Huang Min, Feng Li, Ren Huiling, Yuan Zhina, Liu Cailian, Liu Yujie, Su Ting, Liu Xiaofei, Yang Lingling
Peking University Cancer Hospital (Inner Mongolia Campus)/Affiliated Cancer Hospital of Inner Mongolia Medical University, Hohhot, 010020, China.
World J Surg Oncol. 2025 Feb 10;23(1):45. doi: 10.1186/s12957-025-03668-7.
This study aimed to investigate the knowledge, attitudes, and practices (KAP) regarding whole-course management among patients with gastrointestinal (GI) cancers.
This cross-sectional study enrolled patients with GI cancers at the Inner Mongolia Hospital of Peking University Cancer Hospital between November 2023 and April 2024. Data were collected through a self-administered questionnaire, which captured demographic information and scores on KAP.
A total of 408 participants were included in this study. The mean KAP scores were 10.62 ± 3.14 (out of a maximum of 15), 39.11 ± 4.94 (out of a maximum of 50), and 31.35 ± 5.60 (out of a maximum of 40), respectively. Knowledge was positively correlated with attitudes (r = 0.307, P < 0.001) and practices (r = 0.417, P < 0.001), while attitudes were positively correlated with practices (r = 0.383, P < 0.001). The structural equation model indicated that knowledge influenced attitudes (β = 0.573, P < 0.001) and practices (β = 0.466, P < 0.001), while attitudes influenced practices (β = 0.525, P < 0.001).
Patients with GI cancers demonstrated insufficient knowledge, moderate attitudes, and suboptimal practices regarding whole-course management. Improvements in practice could be achieved by enhancing knowledge and attitudes through specialized health education.
本研究旨在调查胃肠道（GI）癌症患者对全程管理的知识、态度和实践（KAP）情况。
这项横断面研究于2023年11月至2024年4月在北京大学肿瘤医院内蒙古医院招募了胃肠道癌症患者。通过自行填写问卷收集数据，问卷涵盖人口统计学信息以及KAP得分。
本研究共纳入408名参与者。KAP平均得分分别为10.62±3.14（满分15分）、39.11±4.94（满分50分）和31.35±5.60（满分40分）。知识与态度呈正相关（r = 0.307，P < 0.001），与实践呈正相关（r = 0.417，P < 0.001），而态度与实践呈正相关（r = 0.383，P < 0.001）。结构方程模型表明，知识影响态度（β = 0.573，P < 0.001）和实践（β = 0.466，P < 0.001），而态度影响实践（β = 0.525，P < 0.001）。
胃肠道癌症患者在全程管理方面知识不足、态度中等、实践欠佳。通过专业健康教育增强知识和态度，可改善实践情况。
