Department of Endocrinology and Metabolism, The Second Affiliated Hospital of Guilin Medical University, Guilin, Guangxi, 541199, P.R. China.
National Clinical Research Center for Metabolic Diseases, Key Laboratory of Diabetes Immunology (Central South University), Department of Metabolism and Endocrinology, Ministry of Education, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.
BMC Prim Care. 2024 Sep 28;25(1):348. doi: 10.1186/s12875-024-02600-4.
Type 2 diabetes mellitus (T2DM) is a public health crisis that requires adequate knowledge, attitudes, and practices (KAP) by health care providers to prevent or delay the progression of the disease. This study aimed to assess the KAP regarding T2DM among primary care providers (PCPs) in Central China.
This multicenter cross-sectional study was conducted among 971 PCPs using self-employed KAP questionnaires. Questionnaires were designed to evaluate KAP regarding T2DM among PCPs, and was measured with SPSS software. Descriptive statistics, the Pearson correlation coefficients and multiple regression models used to analyze the data.70%, 80% and 70% of total values were considered as the cut-off point for defining good knowledge, positive attitude and correct practice.
A total of 971 PCPs with a mean age of 44.0 ± 10.2 years were evaluated. 620 (63.9%) PCPs worked at village clinic and 605 (62.3%) PCPs have been working more than 20 years. Only 26.3% of the respondents participated in Continued Medical Education (CME) programs regarding diabetes in the past year due to Covid-19 pandemic. Overall, despite positive attitudes toward diabetes, there were substantial gaps in knowledge and practices. The PCPs scored 7.25 out of 14 points on the knowledge subscales, 7.13 out of 8 on the attitude subscales, and 4.85 out of 11 on the practice subscales. Gender, age, practice setting, professional titles, duration of practice and CME attendance were significant predictors of knowledge; Age, practice setting and duration of practice were significant predictors of attitudes; and family history of diabetes affected PCP practices.
Despite positive attitudes toward diabetes, there were substantial gaps in knowledge and practices. These findings call for action from relevant health authorities and policy makers to improve PCPs' KAP regarding diabetes in Central China.
2 型糖尿病（T2DM）是一场公共健康危机，需要医疗保健提供者具备足够的知识、态度和实践（KAP），以预防或延缓疾病的进展。本研究旨在评估中国中部地区基层医疗提供者（PCP）对 T2DM 的 KAP。
本研究采用自我管理 KAP 问卷，对 971 名 PCP 进行了多中心横断面研究。问卷旨在评估 PCP 对 T2DM 的 KAP，并使用 SPSS 软件进行测量。采用描述性统计、皮尔逊相关系数和多元回归模型进行数据分析。将总得分的 70%、80%和 70%分别定义为良好知识、积极态度和正确实践的分界点。
共评估了 971 名年龄为 44.0±10.2 岁的 PCP。620 名（63.9%）PCP 在村诊所工作，605 名（62.3%）PCP 工作年限超过 20 年。由于新冠疫情，过去一年只有 26.3%的受访者参加过糖尿病继续教育（CME）项目。总的来说，尽管对糖尿病持积极态度，但知识和实践仍存在较大差距。PCP 在知识子量表上得分为 14 分中的 7.25 分，在态度子量表上得分为 8 分中的 7.13 分，在实践子量表上得分为 11 分中的 4.85 分。性别、年龄、实践环境、职称、从业年限和 CME 参加情况是知识的显著预测因素；年龄、实践环境和从业年限是态度的显著预测因素；糖尿病家族史影响 PCP 的实践。
尽管对糖尿病持积极态度，但知识和实践仍存在较大差距。这些发现呼吁相关卫生当局和政策制定者采取行动，提高中国中部地区 PCP 对糖尿病的 KAP。
