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Chen W, Li W, Wang Y, Chen D, Yu L, Yuan X. Evaluation of the knowledge, attitude and practice towards ischaemic stroke among healthcare workers in neurology and neurosurgery department: a cross-sectional study in Shaanxi province, China. BMJ Open 2024; 14:e086482. [PMID: 39107009 PMCID: PMC11308873 DOI: 10.1136/bmjopen-2024-086482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Accepted: 07/19/2024] [Indexed: 08/09/2024] Open
Abstract
OBJECTIVES Healthcare workers play an important role in the timely recognition and treatment of patients who had an ischaemic stroke. However, their knowledge, attitude and practice (KAP) towards ischaemic stroke have not been well studied. This study aimed to assess the KAP towards ischaemic stroke among healthcare workers in the neurology and neurosurgery department in Shaanxi province, China. DESIGN Cross-sectional study. SETTING Medical centres in Shaanxi province. PARTICIPANTS Healthcare workers in the neurology and neurosurgery department at Shaanxi province. PRIMARY AND SECONDARY OUTCOME MEASURES Demographic characteristics and KAP towards ischaemic stroke were collected by a self-designed questionnaire. RESULTS A total of 259 (96.6%) valid questionnaires were collected. Their mean KAP scores were 19.56±3.72 (total score: 23), 36.56±3.56 (total score: 40) and 27.45±3.00 (total score: 30), respectively. Multivariate logistic regression analysis demonstrated that education (bachelor's degree or above vs college or below: OR=2.704 (1.286-5.685), p=0.009), gender (female vs male: OR=0.401 (0.227-0.710), p=0.002) and professional title (intermediate vs no title: OR=0.280 (0.107-0.731), p=0.009) were independently associated with good knowledge; knowledge score (OR=1.266 (1.157-1.387), p<0.001) and hospital (private hospital vs public hospital: OR=0.544 (0.313-0.944), p=0.030) were independently associated with good attitude; and attitude score (OR=1.480 (1.326-1.652), p<0.001), gender (female vs male: OR=0.511 (0.264-0.993), p=0.047) and occupation (other healthcare workers vs physicians: OR=0.252 (0.129-0.495), p<0.001) were independently associated with good practice. CONCLUSION The healthcare workers in the neurology and neurosurgery department demonstrated a satisfactory KAP towards ischaemic stroke. Targeted and tailored training programmes might be an optional way to improve their practice.
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Affiliation(s)
- Wanhong Chen
- Department of Neurology, The First People's Hospital of Xianyang, Xianyang, Shaanxi, China
| | - Wenqiang Li
- Department of Neurology, The First People's Hospital of Xianyang, Xianyang, Shaanxi, China
| | - Yugang Wang
- Department of Neurology, The First People's Hospital of Xianyang, Xianyang, Shaanxi, China
| | - Dan Chen
- Department of Neurology, The First People's Hospital of Xianyang, Xianyang, Shaanxi, China
| | - Liping Yu
- Department of Neurology, The First People's Hospital of Xianyang, Xianyang, Shaanxi, China
| | - Xingyun Yuan
- Department of Neurology, The First People's Hospital of Xianyang, Xianyang, Shaanxi, China
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Chen M, Hui S, Huang Y, Yu H, Yang H, Yang L, Tian L, Wang S. Knowledge, attitudes, and current practices toward lung cancer palliative care management in China: a national survey. Front Oncol 2024; 14:1382496. [PMID: 38812782 PMCID: PMC11133550 DOI: 10.3389/fonc.2024.1382496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Accepted: 05/01/2024] [Indexed: 05/31/2024] Open
Abstract
Scope The present investigation seeks to illuminate the current state and disparities in the knowledge, attitudes, and practices (KAP) among healthcare professionals regarding the management of lung cancer palliative care (LCPC) in China, while simultaneously assessing the prevalence and context of patient-controlled analgesia (PCA) usage in the management of cancer-related pain. Methods A total of 2093 healthcare practitioners from 706 hospitals across China completed a structured questionnaire that probed various facets of LCPC management. The questionnaire consisted of seven thematic sections, incorporating chi-square tests and Fisher's exact probabilities to statistically assess the discrepancies in KAP among healthcare professionals across different hospital grades. Ordered data distributions among hospital grades were compared using non-parametric Kruskal-Wallis H and Mann-Whitney U tests. Multiple-choice items were subjected to multiple-response cross-tabulation analysis, while the Spearman rank-order correlation coefficient was employed to gauge potential associations among variables. Results Around 84.2% of the respondents perceived anti-tumor therapy to be of equal importance to palliative care. Statistically significant differences (χ² = 27.402, P = 0.002) in satisfaction levels were observed, with participants from Tertiary hospitals demonstrating higher satisfaction compared to those from Secondary and Primary hospitals. Pain emerged as the most prevalent symptom necessitating LCPC. Major impediments to LCPC adoption included patients' and families' concerns about the safety of long-term palliative care-related drug use. 31.1% of the respondents cited the most frequent rationale for PCA use as cases involving patients who required systemic administration of large opioid doses or exhibited intolerable adverse reactions to opioids. The principal deterrents against the use of PCA for cancer pain management were (1): apprehension about adverse drug reactions due to overdose (2), concern about the potential for opioid addiction, and (3) the anticipated increase in patients' economic burdens. Over the preceding 24-month period, 33.9% of the surveyed healthcare practitioners reported no engagement in either online or offline LCPC-related training initiatives. Conclusion This study emphasizes the pressing need for comprehensive training in LCPC among Chinese health personnels, particularly focusing on the effective management of cancer pain symptoms.
