Department of Orthopedic Surgery, Tongren Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Tianshan Community Health Service Center of Changning District, Shanghai, China.
BMJ Open. 2024 Nov 9;14(11):e088135. doi: 10.1136/bmjopen-2024-088135.
This cross-sectional study aimed to explore the knowledge, attitude and practice (KAP) of patients with rotator cuff tears towards arthroscopic shoulder surgery (ASS), based on the hypothesis that the knowledge of the procedure among patients would be sufficient, which in turn might influence their practice and attitude.
Cross-sectional study.
Patients were recruited from Tong Ren Hospital between September and October 2022.
A total of 588 patients were included in the study.
No interventions were administered.
Knowledge, attitude and practice scores were measured using a self-administered questionnaire.
Out of 588 patients included, 50.51% had undergone ASS. Lower education level and monthly income, shorter weekly exercise time and shorter disease duration were identified as independent risk factors for the KAP total score. Structural equation modelling revealed a direct positive effect of knowledge on attitude, but neither knowledge nor attitude influenced practice scores.
Patients with rotator cuff tears demonstrated relatively poor knowledge, a neutral attitude and moderate practice towards ASS, highlighting the need for patient education and counselling to enhance understanding and decision-making regarding ASS.
本横断面研究旨在探讨肩袖撕裂患者对关节镜肩关节手术（ASS）的知识、态度和实践（KAP），基于这样的假设，即患者对手术过程的了解程度应该足够，这反过来可能会影响他们的实践和态度。
横断面研究。
研究对象于 2022 年 9 月至 10 月期间在同仁医院招募。
共有 588 名患者纳入研究。
未进行干预。
使用自我管理问卷测量知识、态度和实践评分。
在纳入的 588 名患者中，50.51%接受了 ASS。较低的教育水平和月收入、每周运动时间较短以及疾病持续时间较短被确定为 KAP 总分的独立危险因素。结构方程模型显示，知识对态度有直接的正向影响，但知识和态度都没有影响实践评分。
肩袖撕裂患者对 ASS 的知识相对较差，态度中立，实践适度，这突出表明需要对患者进行教育和咨询，以增强他们对 ASS 的理解和决策能力。
