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非眼科医务人员对近视相关眼底病变的认知、态度和实践。

Knowledge, attitude, and practice of non-ophthalmic medical staff toward myopia-related fundus lesions.

机构信息

Department of Ophthalmology, Suining Central Hospital, Suining, 629000, China.

出版信息

Sci Rep. 2024 Jul 23;14(1):16877. doi: 10.1038/s41598-024-67939-1.

Abstract

This study assessed the knowledge, attitude, and practice (KAP) of non-ophthalmic medical staff towards myopia-related fundus lesions. This multicenter, cross-sectional study enrolled non-ophthalmic medical staff of Suining City between January and May 2023 using a self-designed questionnaire. A total of 505 (93.19%) valid questionnaires were included. Their mean KAP scores were 8.10 ± 2.32 (range: 0-12), 20.27 ± 2.68 (range: 0-24), and 17.77 ± 5.04 (range: 0-28), respectively. Structural equation modeling indicated that knowledge has a positive effect on attitude (β = 0.307, P < 0.001), and attitude has a positive effect on practice (β = 0.604, P < 0.001). Moreover, a higher degree of myopia exhibited a positive effect on knowledge (β = 0.510, P < 0.001). Nurses and other medical staff showed a negative effect on knowledge (β = - 0.706, P < 0.001) compared to doctors. Working in secondary and tertiary public hospitals, as well as private hospitals, demonstrated a negative effect on practice (β = - 1.963, P < 0.001) compared to those working in primary hospitals. Non-ophthalmic medical staff exhibited moderate knowledge, positive attitudes, and moderate practices toward myopia-related fundus lesions. The degree of myopia, doctors vs. other medical staff, and the hospital level influence the KAP of non-ophthalmic medical staff.

摘要

本研究评估了非眼科医务人员对近视相关眼底病变的知识、态度和实践(KAP)。这项多中心、横断面研究于 2023 年 1 月至 5 月期间使用自行设计的问卷招募了遂宁市的非眼科医务人员。共纳入 505 份(93.19%)有效问卷。他们的平均 KAP 得分分别为 8.10±2.32(范围:0-12)、20.27±2.68(范围:0-24)和 17.77±5.04(范围:0-28)。结构方程模型表明,知识对态度有积极影响(β=0.307,P<0.001),态度对实践有积极影响(β=0.604,P<0.001)。此外,高度近视对知识有积极影响(β=0.510,P<0.001)。与医生相比,护士和其他医务人员的知识得分较低(β=-0.706,P<0.001)。与在一级医院工作的医务人员相比,在二级和三级公立医院以及私立医院工作的医务人员的实践得分较低(β=-1.963,P<0.001)。非眼科医务人员对近视相关眼底病变的知识、态度和实践表现出中等水平。近视程度、医生与其他医务人员以及医院级别影响非眼科医务人员的 KAP。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94c9/11266350/5b5fb913711a/41598_2024_67939_Fig1_HTML.jpg

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