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Affiliation(s)
- Mengting Chen
- Department of Clinical Nutrition, Chongqing University Cancer Hospital, School of Medicine, Chongqing University, Chongqing, China
| | - Suocheng Hui
- Department of Clinical Nutrition, The People’s Hospital of Chongqing Liang Jiang New Area, Chongqing, China
| | - Yalan Huang
- Outpatient Department, Yunnan Provincial Corps Hospital of Chinese People’s Armed Police Forces, Kunming, Yunnan, China
| | - Huiqing Yu
- Department of Clinical Nutrition, Chongqing University Cancer Hospital, School of Medicine, Chongqing University, Chongqing, China
- Department of Geriatric Oncology and Department of Palliative Care, Chongqing University Cancer Hospital, School of Medicine, Chongqing University, Chongqing, China
| | - Hong Yang
- Department of Geriatric Oncology and Department of Palliative Care, Chongqing University Cancer Hospital, School of Medicine, Chongqing University, Chongqing, China
| | - Liejun Yang
- Department of Geriatric Oncology and Department of Palliative Care, Chongqing University Cancer Hospital, School of Medicine, Chongqing University, Chongqing, China
| | - Ling Tian
- Department of Geriatric Oncology and Department of Palliative Care, Chongqing University Cancer Hospital, School of Medicine, Chongqing University, Chongqing, China
| | - Sixiong Wang
- Department of Geriatric Oncology and Department of Palliative Care, Chongqing University Cancer Hospital, School of Medicine, Chongqing University, Chongqing, China
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Shrestha S, Malla R, Shrestha S, Singh P, Sherchand JB. Knowledge, attitudes and practices (KAP) on COVID-19 among the general population in most affected districts of Nepal. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0001977. [PMID: 37506061 PMCID: PMC10381065 DOI: 10.1371/journal.pgph.0001977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Accepted: 06/13/2023] [Indexed: 07/30/2023]
Abstract
The COVID-19 pandemic has become one of the global health challenges in the current context. In Nepal, the first confirmed case was reported on 23 January 2020, and since then, it has resulted in several negative impacts, including economic disruption and deterioration of physical and mental health. In such a pandemic, it is indispensable to understand the knowledge and behavioral patterns of the general population regarding COVID-19. Therefore, our study aimed to assess the knowledge, attitudes and practices on COVID-19 among the general population in most affected districts and its relationship with socio-demographic conditions. The cross-sectional study was conducted among the general population above the age of 18 years from eight districts of Nepal including Kathmandu, Bhaktapur, Lalitpur, Morang, Sunsari, Rupandehi, Chitwan, and Kaski. A convenient non-probability sampling method was considered with total sample size of 702. The questionnaire survey was conducted to collect data. Descriptive statistics, non-parametric statistical tests, and a logistic regression model were used for analysis. The study showed that 93.3% of respondents had knowledge of overall preventive practices, whereas only 32% had knowledge of overall symptoms of COVID-19. Regarding attitudes, only 14.3% strongly believed that the COVID-19 pandemic would end soon. The preventive practice was reduced after the lockdown compared to that of during the lockdown. The respondents with white-collar occupations, high-income, and unmarried were good at KAP. Similarly, highly educated and those residing in urban areas had good knowledge and practice. The study findings will help in the development of targeted programs to improve the general population's knowledge, attitudes and practices on COVID-19, which is paramount to dealing with the existing pandemic and also such possible future waves of the pandemic.
