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医生对阻塞性睡眠呼吸暂停多学科治疗的知识、态度和实践:一项横断面研究。

Knowledge, attitudes, and practices of physicians regarding multidisciplinary treatment of obstructive sleep apnea: a cross-sectional study.

作者信息

Shen Peili

机构信息

Otolaryngology Head and Neck surgery, Guiqian International General Hospital, Guiyang, 550024, China.

出版信息

Sci Rep. 2025 Apr 23;15(1):14213. doi: 10.1038/s41598-025-99318-9.

Abstract

To investigate physicians' knowledge, attitudes, and practices (KAP) regarding the multidisciplinary treatment of Obstructive Sleep Apnea (OSA). A multicenter cross-sectional study was conducted in May 2024, enrolling physicians from southwestern China. The study collected demographic data and assessed KAP through self-administered questionnaires, with the respiratory and otolaryngology departments defined as relevant departments. A total of 329 valid questionnaires were collected. Of these respondents, 173 (52.6%) were female, and 114 (34.7%) had participated in multidisciplinary OSA-related training. The mean scores for knowledge and attitudes were 24.61 ± 8.27 (possible range: 0-34) and 39.99 ± 4.34 (possible range: 10-50), respectively. Practice scores of the physicians in departments directly and indirectly involved in OSA treatment averaged 24.28 ± 4.70 and 21.28 ± 4.24 (possible range: 6-30), respectively. Structural equation modeling results indicated that in departments directly related to OSA, knowledge had a significant positive effect on both attitudes (β = 5.53, P < 0.001) and practices (β = 5.8, P < 0.001). For departments indirectly related to OSA, knowledge had a significant positive effect on attitudes (β = 5.41, P < 0.001). Physicians showed adequate knowledge and attitudes toward OSA treatment; targeted education is recommended to enhance consistency in practices across departments.

摘要

调查医生关于阻塞性睡眠呼吸暂停(OSA)多学科治疗的知识、态度和实践(KAP)。2024年5月进行了一项多中心横断面研究,招募来自中国西南部的医生。该研究收集了人口统计学数据,并通过自填问卷评估KAP,将呼吸科和耳鼻喉科定义为相关科室。共收集到329份有效问卷。在这些受访者中,173名(52.6%)为女性,114名(34.7%)参加过与OSA相关的多学科培训。知识和态度的平均得分分别为24.61±8.27(可能范围:0 - 34)和39.99±4.34(可能范围:10 - 50)。直接和间接参与OSA治疗科室的医生实践得分平均分别为24.28±4.70和21.28±4.24(可能范围:6 - 30)。结构方程模型结果表明,在与OSA直接相关的科室中,知识对态度(β = 5.53,P < 0.001)和实践(β = 5.8,P < 0.001)均有显著正向影响。对于与OSA间接相关的科室,知识对态度有显著正向影响(β = 5.41,P < 0.001)。医生对OSA治疗表现出足够的知识和态度;建议进行针对性教育以提高各科室实践的一致性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4c8/12018914/8ec5983732df/41598_2025_99318_Fig1_HTML.jpg

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