Departement of Cardiothoracic Surgery, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, 121000, China.
Departement of Ultrasound, The Third Affiliated Hospital of Jinzhou Medical University, Section 5, Heping Road, Linghe District, Jinzhou, 121000, China.
Sci Rep. 2024 Nov 22;14(1):28950. doi: 10.1038/s41598-024-79657-9.
The management of pulmonary nodules involves self-management. This study, conducted in China between September and October 2022, explored the knowledge, attitude, and practice (KAP) towards pulmonary nodules among Chinese adults. The participants were enrolled through convenience sampling when they visited the hospital. The KAP questionnaire was developed by the investigators. Participants who received scores of ≥ 75% of the total score for each dimension were defined as good or positive, 50-75% as moderate, and ≤ 50% as poor or negative. A total of 1209 participants, with an average age of 38.7 years, completed a self-administered online questionnaire. The knowledge, attitude, and practice scores were 5.95 ± 3.54/12, 29.05 ± 4.04/40, and 23.72 ± 6.08/45, respectively, indicating poor knowledge, moderate attitude, and moderate practice regarding pulmonary nodules. The multivariable analyses showed significant associations among knowledge, attitudes, and practice. The mediation analysis indicated that knowledge, education, income, smoking habits, and awareness of pulmonary nodules influenced participants' practices. In conclusion, a significant population of adults in China had inadequate knowledge, attitude, and practice towards pulmonary nodules. Sufficient knowledge was associated with appropriate practices toward pulmonary nodules. Therefore, health education programs aimed at improving knowledge about pulmonary nodules may be helpful for encouraging appropriate attitudes and maintaining healthy practices.
肺结节的管理涉及自我管理。本研究于 2022 年 9 月至 10 月在中国进行，旨在探讨中国成年人对肺结节的知识、态度和实践（KAP）。通过便利抽样，当参与者在医院就诊时，将他们纳入研究。KAP 问卷由研究人员制定。每个维度得分≥75%总分的参与者被定义为良好或积极，50-75%为中等，≤50%为差或消极。共有 1209 名参与者，平均年龄为 38.7 岁，完成了一份自我管理的在线问卷。知识、态度和实践得分分别为 5.95±3.54/12、29.05±4.04/40 和 23.72±6.08/45，表明对肺结节的知识较差，态度中等，实践中等。多变量分析表明，知识、态度和实践之间存在显著关联。中介分析表明，知识、教育、收入、吸烟习惯和对肺结节的认识影响了参与者的实践。总之，中国相当一部分成年人对肺结节的知识、态度和实践不足。充足的知识与对肺结节的适当实践有关。因此，旨在提高对肺结节认识的健康教育计划可能有助于鼓励适当的态度和保持健康的实践。
