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Abstract：
OBJECTIVE: To investigate the knowledge, attitude and practice (KAP) towards insomnia and sleep hygiene among patients with chronic insomnia.
METHODS: Web-based cross-sectional survey.
METHODS: Shaanxi Provincial People\'s Hospital (northwest China) between January 2023 and May 2023.
METHODS: Patients with chronic insomnia.
METHODS: Demographic characteristics and KAP towards insomnia and sleep hygiene were collected by distributing a questionnaire developed by the authors.
RESULTS: A total of 613 people participated in this study, with a Mean Knowledge Score of 7.63±2.56 (total score of 12), a Mean Attitude Score of 48.39±6.643 (total score of 70) and a Mean Practice Score of 42.37±8.592 (total score of 70). Knowledge was significantly correlated with attitude (r=0.447, p<0.001) and practice (r=0.327, p<0.001), and attitude was significantly correlated with practice (r=0.486, p<0.001). Multivariable logistic regression showed that higher knowledge (OR=1.181 (1.062-1.314), p=0.002) and better attitude (OR=1.171 (1.124-1.221), p<0.001) were independently associated with good practice. According to the structural equation modelling analysis, knowledge directly influenced practice (β=0.457, p=<0.001) and attitude (β=1.160, p=<0.001), while attitude influenced practice (β=0.550, p=<0.001).
CONCLUSIONS: The KAP towards insomnia and sleep hygiene among patients with chronic insomnia in Northwest China in 2023 was moderate, with better practice showing signs of being influenced by better knowledge and more positive attitudes.
METHODS: Web-based cross-sectional survey.
METHODS: Shaanxi Provincial People\'s Hospital (northwest China) between January 2023 and May 2023.
METHODS: Patients with chronic insomnia.
METHODS: Demographic characteristics and KAP towards insomnia and sleep hygiene were collected by distributing a questionnaire developed by the authors.
RESULTS: A total of 613 people participated in this study, with a Mean Knowledge Score of 7.63±2.56 (total score of 12), a Mean Attitude Score of 48.39±6.643 (total score of 70) and a Mean Practice Score of 42.37±8.592 (total score of 70). Knowledge was significantly correlated with attitude (r=0.447, p<0.001) and practice (r=0.327, p<0.001), and attitude was significantly correlated with practice (r=0.486, p<0.001). Multivariable logistic regression showed that higher knowledge (OR=1.181 (1.062-1.314), p=0.002) and better attitude (OR=1.171 (1.124-1.221), p<0.001) were independently associated with good practice. According to the structural equation modelling analysis, knowledge directly influenced practice (β=0.457, p=<0.001) and attitude (β=1.160, p=<0.001), while attitude influenced practice (β=0.550, p=<0.001).
CONCLUSIONS: The KAP towards insomnia and sleep hygiene among patients with chronic insomnia in Northwest China in 2023 was moderate, with better practice showing signs of being influenced by better knowledge and more positive attitudes.
摘要：
目的：调查知识，慢性失眠患者对失眠和睡眠卫生的态度和实践（KAP）。
方法：基于Web的横断面调查。
方法：2023年1月至2023年5月陕西省人民医院（西北地区）。
方法：慢性失眠患者。
方法：通过分发作者开发的问卷，收集了人口统计学特征和对失眠和睡眠卫生的KAP。
结果：共有613人参与了这项研究，平均知识得分为7.63±2.56（总分12），平均态度得分为48.39±6.643（总分70），平均实践得分为42.37±8.592（总分70）。知识与态度(r=0.447,p<0.001)和实践(r=0.327,p<0.001)显著相关,态度与实践显著相关(r=0.486,p<0.001)。多变量Logistic回归显示，较高的知识（OR=1.181（1.062-1.314），p=0.002)和更好的态度(OR=1.171(1.124-1.221)，p<0.001)与良好实践独立相关。根据结构方程建模分析，知识直接影响实践(β=0.457，p=<0.001)和态度(β=1.160，p=<0.001)，而态度影响练习(β=0.550，p=<0.001)。
结论：2023年中国西北地区慢性失眠患者对失眠和睡眠卫生的KAP为中度，更好的实践显示出被更好的知识和更积极的态度所影响的迹象。
方法：基于Web的横断面调查。
方法：2023年1月至2023年5月陕西省人民医院（西北地区）。
方法：慢性失眠患者。
方法：通过分发作者开发的问卷，收集了人口统计学特征和对失眠和睡眠卫生的KAP。
结果：共有613人参与了这项研究，平均知识得分为7.63±2.56（总分12），平均态度得分为48.39±6.643（总分70），平均实践得分为42.37±8.592（总分70）。知识与态度(r=0.447,p<0.001)和实践(r=0.327,p<0.001)显著相关,态度与实践显著相关(r=0.486,p<0.001)。多变量Logistic回归显示，较高的知识（OR=1.181（1.062-1.314），p=0.002)和更好的态度(OR=1.171(1.124-1.221)，p<0.001)与良好实践独立相关。根据结构方程建模分析，知识直接影响实践(β=0.457，p=<0.001)和态度(β=1.160，p=<0.001)，而态度影响练习(β=0.550，p=<0.001)。
结论：2023年中国西北地区慢性失眠患者对失眠和睡眠卫生的KAP为中度，更好的实践显示出被更好的知识和更积极的态度所影响的迹象。
