Ma Yan, Cen Wen, Duan Meiqing, Yang Jing, Wang Yan, Gao Liang, Miao Guizhi, Feng Wenli
Department of Dermatology, The Second Clinic College of Shanxi Medical University, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China.
Sci Rep. 2025 Apr 29;15(1):15112. doi: 10.1038/s41598-025-98919-8.
Superficial fungal infections are common worldwide and significantly impact public health. Understanding patients' knowledge, attitudes, and practices (KAP) regarding their treatment and prognosis is essential for addressing gaps in care. This cross-sectional study utilized a self-designed KAP questionnaire to assess 456 patients with superficial fungal infections between October 15, 2023, and March 15, 2024. Data analysis included descriptive statistics, logistic regression, and structural equation modeling. The mean scores for knowledge, attitudes, and practices were 14.85 ± 7.75, 27.01 ± 4.28, and 22.91 ± 4.17, respectively. Key findings revealed that 32% of patients were unsure about long-term treatment, 51% misunderstood corticosteroid use, and 69% believed medications could be stopped once symptoms improved. Significant demographic disparities in KAP scores were observed, highlighting the influence of gender, age, education, and income. Patients exhibit inadequate knowledge, predominantly negative attitudes, and suboptimal practices regarding superficial fungal infections. Targeted educational interventions are crucial for enhancing treatment adherence, addressing misconceptions, and reducing antifungal resistance.
浅表真菌感染在全球范围内很常见，对公众健康有重大影响。了解患者对其治疗和预后的知识、态度和行为（KAP）对于弥补护理差距至关重要。这项横断面研究使用自行设计的KAP问卷，在2023年10月15日至2024年3月15日期间对456例浅表真菌感染患者进行了评估。数据分析包括描述性统计、逻辑回归和结构方程建模。知识、态度和行为的平均得分分别为14.85±7.75、27.01±4.28和22.91±4.17。主要研究结果显示，32%的患者对长期治疗不确定，51%的患者对皮质类固醇的使用存在误解，69%的患者认为症状改善后即可停药。在KAP得分方面观察到显著的人口统计学差异，突出了性别、年龄、教育程度和收入的影响。患者对浅表真菌感染的知识不足，态度主要为消极，行为也不理想。有针对性的教育干预对于提高治疗依从性、消除误解和降低抗真菌耐药性至关重要。
