目的:本研究旨在探索知识,态度,在颅内动脉瘤(IA)患者中预防和管理蛛网膜下腔出血(SAH)的实践和疾病认识。
方法:在2023年3月至2023年6月之间进行了横断面研究;通过自编问卷收集人口统计学特征和KAP得分,并通过线性回归和路径分析进行分析。
结果:共纳入455例IA患者,其中26.37%以前经历过SAH。卑鄙的知识,态度和实践得分分别为16.60±5.86、16.39±1.84和35.07±3.51。线性回归显示少数民族,已婚,教育,医疗保健系统中的家庭成员,家庭人均月收入,经历颅内动脉瘤破裂,吸烟,高血压,高脂血症,糖尿病,主动脉病变与知识评分相关。年龄,少数民族,城市住宅,教育,医疗保健系统中的家庭成员,家庭人均月收入,IA的持续时间≥6个月,经历颅内动脉瘤破裂,吸烟,糖尿病,和主动脉病变与态度评分相关。年龄,城市住宅,家庭人均月收入,IA的持续时间≥6个月,颅内动脉瘤破裂的经验,吸烟,糖尿病,主动脉病变与实践评分相关。根据路径分析,知识直接影响疾病感知(β=0.156,P<0.001)和态度(β=0.708,P<0.001),态度(β=0.909,P<0.001)和疾病感知(β=0.039,P=0.027)影响实践。
结论:患者对SAH的预防和管理持积极态度,但是发现了一个巨大的知识差距,以及明显延迟的医疗帮助寻求行为。
This study aims to explore the knowledge, attitude, practice and illness perception toward prevention and management of subarachnoid hemorrhages (SAH) among intracranial aneurysm (IA) patients.
A cross-sectional study was conducted between March 2023 and June 2023; demographic characteristics and KAP scores were collected by a self-administered questionnaire and analyzed by linear regression and path analysis.
A total of 455 patients with IA were included, of them 26.37% experienced SAH before. Mean knowledge, attitude and practice scores were 16.60 ± 5.86, 16.39 ± 1.84, and 35.07 ± 3.51, respectively. The linear regression showed ethnic minority, married, education, family members in healthcare system, monthly per capita household income, experience ruptured intracranial aneurysms, smoking, hypertension, hyperlipidemia, diabetes, and aortic lesion were associated with knowledge scores. Age, ethnic minority, urban residence, education, family members in healthcare system, monthly per capita household income, duration of IA ≥6 months, experience ruptured intracranial aneurysms, smoking, diabetes, and aortic lesion were associated with attitude scores. Age, urban residence, monthly per capita household income, duration of IA ≥6 months, experience of ruptured intracranial aneurysms, smoking, diabetes, and aortic lesion were associated with practice scores. According to the path analysis, knowledge directly affected illness perception (β=0.156, P<0.001) and attitude (β=0.708, P<0.001), while attitude (β=0.909, P<0.001) and illness perception (β=0.039, P=0.027) affected practice.
Patients had positive attitudes towards SAH prevention and management, but a substantial knowledge gap was found along with notably delayed medical help-seeking behavior.