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医护专业人员对周围神经损伤康复的认知、态度和实践。

Knowledge, attitudes, and practices of healthcare professionals toward rehabilitation of peripheral nerve injury.

机构信息

Department of Rehabilitation, The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin, 150060, China.

Department of Rehabilitation, Heilongjiang University of Traditional Chinese Medicine, Harbin, 150040, China.

出版信息

Sci Rep. 2024 Sep 5;14(1):20725. doi: 10.1038/s41598-024-71232-6.

Abstract

Peripheral nerve injury (PNI) occurs due to damage of peripheral nerves, with healthcare professionals playing significant roles in PNI rehabilitation. This study aimed to explore the knowledge, attitudes, and practices (KAP) towards PNI rehabilitation among healthcare professionals. This cross-sectional study was conducted on June 2023 in China and healthcare professionals were enrolled. A total of 611 valid questionnaires were collected, with 62.52% female respondents. Mean scores for KAP were 14.26 ± 2.044 (possible range: 0-19), 29.77 ± 3.622 (possible range: 7-35), and 41.55 ± 9.523 (possible range: 11-55), respectively. Multivariate logistic regression revealed positive associations of professional titles (OR = 1.743, 95% CI: 1.083-2.804), occupation (OR = 1.833, 95% CI: 1.151-2.919), and involvement in treatment or care of PNI patients (OR = 1.462, 95% CI: 1.024-2.088) with knowledge. Knowledge (OR = 1.155, 95% CI: 1.042-1.280), gender (OR = 2.140, 95% CI: 1.255-3.646), education (OR = 2.258, 95% CI: 1.131-4.507), and involvement in treatment or care of PNI patients (OR = 2.463, 95% CI: 1.460-4.155) were positively associated with attitude. Attitude (OR = 1.214, 95% CI: 1.148-1.283), bachelor's degree education (OR = 0.548, 95% CI: 0.326-0.919), master's degree or higher (OR = 0.545, 95% CI: 0.308-0.964), having rehabilitation training for PNI (OR = 2.485, 95% CI: 1.633-3.781), and involvement in treatment or care of PNI patients (OR = 2.093, 95% CI: 1.395-3.138) were independently associated with practice. Healthcare professionals exhibited moderate knowledge, positive attitudes, and moderate practices towards the PNI rehabilitation. Those involved in the treatment or care of PNI have significantly higher KAP. Targeted interventions were needed to enhance understanding and promote proactive engagement in clinical practice.

摘要

周围神经损伤(PNI)是由于周围神经损伤引起的,医护人员在 PNI 康复中起着重要作用。本研究旨在探讨医护人员对 PNI 康复的知识、态度和实践(KAP)。这是一项 2023 年 6 月在中国进行的横断面研究,纳入了医护人员。共收集了 611 份有效问卷,其中 62.52%为女性。KAP 的平均得分为 14.26±2.044(可能范围:0-19)、29.77±3.622(可能范围:7-35)和 41.55±9.523(可能范围:11-55)。多变量逻辑回归显示,职称(OR=1.743,95%CI:1.083-2.804)、职业(OR=1.833,95%CI:1.151-2.919)和参与 PNI 患者的治疗或护理(OR=1.462,95%CI:1.024-2.088)与知识呈正相关。知识(OR=1.155,95%CI:1.042-1.280)、性别(OR=2.140,95%CI:1.255-3.646)、教育(OR=2.258,95%CI:1.131-4.507)和参与 PNI 患者的治疗或护理(OR=2.463,95%CI:1.460-4.155)与态度呈正相关。态度(OR=1.214,95%CI:1.148-1.283)、学士学位教育(OR=0.548,95%CI:0.326-0.919)、硕士或以上学位(OR=0.545,95%CI:0.308-0.964)、接受过 PNI 康复培训(OR=2.485,95%CI:1.633-3.781)和参与 PNI 患者的治疗或护理(OR=2.093,95%CI:1.395-3.138)与实践呈独立相关。医护人员对 PNI 康复的知识、态度和实践处于中等水平,参与 PNI 患者治疗或护理的医护人员 KAP 水平显著较高。需要采取有针对性的干预措施,以提高认识并促进积极参与临床实践。

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