Luo Desheng, Xu Hongtao, Jiang Chuan, Zheng Jingjing, Wu Dan, Tou Laizhen, Que Haifeng, Sun Zheng
Department of Gastrointestinal Abdominal Hernia Surgery, Lishui Municipal Central Hospital, Lishui, Zhejiang, 323000, China.
BMC Cancer. 2024 Dec 3;24(1):1487. doi: 10.1186/s12885-024-13240-3.
Family caregivers of gastric cancer (GC) patients after gastrectomy have a strong demand for nutrition knowledge. This study investigates the knowledge, attitudes, and practices (KAP) of primary caregivers of GC patients regarding postoperative dietary management.
We conducted a cross-sectional study, collecting data through questionnaire distribution. Demographic information of the respondents and KAP scores were assessed and analyzed.
Of 508 included participants, majority were female (59.84%) urban residents (78.94%), aged 40-60 years (53.15%). Caretakers were primarily spouses of GC patient (50.39%) or parents (10.43%), only child (12.99%) or non-only child (24.21%). Notable percentage of poor knowledge and practice was found among participants (45.05% and 40.55%, respectively), while attitude was predominantly positive (99.41%). Correlation analysis revealed a weak positive correlation between knowledge and attitude scores (r = 0.150, P < 0.001) and negative link to practice scores (r=-0.228, P < 0.001); attitude scores were positively correlated with practice (r = 0.117, P = 0.008). Multivariate logistic regression analysis found that higher attitude scores were independently associated with higher practice scores (OR = 1.360; 95%CI, 1.223-1.513), P < 0.001), while higher knowledge scores (OR = 0.684; 95%CI, 0.575-0.815), P < 0.001), older age (OR = 0.951; 95%CI, 0.918-0.985), P = 0.005), duration of caregiving > 3 months (3-6 months (OR = 0.415; 95%CI, 0.193-0.894, P = 0.025); 6 months-1 year (OR = 0.269; 95%CI, 0.120-0.606), P = 0.002); >1 year (OR = 0.290; 95%CI, 0.120-0.705), P = 0.006), and follow-up location after patient's surgery (OR = 0.072 (0.033-0.160), P < 0.001) were independently associated with lower practice scores.
Family caregivers of GC patients that participated in this study demonstrated moderate knowledge and practice, but positive attitude towards dietary management after gastrectomy.
胃癌（GC）患者胃切除术后的家庭照顾者对营养知识有强烈需求。本研究调查了GC患者主要照顾者在术后饮食管理方面的知识、态度和行为（KAP）。
我们进行了一项横断面研究，通过问卷调查收集数据。对受访者的人口统计学信息和KAP得分进行评估和分析。
在纳入的508名参与者中，大多数为女性（59.84%）、城市居民（78.94%），年龄在40 - 60岁之间（53.15%）。照顾者主要是GC患者的配偶（50.39%）或父母（10.43%），独生子女（12.99%）或非独生子女（24.21%）。参与者中知识和行为较差的比例显著（分别为45.05%和40.55%），而态度主要为积极（99.41%）。相关性分析显示知识得分与态度得分之间存在弱正相关（r = 0.150，P < 0.001），与行为得分呈负相关（r = -0.228，P < 0.001）；态度得分与行为呈正相关（r = 0.117，P = 0.008）。多因素逻辑回归分析发现，较高的态度得分与较高的行为得分独立相关（OR = 1.360；95%CI，1.223 - 1.513），P < 0.001），而较高的知识得分（OR = 0.684；95%CI，0.575 - 0.815）, P < 0.001）、年龄较大（OR = 0.951；95%CI，0.918 - 0.985），P = 0.005）、照顾时长>3个月（3 - 6个月（OR = 0.415；95%CI，0.193 - 0.894，P = 0.025）；6个月 - 1年（OR = 0.269；95%CI，0.120 - 0.606），P = 0.002）；>一年（OR = 0.290；95%CI，0.120 - 0.705），P = 0.006）以及患者术后随访地点（OR = 0.072（0.033 - 0.160），P < 0.001）与较低的行为得分独立相关。
参与本研究的GC患者家庭照顾者在胃切除术后饮食管理方面知识和行为水平中等，但态度积极。
