Qin Dongyuan, Wang Lin, Ni Yahui, Shan Zhangtao, Yang Lifang
Department of Gastroenterology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, People's Republic of China.
Department of Pathology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, People's Republic of China.
Patient Prefer Adherence. 2024 Aug 22;18:1769-1777. doi: 10.2147/PPA.S463061. eCollection 2024.
Chronic gastritis affects more than half of the global population to varying extents.
This study aimed to investigate the knowledge, attitude, and practice (KAP) of patients admitted to the gastroenterology department in the Shanxi region concerning chronic gastritis.
This study was conducted in Shanxi between April and July 2023. The participants were enrolled when they consulted at the clinic. Demographic characteristics and KAP scores were collected through a self-administered questionnaire. KAP scores >60% were considered good. Structural equation modeling (SEM) was utilized to examine the relationships among the dimensions of knowledge, attitude, and practice.
A total of 416 valid questionnaires were collected. The median knowledge score was 28 (0-60) (with possible values of 0-60), the median attitude score was 60 (28-77) (with possible values of 16-80), and the median practice score was 45 (12-60) (with possible values of 12-60). Hence, 133, 379, and 343 participants had knowledge, attitude, and practice scores, respectively, above the 60% threshold. Significant positive correlations were found between knowledge and attitude (r=0.300, P<0.001), knowledge and practice (r = 0.297, P<0.001), and attitude and practice (r=0.353, P=0.004) through correlation analysis. Structural Equation Modeling (SEM) revealed that knowledge directly and significantly influenced attitude (β=0.643, P<0.001), as well as practice (β=0.095, P=0.034), and attitude had a direct effect on practice (β=0.094, P=0.009).
Insufficient knowledge, positive attitudes, and proactive practices concerning chronic gastritis were observed in patients in the gastroenterology department. Prioritizing patient education and addressing patient attitudes during clinical consultations can enhance healthcare practices and improve the management of chronic gastritis.
慢性胃炎在全球范围内不同程度地影响着超过半数的人口。
本研究旨在调查山西地区消化内科住院患者对慢性胃炎的知识、态度和行为（KAP）。
本研究于2023年4月至7月在山西进行。参与者在门诊咨询时被纳入研究。通过自填问卷收集人口统计学特征和KAP得分。KAP得分>60%被认为良好。采用结构方程模型（SEM）来检验知识、态度和行为各维度之间的关系。
共收集到416份有效问卷。知识得分中位数为28（0 - 60）（可能取值范围为0 - 60），态度得分中位数为60（28 - 77）（可能取值范围为16 - 80），行为得分中位数为45（12 - 60）（可能取值范围为12 - 60）。因此，分别有133、379和343名参与者的知识、态度和行为得分高于60%的阈值。通过相关性分析发现，知识与态度之间存在显著正相关（r = 0.300，P < 0.001），知识与行为之间存在显著正相关（r = 0.297，P < 0.001），态度与行为之间存在显著正相关（r = 0.353，P = 0.004）。结构方程模型（SEM）显示，知识直接且显著地影响态度（β = 0.643，P < 0.001）以及行为（β = 0.095，P = 0.034），态度对行为有直接影响（β = 0.094，P = 0.009）。
消化内科患者对慢性胃炎的知识不足，但态度积极且行为主动。在临床咨询过程中优先开展患者教育并关注患者态度，可改善医疗行为，提高慢性胃炎的管理水平。
