Department of Urology, Ningbo Medical Center LiHuiLi Hospital, Ningbo, 315040, China.
Department of Nephrology, Ningbo Medical Center LiHuiLi Hospital, Ningbo, 315040, China.
Sci Rep. 2024 Nov 18;14(1):28408. doi: 10.1038/s41598-024-80078-x.
This study investigated the knowledge, attitude, and practice (KAP) concerning stone formation and recurrence among patients with urolithiasis treated at Ningbo Medical Centre Lihuili Hospital between August 19, 2023, and April 19, 2024. A total of 394 patients were included, among which 70.30% were males. The median scores for knowledge, attitude, and practice were 7 (6-8.25), 29 (26.75-31), and 21.5 (18-25), respectively, indicating good knowledge and attitude but suboptimal practice. Positive correlations were found between knowledge and attitude (r = 0.274, P < 0.001) and between attitude and practice (r = 0.126, P < 0.05). Logistic regression revealed that knowledge, education, and whether the patient experienced a new or recurrent stone were independent predictors of attitude. Attitude, education, body mass index (BMI), and daily water intake were independent predictors of practice. Structural equation modeling (SEM) showed that knowledge, family history, and education directly influenced attitude, while education also significantly impacted practice. Our findings highlight the need for targeted diet, hydration, and lifestyle education to enhance preventive practices among patients with urolithiasis.
本研究调查了 2023 年 8 月 19 日至 2024 年 4 月 19 日在宁波医疗中心李惠利医院接受治疗的尿路结石患者对结石形成和复发的知识、态度和实践（KAP）。共纳入 394 例患者，其中 70.30%为男性。知识、态度和实践的中位数评分为 7（6-8.25）、29（26.75-31）和 21.5（18-25），表明知识和态度良好，但实践不理想。知识与态度呈正相关（r=0.274，P<0.001），态度与实践呈正相关（r=0.126，P<0.05）。逻辑回归显示，知识、教育和患者是否经历新的或复发性结石是态度的独立预测因素。态度、教育、体重指数（BMI）和每日水摄入量是实践的独立预测因素。结构方程模型（SEM）显示，知识、家族史和教育直接影响态度，而教育也显著影响实践。我们的研究结果强调了针对饮食、水分摄入和生活方式教育的必要性，以增强尿路结石患者的预防实践。
