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Abstract：
This cross-sectional study aimed to explore the knowledge, attitude and practice (KAP) toward sleep disorders and sleep hygiene among perimenopausal women, who were enrolled in Dezhou region of Shandong Province between July and September 2023. A total of 720 valid questionnaires were collected (mean age: 51.28 ± 4.32 years old), and 344 (47.78%) reported experiencing insomnia. The mean scores for knowledge, attitude, practice, and Dysfunctional Beliefs and Attitudes about Sleep (DBAS) were 15.73 ± 7.60 (possible range: 0-36), 29.35 ± 3.15 (possible range: 10-50), 28.54 ± 4.03 (possible range: 10-50), and 6.79 ± 1.90 (possible range: 0-10), respectively. Path analysis showed that knowledge had direct effects on attitude (β = 0.04, 95% CI 0.01-0.07, P = 0.001), and DBAS (β = 0.04, 95% CI 0.02-0.05, P < 0.001). Knowledge had direct effects (β = 0.11, 95% CI 0.08-0.15, P < 0.001) and indirect (β = 0.02, 95% CI 0.00-0.03, P = 0.002) effect on practice. Moreover, attitude also had a direct impact on practice (β = 0.34, 95% CI 0.25-0.43, P < 0.001). In conclusion, perimenopausal women exhibited insufficient knowledge, negative attitude, inactive practice toward sleep disorders and sleep hygiene, and unfavorable DBAS, emphasizing the need for targeted healthcare interventions.
摘要：
这项横断面研究旨在探索知识，围绝经期妇女对睡眠障碍和睡眠卫生的态度和做法（KAP），他们于2023年7月至9月在山东省德州地区注册。共收集有效问卷720份(平均年龄:51.28±4.32岁),和344（47.78%）报告经历失眠。知识的平均分数，态度,实践,功能失调的信念和睡眠态度（DBAS）为15.73±7.60（可能范围：0-36），29.35±3.15（可能范围：10-50），28.54±4.03（可能范围：10-50），和6.79±1.90（可能范围：0-10），分别。路径分析显示知识对态度有直接影响(β=0.04,95%CI0.01-0.07,P=0.001),和DBAS（β=0.04，95%CI0.02-0.05，P<0.001）。知识对实践有直接效应(β=0.11,95%CI0.08-0.15,P<0.001)和间接效应(β=0.02,95%CI0.00-0.03,P=0.002)。此外，态度对实践也有直接影响(β=0.34，95%CI0.25-0.43，P<0.001)。总之,围绝经期妇女表现出知识不足，消极的态度,对睡眠障碍和睡眠卫生不活跃的做法，和不利的DBAS，强调需要有针对性的医疗干预措施。
