Knowledge, attitude, and practice regarding atrial fibrillation among neurologists in central China: A cross-sectional study
Knowledge, attitude, and practice regarding atrial fibrillation among neurologists in central China: A cross-sectional study
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中国中部地区神经科医生对房颤的知识、态度和实践：一项横断面研究
DOI：
10.1002/clc.23361
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发表时间：
2020-06-01
影响因子：
2.7
通讯作者：
Cao, Fei
中科院分区：
文献类型：
--
作者：
Shen, Jing;Xia, Yuanpeng;Cao, Fei
背景医生对心房颤动（AF）的知识和实践是血栓预防有效性的决定因素。本研究旨在调查医生对房颤的知识、态度和行为，分析影响因素，并为制定卫生政策提供数据支持。方法2016年10月1日至2018年3月31日进行横断面研究。每位参与者通过面对面访谈完成了标准结构的匿名问卷。结果38家医院的611名医生接受了问卷调查。问卷总分的平均值为21.59 ± 3.559（问卷总分为36），知识、态度和实践的平均值分别为6.86 ± 1.70、6.13 ± 1.35和8.59 ± 2.21。医生的知识、执业成绩、总成绩与受教育程度、工作地点呈正相关。影响医生知识、态度、行为得分的因素有文化程度、职称、工作年限、医院等级、医院所在地。结论神经科医师对房颤的认识和实践还存在较大差距，应加强对医师的持续培训，提高对房颤的管理水平。
Background Physicians' knowledge and practice of atrial fibrillation (AF) are determinants of the efficacy of thromboprophylaxis. Hypothesis This study aimed to investigate physicians' knowledge, attitude, and practice toward AF, to analyze the influencing factors, and to provide data to support departments that develop health policies. Methods A cross-sectional study was carried out from October 1, 2016, to March 31, 2018. A standard-structured anonymous questionnaire was completed by each participant through face-to-face interviews. Results A total of 611 doctors from 38 hospitals were responded to this survey. The mean of the total score of the questionnaire was 21.59 +/- 3.559 (total score of the questionnaire was 36), and the mean scores of knowledge, attitude, and practice were 6.86 +/- 1.70, 6.13 +/- 1.35, and 8.59 +/- 2.21, respectively. The doctor' s knowledge, practice scores, and total scores were positively correlated with the education level and the workplace. The influencing factors that affect doctors' knowledge, attitudes, and practice scores including education level, professional title, working years, hospital grade, and hospital location. Conclusions There was still a big gap in neurologists' knowledge and practice about AF. It is necessary to strengthen the continuous improvement of doctor training to improve the management of AF.