Primary care providers' knowledge, attitudes, and practices related to prediabetes in China: A cross-sectional study.
Primary care providers' knowledge, attitudes, and practices related to prediabetes in China: A cross-sectional study.
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初级保健提供者的知识，态度和与糖尿病前期有关的实践：一项横断面研究。
DOI：
10.3389/fpubh.2023.1086147
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发表时间：
2023
影响因子：
5.2
通讯作者：
Zhou, Zhiguang
中科院分区：
文献类型：
--
作者：
Pi, Linhua;Yan, Jianru;Fei, Dongxue;Zheng, Ying;Shi, Xiajie;Wang, Zhen;Zhou, Zhiguang
糖尿病前期的管理具有重要的临床意义，而初级保健提供者(PCP)在中国糖尿病的管理和预防中发挥着重要作用。然而，对初级保健医生关于糖尿病前期的知识、态度和实践(KAP)知之甚少。这项横断面研究的目的是评估中部中国地区初级卫生保健医生对糖尿病前期的KAP。采用自填KAP问卷对中国中部地区社区卫生服务人员进行横断面调查。总共有720名初级保健医生完成了调查。大多数医生(85.8%)声称知道糖尿病前期的不利影响，并报告了对糖尿病前期预防的积极态度，但PCP对糖尿病前期的知识和管理实践显示出很大的差距。糖尿病前期知识水平和实践分量表得分仅为最佳值的54.7%和32.6%。女性初级保健医生的糖尿病前期知识得分较高(p=0.04)，实践得分较高(p=0.038)。知识和态度得分与参与者的年龄和练习时间呈负相关(p<；0.001)。乡镇卫生院医务人员的知识态度得分显著高于村卫生室(P<；0.001)。此外，知识和实践得分随着职称的增加而增加。最近参加继续医学教育(CME)对糖尿病前期知识有显著的积极影响(p=0.029)，但超过五分之四的受访PCP在过去一年没有参加与糖尿病相关的继续医学教育。在中国中部地区，初级保健医生对糖尿病前期的知识和行为存在很大差距。初级方案没有充分利用继续医学教育方案。为提高中国地区儿科医生对糖尿病前期的相关知识和行为，需要制定有组织的计划。
The management of prediabetes has great clinical significance, and primary care providers (PCPs) play important roles in the management and prevention of diabetes in China. Nevertheless, little is known about PCPs' knowledge, attitudes, and practices (KAP) regarding prediabetes. This cross-sectional study aimed to assess the KAP regarding prediabetes among PCPs in the Central China region. This cross-sectional study was conducted using self-administered KAP questionnaires among PCPs from Central China region. In total, 720 PCPs completed the survey. Most physicians (85.8%) claimed to be aware of the adverse effects of prediabetes and reported positive attitudes toward prediabetes prevention, but the PCPs' knowledge of prediabetes and management practices showed substantial gaps. The prediabetes knowledge level and practice subscale scores of the PCPs were only 54.7% and 32.6%, respectively, of the corresponding optimal scores. Female PCPs showed higher prediabetes knowledge level scores (p = 0.04) and better practice scores (p = 0.038). Knowledge and attitude scores were inversely correlated with participants' age and duration of practice (p < 0.001). The PCPs who served in township hospitals had significantly higher knowledge and attitude scores than those who served in village clinics (p < 0.001). Furthermore, knowledge and practice scores increased with increasing professional titles. Recent continuing medical education (CME) attendance had a significant positive influence on knowledge of prediabetes (p = 0.029), but more than four-fifths of the surveyed PCPs did not participate in diabetes-related CME in the past year. Substantial gaps were observed in PCPs' knowledge and practices regarding prediabetes in the Central China region. CME programmes were under-utilized by PCPs. Structured programmes are required to improve PCPs' prediabetes-related knowledge and practices in China.
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DOI：
10.1136/bmj.i5953
发表时间：
2016-11-23
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Huang Y;Cai X;Mai W;Li M;Hu Y
通讯作者：
Hu Y
影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
DOI：
10.1016/s0140-6736(12)60283-9
发表时间：
2012-06-16
期刊：
Lancet (London, England)
影响因子：
--
作者：
Tabák AG;Herder C;Rathmann W;Brunner EJ;Kivimäki M
通讯作者：
Kivimäki M
影响因子：
16.2
作者：
Gong Q;Zhang P;Wang J;An Y;Gregg EW;Li H;Zhang B;Shuai Y;Yang W;Chen Y;Liu S;Engelgau MM;Hu Y;Bennett PH;Li G
通讯作者：
Li G
影响因子：
16.2
作者：
通讯作者：
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