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评估神经内科和神经外科医护人员对缺血性脑卒中的知识、态度和实践:中国陕西省的一项横断面研究。

Evaluation of the knowledge, attitude and practice towards ischaemic stroke among healthcare workers in neurology and neurosurgery department: a cross-sectional study in Shaanxi province, China.

机构信息

Department of Neurology, The First People's Hospital of Xianyang, Xianyang, Shaanxi, China.

Department of Neurology, The First People's Hospital of Xianyang, Xianyang, Shaanxi, China

出版信息

BMJ Open. 2024 Aug 6;14(8):e086482. doi: 10.1136/bmjopen-2024-086482.

DOI:10.1136/bmjopen-2024-086482
PMID:39107009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11308873/
Abstract

OBJECTIVES

Healthcare workers play an important role in the timely recognition and treatment of patients who had an ischaemic stroke. However, their knowledge, attitude and practice (KAP) towards ischaemic stroke have not been well studied. This study aimed to assess the KAP towards ischaemic stroke among healthcare workers in the neurology and neurosurgery department in Shaanxi province, China.

DESIGN

Cross-sectional study.

SETTING

Medical centres in Shaanxi province.

PARTICIPANTS

Healthcare workers in the neurology and neurosurgery department at Shaanxi province.

PRIMARY AND SECONDARY OUTCOME MEASURES

Demographic characteristics and KAP towards ischaemic stroke were collected by a self-designed questionnaire.

RESULTS

A total of 259 (96.6%) valid questionnaires were collected. Their mean KAP scores were 19.56±3.72 (total score: 23), 36.56±3.56 (total score: 40) and 27.45±3.00 (total score: 30), respectively. Multivariate logistic regression analysis demonstrated that education (bachelor's degree or above vs college or below: OR=2.704 (1.286-5.685), p=0.009), gender (female vs male: OR=0.401 (0.227-0.710), p=0.002) and professional title (intermediate vs no title: OR=0.280 (0.107-0.731), p=0.009) were independently associated with good knowledge; knowledge score (OR=1.266 (1.157-1.387), p<0.001) and hospital (private hospital vs public hospital: OR=0.544 (0.313-0.944), p=0.030) were independently associated with good attitude; and attitude score (OR=1.480 (1.326-1.652), p<0.001), gender (female vs male: OR=0.511 (0.264-0.993), p=0.047) and occupation (other healthcare workers vs physicians: OR=0.252 (0.129-0.495), p<0.001) were independently associated with good practice.

CONCLUSION

The healthcare workers in the neurology and neurosurgery department demonstrated a satisfactory KAP towards ischaemic stroke. Targeted and tailored training programmes might be an optional way to improve their practice.

摘要

目的

医护人员在及时识别和治疗缺血性脑卒中患者方面发挥着重要作用。然而,他们对缺血性脑卒中的知识、态度和实践(KAP)尚未得到充分研究。本研究旨在评估中国陕西省神经科和神经外科医护人员对缺血性脑卒中的 KAP。

设计

横断面研究。

地点

陕西省的医疗中心。

参与者

陕西省神经科和神经外科的医护人员。

主要和次要结果

通过自设问卷收集人口统计学特征和对缺血性脑卒中的 KAP。

结果

共收集了 259 份(96.6%)有效问卷。他们的平均 KAP 评分分别为 19.56±3.72(总分:23)、36.56±3.56(总分:40)和 27.45±3.00(总分:30)。多变量 logistic 回归分析表明,教育程度(本科及以上 vs 大专及以下:OR=2.704(1.286-5.685),p=0.009)、性别(女性 vs 男性:OR=0.401(0.227-0.710),p=0.002)和职称(中级 vs 无职称:OR=0.280(0.107-0.731),p=0.009)与良好的知识相关;知识评分(OR=1.266(1.157-1.387),p<0.001)和医院(私立医院 vs 公立医院:OR=0.544(0.313-0.944),p=0.030)与良好的态度相关;态度评分(OR=1.480(1.326-1.652),p<0.001)、性别(女性 vs 男性:OR=0.511(0.264-0.993),p=0.047)和职业(其他医护人员 vs 医师:OR=0.252(0.129-0.495),p<0.001)与良好的实践相关。

结论

神经科和神经外科的医护人员对缺血性脑卒中表现出满意的 KAP。有针对性和量身定制的培训计划可能是提高他们实践的一种选择。

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