Wang Qin, Miao Guihua, Miao Shulan, Li Peifang, Chen Jiali
Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
West China School of Nursing, Sichuan University, Chengdu, 610041, Sichuan, China.
Sci Rep. 2025 Jul 1;15(1):21163. doi: 10.1038/s41598-025-08537-7.
Diabetes self-management education and support (DSMES) is essential for effective diabetes care but remains underexplored in China. This study assessed healthcare professionals' knowledge, attitudes, and practices (KAP) regarding DSMES to optimize clinical implementation. From May 20 to August 6, 2024, a cross-sectional online survey was conducted among healthcare professionals at West China Hospital, Sichuan University, and affiliated institutions. Among 347 respondents (56.77% female), the average scores were 8.94 ± 0.27 for knowledge, 36.09 ± 3.61 for attitude, and 46.39 ± 4.34 for practice. Correlation analysis revealed a negative association between knowledge and attitude (r = - 0.139, p = 0.010) and a positive association between attitude and practice (r = 0.361, p < 0.001). Structural equation modeling revealed a negative direct effect of knowledge on attitude (β = - 0.156, p = 0.025), a positive direct effect of attitude on practice (β = 0.481, p = 0.007), and an indirect effect of knowledge on practice via attitude (β = - 0.075, p = 0.016). While healthcare professionals showed strong DSMES-related knowledge, gaps in attitude and behavioral consistency remain. Targeted strategies-such as interdisciplinary DSMES workshops and feedback-based practice evaluations-are recommended to enhance clinical implementation.
糖尿病自我管理教育与支持（DSMES）对于有效的糖尿病护理至关重要，但在中国仍未得到充分探索。本研究评估了医疗保健专业人员对DSMES的知识、态度和实践（KAP），以优化临床实施。2024年5月20日至8月6日，对四川大学华西医院及其附属医院的医疗保健专业人员进行了一项横断面在线调查。在347名受访者中（56.77%为女性），知识平均得分为8.94±0.27，态度平均得分为36.09±3.61，实践平均得分为46.39±4.34。相关分析显示知识与态度之间呈负相关（r = -0.139，p = 0.010），态度与实践之间呈正相关（r = 0.361，p < 0.001）。结构方程模型显示知识对态度有负向直接效应（β = -0.156，p = 0.025），态度对实践有正向直接效应（β = 0.481，p = 0.007），知识通过态度对实践有间接效应（β = -0.075，p = 0.016）。虽然医疗保健专业人员表现出较强的与DSMES相关的知识，但在态度和行为一致性方面仍存在差距。建议采取针对性策略，如跨学科DSMES研讨会和基于反馈的实践评估，以加强临床实施。
