Pediatrics Department, Bengbu First People's Hospital, Bengbu, Anhui, 233000, P.R. China.
BMC Med Educ. 2024 Nov 14;24(1):1312. doi: 10.1186/s12909-024-06305-1.
This study aimed to investigate the knowledge, attitude and practice (KAP) of pediatric healthcare staff towards the therapy for patients with congenital heart disease (CHD). CHD is a major global health concern, posing significant risks to health and life despite advancements in early detection and treatment.
This web-based cross-sectional study was conducted from May 04, 2023 to August 12, 2023 in the Bengbu area (three counties and one city) for pediatric healthcare staff. Correlations between knowledge, attitude and practice scores were evaluated by Pearson correlation analysis. Factors associated with knowledge, attitude and practice scores were identified by multivariate logistic regression.
A total of 332 valid questionnaires were enrolled, including 258 (77.7%) females, and 161 (48.5%) were pediatrician. The median (25% quartile, 75% quintile) of knowledge, attitude, and practice scores were 38 (36, 40) (possible range: 10-49), 28 (27, 31) (possible range: 7-35), and 35 (32, 39) (possible range: 9-45), respectively. Correlation analysis showed that significant positive correlations were found between knowledge and attitude (r = 0.528, P < 0.001), as well as practice (r = 0.399, P < 0.001). Meanwhile, there were also correlations between attitudes and practice (r = 0.528, P < 0.001). Univariate logistic regression showed that treated more than 100 children with congenital heart disease annually (OR = 2.976, 95% CI: 1.405, 6.303, P = 0.004) was independently associated with knowledge. Female (OR = 0.470, 95% CI: 0.277, 0.797, P = 0.005) and with more than 5 years of work experience (OR = 0.507, 95% CI: 0.262, 0.982, P = 0.044) were independently associated with attitude. Female (OR = 0.584, 95% CI: 0.343, 0.994, P = 0.048) and treated more than 100 children with congenital heart disease annually (OR = 3.743, 95% CI: 1.702, 8.232, P = 0.001) were independently associated with practice.
Pediatric healthcare staff had sufficient knowledge, positive attitude and proactive practice towards the therapy for patients with congenital heart disease. To improve clinical practice, prioritize training programs to build knowledge and positive attitudes among healthcare staff, encourage hands-on experience with CHD cases, and promote mentorship by experienced professionals for a collaborative work environment and better care.
本研究旨在调查儿科医护人员对先天性心脏病（CHD）患者治疗的知识、态度和实践（KAP）。尽管在早期检测和治疗方面取得了进展，但 CHD 仍是一个重大的全球健康问题，对健康和生命构成重大威胁。
本横断面研究于 2023 年 5 月 4 日至 8 月 12 日在蚌埠地区（三县一市）以儿科医护人员为对象，通过网络进行。采用 Pearson 相关分析评估知识、态度和实践评分之间的相关性。采用多因素 logistic 回归确定与知识、态度和实践评分相关的因素。
共纳入 332 份有效问卷，其中 258 名（77.7%）为女性，161 名（48.5%）为儿科医生。知识、态度和实践评分的中位数（25%四分位数，75%五分位数）分别为 38（36，40）（可能范围：10-49）、28（27，31）（可能范围：7-35）和 35（32，39）（可能范围：9-45）。相关性分析表明，知识与态度（r=0.528，P<0.001）以及实践（r=0.399，P<0.001）之间存在显著正相关。同时，态度和实践之间也存在相关性（r=0.528，P<0.001）。单因素 logistic 回归显示，每年治疗超过 100 例先天性心脏病患儿（OR=2.976，95%CI：1.405，6.303，P=0.004）与知识独立相关。女性（OR=0.470，95%CI：0.277，0.797，P=0.005）和工作经验超过 5 年（OR=0.507，95%CI：0.262，0.982，P=0.044）与态度独立相关。女性（OR=0.584，95%CI：0.343，0.994，P=0.048）和每年治疗超过 100 例先天性心脏病患儿（OR=3.743，95%CI：1.702，8.232，P=0.001）与实践独立相关。
儿科医护人员对先天性心脏病患者的治疗具有足够的知识、积极的态度和积极的实践。为了改善临床实践，应优先开展培训计划，在医护人员中建立知识和积极态度，鼓励接触 CHD 病例的实践经验，并通过经验丰富的专业人员促进指导，营造协作工作环境，提供更好的护理。