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Affiliation(s)
- Salina Shrestha
- Center of Research for Environment, Energy and Water, Kathmandu, Nepal
| | - Rabin Malla
- Center of Research for Environment, Energy and Water, Kathmandu, Nepal
| | - Sadhana Shrestha
- Center of Research for Environment, Energy and Water, Kathmandu, Nepal
- Interdisciplinary Center for River Basin Environment, University of Yamanashi, Takeda, Kofu, Yamanashi, Japan
| | - Pallavi Singh
- Nepal Red Cross Society, Head Office, Kathmandu, Nepal
| | - Jeevan B Sherchand
- Tribhuvan University, Institute of Medicine, Research Directorate, Kathmandu, Nepal
- Nepal Health Research Council, Government of Nepal, Ethical Review Board, Kathmandu, Nepal
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Li YH, Wen T, Cui YS, Huang ZH, Liu YQ. Knowledge, attitudes, and practices regarding COVID-19 and mental health status among college students in China: a cross-sectional study. Front Public Health 2023; 11:1157862. [PMID: 37448660 PMCID: PMC10337999 DOI: 10.3389/fpubh.2023.1157862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 06/12/2023] [Indexed: 07/15/2023] Open
Abstract
Background During the prevalence of coronavirus disease 2019 (COVID-19), little was known about the knowledge, attitudes, practices (KAP) about COVID-19 and psychological status of college students in minority areas. This study aimed to evaluate the KAP of college students in minority areas of China toward COVID-19 and to provide a scientific basis for health education and policy formulation. Methods From October 28th to November 6th, 2021, a cross-sectional study was conducted with 5,272 college students to examine KAP and its effects on mental health. Results Regarding COVID-19 knowledge, the overall awareness rate was 24.11% (1,271). Regarding health attitudes, most students had positive attitudes about COVID-19 prevention and control (94.95%), and females had higher positive attitudes than males (OR: 1.920; CI: 1.494-2.469). Regarding preventive behaviors, more than half of the students took preventive measures (53.48%), and freshmen had the highest health behavior scores. In terms of psychological status, there were fewer females with depression and stress than males. Conclusion College students in minority areas have positive health attitudes; however, their knowledge of COVID-19 prevention and control is low. Moreover, their precautionary behaviors are insufficient, and they have many negative emotions.
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Affiliation(s)
- Yi-Hua Li
- Department of Epidemiology, Department of Preventive Medicine, Department of Clinical Medicine, Medical College, Yanbian University, Yanji, China
| | - Tao Wen
- Department of Epidemiology, Department of Preventive Medicine, Department of Clinical Medicine, Medical College, Yanbian University, Yanji, China
| | - Yin-Shi Cui
- Education and Scientific Research Office, Chaohanwen College, Yanbian University, Yanji, China
| | - Zhe-Hu Huang
- Affairs Management Department, Yanbian University, Hunchun, China
| | - Yan-Qun Liu
- Department of Surgery, Affiliated Hospital of Yanbian University, Yanji, China
- Orthopedic Treatment Center of Affiliated Hospital of Yanbian University, Yanji, China
- Trauma Center of Affiliated Hospital of Yanbian University, Yanji, China
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He Q, Wang G, He J, Wang Y, Zhang J, Luo B, Chen P, Luo X, Ren J. Knowledge, attitude and practice regarding occupational protection against COVID-19 among midwives in China: A nationwide cross-sectional study. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2022; 79:103184. [PMID: 35859908 PMCID: PMC9283191 DOI: 10.1016/j.ijdrr.2022.103184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/26/2021] [Revised: 06/09/2022] [Accepted: 07/11/2022] [Indexed: 06/15/2023]
Abstract
Midwives assume the roles in protecting perinatal women and newborns, meanwhile defending their own safety during the epidemic of COVID-19. Since there is currently no specific treatment available that targets the disease, strictly compliance with various infection prevention and control measures appears utmost important to achieve their occupational safety. We then explored the status quo and influencing factors of the knowledge, attitude and practice (KAP) of occupational protection against the COVID-19 among midwives in China. This online cross-sectional survey was conducted on 2663 midwives across the China during the early stages of the pandemic with a self-reported structured questionnaire. 97.4% and 92.9% of them were identified with positive attitude and appropriate practice, respectively, whereas only 6.4% showed good level of knowledge about the occupational protection toward the COVID-19. Midwives with older age, keeping on working during the breakout period, completing the training programs, caring the confirmed COVID-19 cases and having family members with cold-like symptoms were significantly associated with their KAP status. This study could provide valuable information not only for policy makers and administrators to optimize resource allocation and design education programs on targeted midwives, but also serve as a baseline for measuring changes in subsequent, post-intervention KAP studies.
