Department of Neurosurgery, Air Force Medical University Tangdu Hospital, Xi'an, Shaanxi, China.
Department of Neurology, Xi'an First Hospital Affiliated to Xi'an Medical University, Xi'an, Shaanxi, China.
BMJ Open. 2024 Feb 21;14(2):e077698. doi: 10.1136/bmjopen-2023-077698.
Knowledge, attitude and practice (KAP) models are essential tools for assessing healthcare professionals' understanding, beliefs and behaviours towards specific health issues. This study aimed to explore the KAP of Chinese doctors in diagnosing and treating spinal vascular malformations (SVM).
A web-based cross-sectional survey.
This study was conducted between October and December 2022 through a self-administered questionnaire.
Participants include full-time doctors who voluntarily participate. Doctors in advanced training, regular training or internships were excluded.
The KAP scores of Chinese doctors in diagnosing and treating SVM measured by the questionnaire.
A total of 517 doctors participated in the study, mostly in Shaanxi, China, working in SVM-relevant departments (n=396) or other departments (n=121). The doctors achieved an average knowledge score of 9.66±1.95 (range: 0-12), attitude score of 22.16±1.71 (range: 6-30) and practice scores of 46.13±5.35 for those in SVM-relevant departments (neurosurgery, orthopaedics and neurology) and 8.50±1.25 for those in other departments, respectively, revealing doctors have adequate knowledge, positive attitude and good practice, and those in SVM-relevant departments showing more adeptness compared with those in other departments. Moreover, multivariate logistic regression analysis showed that knowledge about SVM (OR=1.72, 95% CI 1.11 to 2.65, p=0.015), holding a master's degree (OR=1.85, 95% CI 1.14 to 3.00, p=0.013) and working in orthopaedics (OR=0.34, 95% CI 0.13 to 0.88, p=0.026) were independently associated with good attitude.
Chinese doctors showed adequate knowledge, moderate attitudes and good practice regarding SVM. A continuing education programme may improve clinical practitioners' ability to manage SVM.
知识、态度和实践（KAP）模型是评估医疗保健专业人员对特定健康问题的理解、信念和行为的重要工具。本研究旨在探讨中国医生诊断和治疗脊髓血管畸形（SVM）的 KAP。
基于网络的横断面调查。
本研究于 2022 年 10 月至 12 月期间通过自填问卷进行。
参与者包括自愿参加的全职医生。排除了进修医生、规培医生和实习医生。
通过问卷评估中国医生诊断和治疗 SVM 的 KAP 评分。
共有 517 名医生参与了研究，他们主要来自中国陕西，工作于 SVM 相关科室（n=396）或其他科室（n=121）。医生在 SVM 相关科室（神经外科、骨科和神经内科）的知识得分平均为 9.66±1.95（范围：0-12），态度得分为 22.16±1.71（范围：6-30），实践得分为 46.13±5.35，而在其他科室的知识得分为 8.50±1.25，态度得分为 22.16±1.71，实践得分为 46.13±5.35，表明医生具有足够的知识、积极的态度和良好的实践能力，且 SVM 相关科室的医生比其他科室的医生更熟练。此外，多变量逻辑回归分析显示，SVM 知识（OR=1.72，95%CI 1.11-2.65，p=0.015）、硕士学位（OR=1.85，95%CI 1.14-3.00，p=0.013）和骨科工作（OR=0.34，95%CI 0.13-0.88，p=0.026）与良好态度独立相关。
中国医生对 SVM 具有足够的知识、中等的态度和良好的实践能力。继续教育计划可能会提高临床医生管理 SVM 的能力。
