Department of Endocrinology, Heilongjiang Provincial Hospital, Harbin, China.
The First Clinical College of Medicine, Mudanjiang Medical University, Mudanjiang, China.
Front Public Health. 2024 Sep 27;12:1426259. doi: 10.3389/fpubh.2024.1426259. eCollection 2024.
This study aimed to assess the knowledge, attitudes and practices (KAP) among patients with diabetes mellitus and hyperuricemia toward disease self-management.
This web-based cross-sectional study was conducted between June 2023 and January 2024 at Heilongjiang Provincial Hospital. A self-designed questionnaire was developed to collect demographic information of patients with diabetes mellitus and hyperuricemia, and assess their knowledge, attitudes and practices toward disease self-management.
A total of 482 participants were enrolled in this study, among them, 364 (75.52%) were male, 235 (48.76%) were aged between 40 and 59 years, 226 (46.89%) had a body mass index (BMI) ranging from 24 to 28 kg/m, 337 (69.92%) had received a diagnosis of diabetes for a duration of 2 years or more, while 245 (50.83%) had been diagnosed with hyperuricemia for a similar duration. Their median (range) knowledge, attitude and practice scores were 10.00 (9.00, 11.00) (possible range: 0-12), 38.00 (36.00, 40.00) (possible range: 9-45), and 30.00 (26.00, 34.75) (possible range: 10-50), respectively. The path analysis demonstrated that knowledge had direct effects on attitude ( = 0.508, < 0.001), and attitude had direct effects on practice ( = 0.448, < 0.001). Additionally, there was an indirect effect of knowledge on practice mediated through attitude, with a path coefficient of 0.228 ( < 0.001).
This study demonstrates that patients with diabetes mellitus and hyperuricemia exhibit relatively proficient responses to certain items within the KAP dimensions. However, it also exposes a certain degree of inadequacy in the KAP level toward disease management. Interventions should focus on improving patients' understanding of their conditions while fostering positive attitudes, ultimately translating into better self-management practices.
本研究旨在评估糖尿病合并高尿酸血症患者对疾病自我管理的知识、态度和实践（KAP）。
本项基于网络的横断面研究于 2023 年 6 月至 2024 年 1 月在黑龙江省医院进行。采用自行设计的问卷收集糖尿病合并高尿酸血症患者的人口统计学信息，并评估他们对疾病自我管理的知识、态度和实践。
共有 482 名参与者纳入本研究，其中 364 名（75.52%）为男性，235 名（48.76%）年龄在 40-59 岁之间，226 名（46.89%）BMI 为 24-28kg/m，337 名（69.92%）患有糖尿病 2 年以上，245 名（50.83%）患有高尿酸血症 2 年以上。他们的知识、态度和实践评分中位数（范围）分别为 10.00（9.00，11.00）（可能范围：0-12）、38.00（36.00，40.00）（可能范围：9-45）和 30.00（26.00，34.75）（可能范围：10-50）。路径分析表明，知识对态度有直接影响（ = 0.508， < 0.001），态度对实践有直接影响（ = 0.448， < 0.001）。此外，知识通过态度对实践有间接影响，路径系数为 0.228（ < 0.001）。
本研究表明，糖尿病合并高尿酸血症患者在 KAP 维度的某些项目上表现出相对熟练的反应，但在疾病管理的 KAP 水平上也存在一定程度的不足。干预措施应侧重于提高患者对自身病情的理解，同时培养积极的态度，最终转化为更好的自我管理实践。
