Tian Jun, Zhang Lei, Zhao Xiangrong, Yang Li
Department of Dermatology, Shaanxi Provincial People's Hospital, Xi'an, China.
Shaanxi Provincial Key Laboratory of Infection and Immune Diseases, Xi'an, China.
Front Med (Lausanne). 2024 Apr 10;11:1288423. doi: 10.3389/fmed.2024.1288423. eCollection 2024.
To investigate the knowledge, attitude, and practice (KAP) of psoriasis patients toward the disease.
A web-based cross-sectional study was conducted among psoriasis patients who were diagnosed at the outpatient of Shaanxi Provincial People's Hospital in March 2023. A self-designed questionnaire was administered for data collection and KAP assessment.
A total of 526 valid questionnaires were included, including 257 males (48.86%) psoriasis patients. Their mean KAP scores were 8.09 ± 3.60 (possible range: 0-12), 31.94 ± 4.61 (possible range: 10-50), and 51.92 ± 8.83 (possible range: 15-75), respectively. Pearson's correlation analysis showed a positive correlation between knowledge and attitude ( = 0.186, < 0.001), a positive correlation between knowledge and practice ( = 0.313, < 0.001), and a negative correlation between attitude and practice ( = -0.181, < 0.001). Moreover, structural equation model showed that medication (β = 2.74, 95% CI: 2.17, 3.32, < 0.001) has significantly positive effect on knowledge. Education (β = 0.56, 95% CI: 0.31, 0.81, < 0.001) and duration of psoriasis (β = 1.01, 95% CI: 0.54, 1.49, < 0.001) have significantly positive effect on attitude. Knowledge (β = 1.03, 95% CI: 0.80, 1.26, < 0.001) and medication (β = 4.59, 95% CI: 2.78, 6.40, < 0.001) has significantly positive effect on practice, while attitude (β = -0.41, 95% CI: -0.57, -0.26, < 0.001) and duration of psoriasis (β = -2.53, 95% CI: -3.49, -1.57, < 0.001) exhibit significantly negative effect on practice.
Psoriasis patients have good knowledge, positive attitude, and proactive practice toward the disease. Education, medication, duration of psoriasis might have effect on their KAP.
调查银屑病患者对该疾病的知识、态度和行为(KAP)。
对2023年3月在陕西省人民医院门诊确诊的银屑病患者进行基于网络的横断面研究。采用自行设计的问卷进行数据收集和KAP评估。
共纳入526份有效问卷,其中男性银屑病患者257例(48.86%)。他们的KAP平均得分分别为8.09±3.60(可能范围:0 - 12)、31.94±4.61(可能范围:10 - 50)和51.92±8.83(可能范围:15 - 75)。Pearson相关分析显示知识与态度之间呈正相关(r = 0.186,P < 0.001),知识与行为之间呈正相关(r = 0.313,P < 0.001),态度与行为之间呈负相关(r = -0.181,P < 0.001)。此外,结构方程模型显示用药(β = 2.74,95%CI:2.17,3.32,P < 0.001)对知识有显著正向影响。教育程度(β = 0.56,95%CI:0.31,0.81,P < 0.001)和银屑病病程(β = 1.01,95%CI:0.54,1.49,P < 0.001)对态度有显著正向影响。知识(β = 1.03,95%CI:0.80,1.26,P < 0.001)和用药(β = 4.59,95%CI:2.78,6.40,P < 0.001)对行为有显著正向影响,而态度(β = -0.41,95%CI:-0.57,-0.26,P < 0.001)和银屑病病程(β = -2.53, 95%CI:-3.49,-1.57,P < 0.001)对行为有显著负向影响。
银屑病患者对该疾病有良好的知识、积极的态度和主动的行为。教育程度、用药情况、银屑病病程可能对其KAP产生影响。