Ningjin TCM Hospital, Shandong, 253400, China.
Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100700, China.
Sci Rep. 2024 May 22;14(1):11663. doi: 10.1038/s41598-024-62502-4.
This cross-sectional study aimed to explore the knowledge, attitude and practice (KAP) toward sleep disorders and sleep hygiene among perimenopausal women, who were enrolled in Dezhou region of Shandong Province between July and September 2023. A total of 720 valid questionnaires were collected (mean age: 51.28 ± 4.32 years old), and 344 (47.78%) reported experiencing insomnia. The mean scores for knowledge, attitude, practice, and Dysfunctional Beliefs and Attitudes about Sleep (DBAS) were 15.73 ± 7.60 (possible range: 0-36), 29.35 ± 3.15 (possible range: 10-50), 28.54 ± 4.03 (possible range: 10-50), and 6.79 ± 1.90 (possible range: 0-10), respectively. Path analysis showed that knowledge had direct effects on attitude (β = 0.04, 95% CI 0.01-0.07, P = 0.001), and DBAS (β = 0.04, 95% CI 0.02-0.05, P < 0.001). Knowledge had direct effects (β = 0.11, 95% CI 0.08-0.15, P < 0.001) and indirect (β = 0.02, 95% CI 0.00-0.03, P = 0.002) effect on practice. Moreover, attitude also had a direct impact on practice (β = 0.34, 95% CI 0.25-0.43, P < 0.001). In conclusion, perimenopausal women exhibited insufficient knowledge, negative attitude, inactive practice toward sleep disorders and sleep hygiene, and unfavorable DBAS, emphasizing the need for targeted healthcare interventions.
本横断面研究旨在探讨山东省德州市地区围绝经期妇女对睡眠障碍和睡眠卫生的知识、态度和实践（KAP）。共收集了 720 份有效问卷（平均年龄：51.28±4.32 岁），其中 344 人（47.78%）报告患有失眠症。知识、态度、实践和睡眠不良信念与态度（DBAS）的平均得分分别为 15.73±7.60（可能范围：0-36）、29.35±3.15（可能范围：10-50）、28.54±4.03（可能范围：10-50）和 6.79±1.90（可能范围：0-10）。路径分析表明，知识对态度（β=0.04，95%置信区间 0.01-0.07，P=0.001）和 DBAS（β=0.04，95%置信区间 0.02-0.05，P<0.001）有直接影响。知识对实践有直接（β=0.11，95%置信区间 0.08-0.15，P<0.001）和间接（β=0.02，95%置信区间 0.00-0.03，P=0.002）影响。此外，态度对实践也有直接影响（β=0.34，95%置信区间 0.25-0.43，P<0.001）。总之，围绝经期妇女对睡眠障碍和睡眠卫生的知识、态度和实践表现不佳，且不良的 DBAS，强调需要有针对性的医疗保健干预。
