices on COVID-19 prevention and diagnosis among medical workers in the radiology department: A multicenter cross-sectional study in China.

机构信息

Department of Medical Imaging, Longgang District Central Hospital of Shenzhen, Shenzhen, China.

Department of Radiology, Shenzhen People's Hospital, Shenzhen, China.

出版信息

Front Public Health. 2023 Mar 2;11:1110893. doi: 10.3389/fpubh.2023.1110893. eCollection 2023.

Abstract

OBJECTIVE

The aim of this study was to investigate the knowledge, attitude, and practice (KAP) of medical workers in the radiology department toward the prevention and diagnosis of COVID-19.

METHODS

This multicenter cross-sectional study was conducted among medical workers in the radiology department of 17 hospitals between March and June 2022.

RESULTS

A total of 324 medical workers were enrolled. The mean knowledge scores were 15.3 ± 3.4 (out of 23), attitude scores were 31.1 ± 5.6 (range 8-40), and practice scores were 35.1 ± 4.4 (range 8-40). Positive attitudes (OR = 1.235, 95% CI: 1.162-1.311, < 0.001) and aged 41-50 years were independently associated with higher practice scores. Those with the better practice were more likely to be older (OR = 2.603, 95% CI: 1.242-5.452, = 0.011), nurses (OR = 2.274, 95% CI: 1.210-4.272, = 0.011) and with junior/intermediary/vice-senior title (OR = 2.326, 95% CI: 1.030-5.255, = 0.042; OR = 2.847, 95% CI: 1.226-6.606, = 0.015; OR = 4.547, 95% CI: 1.806-11.452, = 0.001, respectively). Subgroup analysis revealed significant differences in knowledge between technicians and physicians and nurses and between staff working in tertiary hospitals and non-tertiary hospitals. Knowledge is positively correlated with attitude (β = 0.54, < 0.001), and attitude is positively correlated with practice (β = 0.37, < 0.001). Attitudes significantly mediated the association between knowledge and practice (β = 0.119, < 0.001).

CONCLUSION

The radiology medical workers showed moderate knowledge but good attitudes and practices of prevention and diagnosis of COVID-19. Attitudes were found to be positively associated with better practices of prevention and diagnosis of COVID-19. Attitudes significantly mediated the association between knowledge and practice.

摘要

目的

本研究旨在调查放射科医务人员对 COVID-19 预防和诊断的知识、态度和实践(KAP)。

方法

本多中心横断面研究于 2022 年 3 月至 6 月在 17 家医院的放射科医务人员中进行。

结果

共纳入 324 名医务人员。知识得分平均为 15.3 ± 3.4(满分 23 分),态度得分为 31.1 ± 5.6(范围 8-40),实践得分为 35.1 ± 4.4(范围 8-40)。积极的态度(OR = 1.235,95%CI:1.162-1.311,<0.001)和 41-50 岁与更高的实践评分独立相关。实践评分较高的人更有可能年龄较大(OR = 2.603,95%CI:1.242-5.452,= 0.011),为护士(OR = 2.274,95%CI:1.210-4.272,= 0.011)和具有初级/中级/副高级职称(OR = 2.326,95%CI:1.030-5.255,= 0.042;OR = 2.847,95%CI:1.226-6.606,= 0.015;OR = 4.547,95%CI:1.806-11.452,= 0.001)。亚组分析显示,技术员和医师、护士之间以及三级医院和非三级医院工作人员之间的知识存在显著差异。知识与态度呈正相关(β = 0.54,<0.001),态度与实践呈正相关(β = 0.37,<0.001)。态度显著中介了知识与实践之间的关系(β = 0.119,<0.001)。

结论

放射科医务人员对 COVID-19 的预防和诊断具有中等的知识水平,但态度良好,实践良好。态度与 COVID-19 的预防和诊断的良好实践呈正相关。态度显著中介了知识与实践之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df45/10018012/f94f7835a035/fpubh-11-1110893-g0001.jpg

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