中国湖南医疗保健专业人员对脊髓损伤后神经性疼痛的认知、态度及实践

Knowledge, attitudes, and practices of healthcare professionals regarding neuropathic pain in spinal cord injury in Hunan, China.

作者信息

Luo Lan, Ming Zhenhua, Huang Yuliang, Huang Lifang, Cao Jiawei

机构信息

Department of Rehabilitation, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), No. 61 Jiefang West Road, Furong District, Changsha, 410021, Hunan province, China.

Department of Anesthesiology, Changsha Central Hospital, University of South China, 161 Shaoshan South Road, Changsha, Changsha, 410028, Hunan, China.

出版信息

Sci Rep. 2025 Aug 20;15(1):30575. doi: 10.1038/s41598-025-16252-6.

DOI:10.1038/s41598-025-16252-6

PMID:40835894

Abstract

To evaluate healthcare professionals' knowledge, attitude, and practice regarding spinal cord injury neuropathic pain in Hunan Province, China. This cross-sectional study was conducted between August 2024 and September 2024 in Hunan Province and included healthcare professionals. The questionnaire was self-designed (Cronbach's α = 0.954) to collect demographic and KAP data. A structural equation modeling (SEM) analysis was performed to determine the relationships among KAP dimensions. The analysis included 402 valid questionnaires. Among them, 28.1% were working in the rehabilitation department, 62.2% had experience in treating patients with SCI, 59.5% had experience in treating patients with SCI-NP, 79.6% were working in a public tertiary hospital, and 85.1% were working at a teaching hospital. The mean knowledge, attitude, and practice scores were 13.02 ± 8.24 (/28, 46.5%), 34.80 ± 5.99 (/40, 87.0%), and 21.56 ± 8.03 (/35, 61.6%), indicating poor knowledge, positive attitudes, and moderate practice, respectively. SEM analysis indicated knowledge directly influenced attitudes (β = 0.511, P < 0.001) and practices (β = 0.571, P < 0.001) and indirectly influenced practice (β = 0.093, P < 0.001), while attitudes directly influenced practice (β = 0.181, P < 0.001). Similar relationships were observed in physicians and nurses. Healthcare professionals exhibit poor knowledge, positive attitudes, and moderate practice regarding SCI-NP. Educational initiatives are needed to enhance their KAP, translating improved knowledge and attitudes into better practices.

摘要

评估中国湖南省医疗保健专业人员对脊髓损伤神经性疼痛的知识、态度和实践情况。这项横断面研究于2024年8月至2024年9月在湖南省开展，纳入了医疗保健专业人员。问卷为自行设计（克朗巴哈α系数=0.954），用于收集人口统计学和知识、态度、实践（KAP）数据。进行了结构方程模型（SEM）分析以确定KAP维度之间的关系。该分析纳入了402份有效问卷。其中，28.1%在康复科工作，62.2%有治疗脊髓损伤患者的经验，59.5%有治疗脊髓损伤神经性疼痛患者的经验，79.6%在公立三级医院工作，85.1%在教学医院工作。知识、态度和实践的平均得分分别为13.02±8.24（/28，46.5%）、34.80±5.99（/40，87.0%）和21.56±8.03（/35，61.6%），分别表明知识水平较差、态度积极和实践水平中等。SEM分析表明，知识直接影响态度（β=0.511，P<0.001）和实践（β=0.571，P<0.001），并间接影响实践（β=0.093，P<0.001），而态度直接影响实践（β=0.181，P<0.001）。医生和护士中观察到类似的关系。医疗保健专业人员对脊髓损伤神经性疼痛的知识水平较差、态度积极且实践水平中等。需要开展教育活动以提高他们的KAP，将改善的知识和态度转化为更好的实践。