踝关节损伤患者对距骨骨软骨损伤的认知、态度及行为：中国无锡的一项横断面研究

Knowledge, attitude and practice of patients with ankle injury regarding osteochondral lesions of the talus: a cross-sectional study in Wuxi, China.

作者信息

Chen Xueming, She Chang, Zhang Xingfei, Wang Wencheng, Zhang Yuxuan

机构信息

Department of Foot and Ankle Surgery, Wuxi Ninth Affiliated Hospital of Soochow University, Wuxi Ninth People's Hospital, Wuxi, China.

Department of Orthopedics, Second Affiliated Hospital of Soochow University, Suzhou, China

出版信息

BMJ Open. 2025 Apr 3;15(4):e087402. doi: 10.1136/bmjopen-2024-087402.

DOI:10.1136/bmjopen-2024-087402

PMID:40180381

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11969614/

Abstract

OBJECTIVE

To investigate knowledge, attitude and practice (KAP) of patients with ankle injury regarding osteochondral lesions of the talus (OLT).

DESIGN

A cross-sectional study.

SETTING

Between March and September 2023, at the Ninth People's Hospital of Wuxi, affiliated with Soochow University.

PARTICIPANTS

Among patients with OLT.

PRIMARY AND SECONDARY OUTCOME MEASURES

KAP scores and associated factors.

METHODS

Data were collected through a researcher-designed, validated questionnaire with four dimensions (sociodemographic characteristics, knowledge, attitude and practice). Structural equation modelling (SEM) was applied to explore associations among variables.

RESULTS

A total of 537 valid (valid rate: 78.85%) questionnaires were obtained from the responders who were aged 27.18±11.01 years, with 151 (28.12) males. The mean KAP scores were 17.28±4.84 (possible range: 0-28), 29.44±4.21 (possible range: 9-45) and 18.01±5.39 (possible range: 6-30), respectively. SEM revealed that employment (employed vs unemployed, β=1.33, p=0.002), had medical insurance (β=1.19, p=0.019) and with a history of ankle sprains (β=1.08, p=0.009) exhibited positive direct effects, while whether with cartilage injury of the talus (no vs yes, β=-0.73, p=0.001) had negative direct effect on knowledge. Additionally, knowledge (β=0.08, p=0.032) showed positive direct effects, while gender (males vs females, β=-1.81, p<0.001) showed negative direct effects on attitude. Furthermore, knowledge (β=0.38, p<0.001), attitude (β=0.18, p<0.001), had medical insurance (β=1.05, p=0.045) and had recovered from an ankle injury (β=1.38, p=0.025) exhibited positive direct effects on practice.

CONCLUSION

Patients with ankle injury had inadequate knowledge, negative attitude and inactive practice toward OLT. Gender, job, medical insurance, cartilage injury of the talus, history of ankle sprains and recovery from ankle injury influenced their KAP.

摘要

目的

调查踝关节损伤患者关于距骨骨软骨损伤（OLT）的知识、态度和行为（KAP）。

设计

一项横断面研究。

地点

2023年3月至9月期间，在苏州大学附属无锡市第九人民医院。

参与者

OLT患者。

主要和次要观察指标

KAP评分及相关因素。

方法

通过研究者设计并经验证的包含四个维度（社会人口学特征、知识、态度和行为）的问卷收集数据。应用结构方程模型（SEM）探索变量之间的关联。

结果

共获得537份有效问卷（有效率：78.85%），应答者年龄为27.18±11.01岁，男性151名（28.12%）。KAP平均得分分别为17.28±4.84（可能范围：0 - 28）、29.44±4.21（可能范围：9 - 45）和18.01±5.39（可能范围：6 - 30）。SEM显示，就业（在职与失业，β = 1.33，p = 0.002）、有医疗保险（β = 1.19，p = 0.019）和有踝关节扭伤史（β = 1.08，p = 0.009）呈现正向直接效应，而是否有距骨软骨损伤（无与有，β = -0.73，p = 0.001）对知识有负向直接效应。此外，知识（β = 0.08，p = 0.032）呈现正向直接效应，而性别（男性与女性，β = -1.81，p < 0.001）对态度有负向直接效应。再者，知识（β = 0.38，p < 0.001）、态度（β = 0.18，p < 0.001）、有医疗保险（β = 1.05，p = 0.045）和踝关节损伤已康复（β = 1.38，p = 0.025）对行为呈现正向直接效应。