Elsharkawy Nadia Bassuoni, Alshammari Afrah Madyan, Ramadan Osama Mohamed Elsayed, Abdelaziz Enas Mahrous, Elzeky Mohamed E H, Hafiz Alaa Hussain, Alrowily Mary Faleh, Alruwaili Sultan Muharib, Abo-Seif Lareen Magdi El-Sayed
Department of Maternity and Pediatric Health Nursing, College of Nursing, Jouf University, Sakaka 72388, Al-Jouf, Saudi Arabia.
Department of Psychiatric Mental Health Nursing, College of Nursing, Jouf University, Sakaka 72388, Al-Jouf, Saudi Arabia.
Healthcare (Basel). 2025 Jun 11;13(12):1386. doi: 10.3390/healthcare13121386.
: Endometriosis, a chronic and debilitating gynecological disorder, exacts a heavy clinical and socioeconomic toll on women's lives. Despite its prevalence, its timely diagnosis and effective management are hindered by pervasive knowledge gaps among frontline nursing professionals, and these are especially pronounced in under-researched regions such as Al-Jouf, Saudi Arabia. : Guided by the Knowledge-Attitude-Practice model, this study aimed to assess the level of endometriosis-related knowledge among nurses in the Al-Jouf region of Saudi Arabia and to identify the sociodemographic and professional determinants of knowledge levels. : A cross-sectional, descriptive-analytical design was employed between January and July 2024, enrolling 215 nurses from a principal maternity and children's hospital and two primary healthcare centers in Sakaka. A rigorously validated, bilingual 20-item questionnaire assessing four domains (definition, risk factors, clinical manifestations, and treatment goals) was administered. Data were analyzed using descriptive statistics, multiple linear regression, and binary logistic regression to elucidate predictors of knowledge. : A concerning picture emerged: 61% of participants scored below 60% (indicative of low knowledge), with only 6% achieving high scores. Higher educational attainment proved the strongest predictor (β = 0.415, < 0.001), followed by age (β = 0.232, < 0.001), years of experience (β = 0.149, = 0.041), and direct patient care exposure (β = 0.168, = 0.021). Collectively, these factors explained 37.6% of the variance in knowledge scores, underscoring a critical deficit in endometriosis management preparedness. : The stark deficiencies in endometriosis knowledge among nurses in Al-Jouf call for immediate, tailored educational and policy interventions. Strengthening clinical competencies is essential for fostering early diagnosis and improving care outcomes for women burdened by this complex condition.
子宫内膜异位症是一种慢性且使人衰弱的妇科疾病，给女性的生活带来了沉重的临床和社会经济负担。尽管其发病率较高，但一线护理专业人员普遍存在的知识差距阻碍了其及时诊断和有效管理，在沙特阿拉伯的朱夫等研究较少的地区，这些差距尤为明显。
本研究以知识-态度-行为模型为指导，旨在评估沙特阿拉伯朱夫地区护士对子宫内膜异位症相关知识的掌握程度，并确定知识水平的社会人口统计学和专业决定因素。
2024年1月至7月采用横断面描述性分析设计，招募了来自萨卡卡一家主要妇产儿童医院和两个初级医疗保健中心的215名护士。使用经过严格验证的双语20项问卷进行评估，该问卷涵盖四个领域（定义、危险因素、临床表现和治疗目标）。采用描述性统计、多元线性回归和二元逻辑回归分析数据，以阐明知识的预测因素。
61%的参与者得分低于60%（表明知识水平较低），只有6%的人获得高分。较高的教育程度被证明是最强的预测因素（β = 0.415，P < 0.001），其次是年龄（β = 0.232，P < 0.001）、工作年限（β = 0.149，P = 0.041）和直接接触患者护理工作（β = 0.168，P = 0.021）。总体而言，这些因素解释了知识得分差异的37.6%，凸显了子宫内膜异位症管理准备方面的严重不足。
朱夫地区护士在子宫内膜异位症知识方面的严重不足，需要立即采取针对性的教育和政策干预措施。加强临床能力对于促进早期诊断和改善受这种复杂疾病困扰的女性的护理结果至关重要。
