Department of Family Medicine, Sefako Magkatho Health Sciences University, Pretoria.
S Afr Fam Pract (2004). 2023 Oct 30;65(1):e1-e8. doi: 10.4102/safp.v65i1.5763.
COVID-19 is an acute respiratory disease. Its morbidity and mortality in patients with comorbidities have been established. This study evaluated the knowledge, attitude and practices regarding COVID-19 of patients with comorbidities attending primary health care services.
An analytical cross-sectional study was conducted, with data collected from patients using a self-administered questionnaire. Knowledge, attitude and practice scores were calculated. Descriptive and inferential statistical analyses were used, and the level of significance was set at 5%.
This study enrolled 469 participants aged 18-84 years, and the majority were women. The mean knowledge score was 7.09 ± 1.73 out of 9, the mean attitude score was 2.33 ± 0.86 out of 3, and the mean practices score was 3.79 ± 0.56 out of 4. There was a positive linear relationship between knowledge and attitude scores and between attitude and practices scores; as one score increased, the other also increased significantly.
The level of knowledge was good in general, with optimistic attitudes and good practices by the patients. Those aged 70 years and above need special attention because older persons have poorer knowledge of and practices towards COVID-19, which could lead to higher hospitalisation and mortality rates.Contribution: This study found that patients with chronic diseases had good COVID-19 knowledge, attitudes and practices, while interventions targeting patients aged 70 years and above are needed to improve their COVID-19 awareness and practices.
COVID-19 是一种急性呼吸道疾病。其在合并症患者中的发病率和死亡率已经确定。本研究评估了在基层医疗保健服务中患有合并症的患者对 COVID-19 的认知、态度和实践。
进行了一项分析性横断面研究,使用自我管理问卷从患者那里收集数据。计算了知识、态度和实践得分。使用描述性和推断性统计分析,显著性水平设置为 5%。
本研究纳入了 469 名年龄在 18-84 岁之间的患者,其中大多数为女性。知识得分的平均值为 9 分中的 7.09 ± 1.73 分,态度得分的平均值为 3 分中的 2.33 ± 0.86 分,实践得分的平均值为 4 分中的 3.79 ± 0.56 分。知识和态度得分之间以及态度和实践得分之间呈正线性关系;一个分数增加,另一个分数也显著增加。
总体而言,患者的知识水平良好,态度乐观,实践良好。70 岁及以上的老年人需要特别关注,因为老年人对 COVID-19 的了解和实践较差,这可能导致住院率和死亡率更高。
本研究发现,慢性病患者对 COVID-19 有良好的认知、态度和实践,而需要针对 70 岁及以上的患者进行干预,以提高他们对 COVID-19 的认识和实践。