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医护人员对肠易激综合征的认知、态度和实践:一项多中心、横断面研究。

Knowledge, attitude, and practice of healthcare professionals towards irritable bowel syndrome: a multicenter, cross-sectional study.

机构信息

Department of Acupuncture and physiotherapy, Jining No. 1 People's Hospital, Jining, 272000, Shandong, China.

College of Clinical Medicine, Jining Medical University, Jining, 272013, Shandong, China.

出版信息

Sci Rep. 2024 Nov 25;14(1):29128. doi: 10.1038/s41598-024-80680-z.

Abstract

Irritable bowel syndrome (IBS) is a disorder of the gut brain interaction (DGBI) characterized by abdominal pain and altered bowel habits, affecting approximately 10% of adult populations worldwide. Comprehending the knowledge and attitudes of healthcare professionals towards IBS may enhance patient care, leading to more accurate diagnoses and improved treatment, ultimately elevating the quality of life for IBS patients. This multicenter, cross-sectional study was conducted among healthcare professionals from 5 hospitals between June and August, 2023, utilizing a self-administered questionnaire. A total of 697 (92.1%) valid questionnaires were enrolled, with 499 (71.59%) females, and 358 (51.36%) being physicians. Their mean knowledge, attitudes, practices scores were 10.9 ± 9.57 (possible range: 0-30), 29.33 ± 3.39 (possible range: 7-35), and 35.67 ± 8.75 (possible range: 11-55), respectively. The structural equation modeling analysis demonstrated direct influence of knowledge on attitude (β = 0.195, P < 0.001) and practice (β = 0.410, P < 0.001). Additionally, attitudes were found to have a direct influence on practice (β = 0.607, P < 0.001). In addition, their KAP score varied with different gender, education, occupation, professional title, department, with families have IBS, years of work experience, and institution type (all P < 0.05). Healthcare professionals had inadequate knowledge, positive attitude and suboptimal practice towards IBS, which might be influenced by their sociodemographic characteristics.

摘要

肠易激综合征(IBS)是一种肠道-大脑相互作用(DGBI)障碍,其特征为腹痛和排便习惯改变,影响全球约 10%的成年人群。了解医护专业人员对 IBS 的认知、态度和实践情况,可能有助于改善患者的护理,从而提高诊断的准确性和治疗效果,最终提升 IBS 患者的生活质量。这项多中心、横断面研究于 2023 年 6 月至 8 月在 5 家医院的医护专业人员中开展,采用了自填式问卷。共纳入了 697 份(92.1%)有效问卷,其中女性 499 人(71.59%),医生 358 人(51.36%)。他们的知识、态度和实践评分的平均值分别为 10.9±9.57(可能范围:0-30)、29.33±3.39(可能范围:7-35)和 35.67±8.75(可能范围:11-55)。结构方程模型分析表明,知识对态度(β=0.195,P<0.001)和实践(β=0.410,P<0.001)有直接影响。此外,态度对实践也有直接影响(β=0.607,P<0.001)。此外,他们的 KAP 评分因不同的性别、教育程度、职业、职称、科室、家庭中是否有 IBS 患者、工作年限和机构类型而有所不同(均 P<0.05)。医护专业人员对 IBS 的知识水平不足,态度积极,但实践欠佳,这可能与他们的社会人口学特征有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/518a/11586398/c7457f41746d/41598_2024_80680_Fig1_HTML.jpg

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