Liu Longqi, Su Yibing, Shi Liang
Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, People's Republic of China.
J Multidiscip Healthc. 2025 Feb 25;18:1093-1106. doi: 10.2147/JMDH.S504886. eCollection 2025.
This study aimed to investigate the knowledge, attitude, and practice (KAP) regarding spinal cord tumors among both patients and their family members.
A cross-sectional survey was conducted at the Department of Neurosurgery, Beijing Jishuitan Hospital, between August 1, 2023, and January 31, 2024 using a self-designed questionnaire.
A total of 489 valid questionnaires were analyzed, including 219 (44.79%) from patients. The mean knowledge, attitude, and practice scores were 11.09 ± 6.64 (possible range: 0-28), 18.61 ± 1.92 (possible range: 6-30), and 33.58 ± 4.34 (possible range: 8-40), respectively. Multivariate logistic regression analysis revealed that urban residency (OR = 1.904, 95% CI: 1.113-3.314, P = 0.020) and higher monthly per capita income (OR = 3.779, 95% CI: 1.697-8.599, P = 0.001) were independent predictors of proactive practice. Path analysis demonstrated that knowledge (β = 0.11, P < 0.001), monthly per capita income (β = 1.15, P < 0.001), and marital status (β = -0.93, P = 0.039) directly influenced practice behaviors.
Patients and their families demonstrated suboptimal knowledge, negative attitude and proactive practice towards spinal cord tumors. Efforts should be made to enhance education and awareness programs targeting both patients and their families for improving knowledge and fostering positive attitudes.
本研究旨在调查患者及其家属对脊髓肿瘤的知识、态度和行为（KAP）。
2023年8月1日至2024年1月31日期间，在北京积水潭医院神经外科使用自行设计的问卷进行了横断面调查。
共分析了489份有效问卷，其中219份（44.79%）来自患者。知识、态度和行为的平均得分分别为11.09±6.64（可能范围：0-28）、18.61±1.92（可能范围：6-30）和33.58±4.34（可能范围：8-40）。多因素逻辑回归分析显示，城市居住（比值比=1.904，95%置信区间：1.113-3.314，P=0.020）和较高的人均月收入（比值比=3.779，95%置信区间：1.697-8.599，P=0.001）是积极行为的独立预测因素。路径分析表明，知识（β=0.11，P<0.001）、人均月收入（β=1.15，P<0.001）和婚姻状况（β=-0.93，P=0.039）直接影响行为。
患者及其家属对脊髓肿瘤的知识掌握欠佳，态度消极，行为积极。应努力加强针对患者及其家属的教育和宣传项目，以提高知识水平并培养积极态度。
