Yang Xiao-Yun, Wang Cong, Hong Yi-Ping, Zhu Ting-Ting, Qian Lu-Jia, Hu Yi-Bing, Teng Li-Hong, Ding Jin
Department of Gastroenterology and Hepatology, The Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, Zhejiang Province, China.
Department of Pathology, The Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, Zhejiang Province, China.
World J Gastrointest Surg. 2023 Aug 27;15(8):1751-1760. doi: 10.4240/wjgs.v15.i8.1751.
Early gastric cancer (EGC) is typically treated with endoscopic submucosal dissection (ESD). However, recurrence may occur after ESD, requiring surveillance.
To examine the knowledge, attitude, and practice (KAP) of EGC survivors following ESD regarding gastric cancer recurrence.
This cross-sectional study was conducted between June 1, 2022 and October 1, 2022 in Zhejiang, China. A total of 400 EGC survivors who underwent ESD at the Affiliated Jinhua Hospital, Zhejiang University School of Medicine participated in this study. A self-administered questionnaire was developed to assess KAP monitoring gastric cancer after ESD.
The average scores for KAP were 3.34, 23.76, and 5.75 out of 5, 30, and 11, respectively. Pearson correlation analysis revealed positive and significant correlations between knowledge and attitude, knowledge and practice, and attitude and practice ( = 0.405, 0.511, and 0.458, respectively; all < 0.001). Multivariate logistic regression analysis showed that knowledge, attitude, 13-24 mo since the last ESD ( ≤ 12 mo since the last ESD), and ≥ 25 mo since the last ESD ( ≤ 12 mo since the last ESD) were independent predictors of proactive practice (odds ratio = 1.916, 1.253, 3.296, and 5.768, respectively, all < 0.0001).
EGC survivors showed inadequate knowledge, positive attitude, and poor practices in monitoring recurrences after ESD. Adequate knowledge, positive attitude, and a longer time since the last ESD were associated with practice.
早期胃癌（EGC）通常采用内镜黏膜下剥离术（ESD）治疗。然而，ESD后可能会复发，需要进行监测。
探讨接受ESD治疗的EGC幸存者对胃癌复发的知识、态度和行为（KAP）。
本横断面研究于2022年6月1日至2022年10月1日在中国浙江进行。共有400例在浙江大学医学院附属金华医院接受ESD治疗的EGC幸存者参与了本研究。自行设计了一份问卷，以评估ESD后监测胃癌的KAP。
KAP的平均得分分别为（满分5分）3.34分、（满分30分）23.76分和（满分11分）5.75分。Pearson相关性分析显示，知识与态度、知识与行为、态度与行为之间存在显著正相关（分别为=0.405、0.511和0.458；均P<0.001）。多因素logistic回归分析表明，知识、态度、距上次ESD时间13 - 24个月（vs距上次ESD时间≤12个月）以及距上次ESD时间≥25个月（vs距上次ESD时间≤12个月）是积极行为的独立预测因素（比值比分别为1.916、1.253、3.296和5.768，均P<0.0001）。
EGC幸存者在ESD后监测复发方面知识不足、态度积极但行为较差。充足的知识、积极的态度以及距上次ESD时间较长与行为相关。
