武汉市城市居民腰椎间盘突出症知识态度行为的现况调查

Investigation of knowledge-attitude-practice in Wuhan community residents on lumbar disc herniation

目的：调查城市居民对腰椎间盘突出症（LDH）知识态度行为（KAP）的了解现状，为医务人员有目的、有针对性地开展LDH相关知识的宣传普及和培训提供参考。方法采用便利抽样的方法选取武汉市500名城市居民，对其LDH相关KAP 的现况进行匿名抽样调查，回收有效问卷460份。分析居民的LDH知信行现状及影响因素。结果460名居民知识问卷平均分为（13.17±3.30）分、得分率为43.90％，态度问卷平均分为（5.21±1.00）分、得分率为52.10％，行为问卷平均分为（15.24±1.96）分、得分率为63.50％。不同年龄、文化程度、是否参加过培训的居民其KAP得分差异有统计学意义（ P〈0.05）。归一化处理结果显示，表明居民知识明显低于平均水平，而不良行为明显高于平均水平。结论武汉市居民对LDH相关知识有较强的求知欲望，但对该病的预防和治疗知识缺乏，从而导致对该病无法做出很好的前期预防和患者自我保护；加强对城市居民LDH相关知识的普及和培训显得尤为重要。

Objective To investigate the status of knowledge-attitude-practice （ KAP ） in community residents on lumbar disc hernia （ LDH） in Wuhan residents., and provide references for medical staff to popularize the knowledge about LDH and carry out the related training. Methods Totally 500 community residents in Wuhan were selected by random sampling and were investigated about their LDH-KAP status by anonymous survey. 460 questionnaires were effectively recycled. Residents′ LDH status and the related influencing factors were analyzed. Results The score of knowledge, attitude and practice in survey of 460 community residents were：the average score of knowledge questionnaire was （13.17±3.30）, and the scoring rate was 43.9%;the average score of attitude questionnaire was （5.21±1.00）, and the scoring rate was 52.1%;the average score of practice questionnaire was （15.24±1.96）, and the scoring rate was 63.5%. Scores of KAP in residents with different age, education background and whether they take part in the training were significantly different （P〈0.05）. Normalization process showed that the knowledge level of residents was lower than the average level, and the malpractice level was higher than the average level.Conclusions There is a strong desire for LDH-KAP in community residents; the lack of LDH-KAP knowledge of the residents lead to that residents can′t make a good prevention and self-protection. It is especially important to enhance the training and intervene about LDH-KAP for residents.