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Affiliation(s)
- Qiuyang He
- Department of Obstetric Nursing, West China Second University Hospital, Sichuan University / West China School of Nursing, Sichuan University, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Guoyu Wang
- Department of Obstetric Nursing, West China Second University Hospital, Sichuan University / West China School of Nursing, Sichuan University, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Jingjing He
- Department of Obstetric Nursing, West China Second University Hospital, Sichuan University / West China School of Nursing, Sichuan University, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Yonghong Wang
- Department of Obstetric Nursing, West China Second University Hospital, Sichuan University / West China School of Nursing, Sichuan University, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Jinling Zhang
- Department of Obstetric Nursing, West China Second University Hospital, Sichuan University / West China School of Nursing, Sichuan University, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Biru Luo
- Department of Obstetric Nursing, West China Second University Hospital, Sichuan University / West China School of Nursing, Sichuan University, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | | | - Xiaoju Luo
- Sichuan Provincial Maternity and Child Health Care Hospital, China
| | - Jianhua Ren
- Department of Obstetric Nursing, West China Second University Hospital, Sichuan University / West China School of Nursing, Sichuan University, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
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Gashi B, Osmani V, Halili R, Hoxha T, Kamberi A, Hoti N, Agahi R, Basha V, Berisha V, Hoxha I. Seroprevalence of Anti-SARS-CoV-2 Antibodies among Municipal Staff in the Municipality of Prishtina. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312545. [PMID: 34886272 PMCID: PMC8656675 DOI: 10.3390/ijerph182312545] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 11/22/2021] [Accepted: 11/27/2021] [Indexed: 12/30/2022]
Abstract
BACKGROUND Some studies have assessed the seroprevalence of anti-SARS-CoV-2 antibodies in different populations. Very few studies have explored seroprevalence in municipal workers, an important and potentially high-risk population. This study aims to determine the prevalence of anti-SARS-CoV-2 antibodies in municipal workers, with the additional examination of the association of prevalence with various demographic, health-related, and epidemiological factors. METHODS We surveyed and tested for seroprevalence 418 public servants from the municipality of Prishtina, the capital of Kosovo. The primary prespecified outcome was the seroprevalence of anti-SARS-CoV-2 antibodies, IgG, and IgM. Additional outcomes were crude and adjusted odds ratios of seroprevalence by different factors. RESULTS 21.1% of municipal workers tested positive for either IgM or IgG. Of these, 9.6% were positive for IgM and 19.4% for IgG. Data showed high levels of adherence to protective measures, e.g., social distancing in the office, but calculation of ORs did not show a significant difference between those reporting adherence to such measures and those reporting nonadherence. Of other examined factors, significantly lower odds were observed for smokers (0.52, 95% CI 0.28, 0.97), while municipal workers with infected family members had elevated odds of seropositivity according to both crude (2.19, 95% CI 1.34, 3.59) and adjusted (2.00, 95% CI 1.17, 3.41) ORs. CONCLUSIONS Most answers from public servants demonstrated compliance to social-distancing policies in the workplace, but analysis of crude and adjusted odds ratios did not suggest a significant effect between municipal workers who followed these guidelines and those who did not. Results from this study help Kosovo policy makers in understanding the level of prevalence of COVID-19 in municipal workers and the effect of different factors on such prevalence. Results from the study could inform future decisions on the design and application of protective measures for municipal workers. Our findings should encourage further research to assess the extent of the spread of COVID-19 to other essential workers in Kosovo, including retail workers.
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Affiliation(s)
- Bujar Gashi
- Main Family Medical Centre, Municipality of Prishtina, 10000 Prishtina, Kosovo; (B.G.); (R.H.); (T.H.); (A.K.); (N.H.)
| | - Vesa Osmani
- Evidence Synthesis Group, 10000 Prishtina, Kosovo;
| | - Rrezart Halili
- Main Family Medical Centre, Municipality of Prishtina, 10000 Prishtina, Kosovo; (B.G.); (R.H.); (T.H.); (A.K.); (N.H.)
| | - Teuta Hoxha
- Main Family Medical Centre, Municipality of Prishtina, 10000 Prishtina, Kosovo; (B.G.); (R.H.); (T.H.); (A.K.); (N.H.)
| | - Agron Kamberi
- Main Family Medical Centre, Municipality of Prishtina, 10000 Prishtina, Kosovo; (B.G.); (R.H.); (T.H.); (A.K.); (N.H.)
| | - Nexhmedin Hoti
- Main Family Medical Centre, Municipality of Prishtina, 10000 Prishtina, Kosovo; (B.G.); (R.H.); (T.H.); (A.K.); (N.H.)
| | - Riaz Agahi
- Research Unit, Heimerer College, 10000 Prishtina, Kosovo;
| | - Vlora Basha
- IndexKosova, 10000 Prishtina, Kosovo; (V.B.); (V.B.)
| | - Visar Berisha
- IndexKosova, 10000 Prishtina, Kosovo; (V.B.); (V.B.)
| | - Ilir Hoxha
- Evidence Synthesis Group, 10000 Prishtina, Kosovo;
- Research Unit, Heimerer College, 10000 Prishtina, Kosovo;
- The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH 03766, USA
- Correspondence: ; Tel.: +383-45-588-683
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