首页|新型冠状病毒感染疫情流行期间肾移植患者对新型冠状病毒感染防治的知信行研究

新型冠状病毒感染疫情流行期间肾移植患者对新型冠状病毒感染防治的知信行研究

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目的:了解新型冠状病毒感染疫情流行期间肾移植患者对新型冠状病毒感染防护与治疗的认知-态度-行为(knowledge-attitude-practice,KAP)及影响因素,为传染性疾病流行期间肾移植患者的健康科普与管理提供参考.方法:采用线上问卷形式,对成年肾移植患者进行新型冠状病毒感染防治的KAP调查及影响因素分析.结果:回收有效问卷382份,其中304例(79.58%)确诊新型冠状病毒感染.382例调查对象中,26.44%对新型冠状病毒感染防护与治疗总体认知程度较高,22.77%态度积极,35.34%行为良好,认知、态度及行为之间呈正相关.其中对于新型冠状病毒感染的防护措施普遍认知水平较高且行为良好,对于新型冠状病毒感染药物治疗普遍认知不足、态度消极及行为欠佳.多因素回归分析结果显示,汉族、较高的教育程度、接种新型冠状病毒疫苗、未感染新型冠状病毒与患者的认知水平显著相关;月收入≥20 000元的患者较月收入<3 000元者,其态度显著更积极;年龄越小、月收入水平越高,其行为显著越好.结论:面对新型冠状病毒感染疫情流行,肾移植专科医务人员应适时开展用药科普并加强患者管理,尤其是少数民族、低学历、低收入、老年人群及农村地区人群,以改善其对于药物治疗的认知、态度和行为,进而促进合理用药.
KAP investigation of COVID-19 prevention and pharmacotherapy among kidney transplant recipients during COVID-19 pandemic
OBJECTIVE To explore the knowledge-attitude-practices(KAP)status and influencing factors among kidney transplant(KT)recipients on Coronavirus disease(COVID-19)prevention and pharmacotherapy during COVID-19 pandemic in China to provide references for health science popularization and follow-ups of KT recipients during future epidemics of communi-cable diseases.METHODS Taking adult kidney transplant recipients as survey objects,online questionnaires were utilized for collecting the relevant information and conducting a KAP survey.Various influencing factors were examined.RESULTS A total of 382 valid questionnaires were obtained and 304(79.58%)diagnosed as COVID-19.Among them,26.44%had a higher knowledge of COVID-19 prevention and pharmacotherapy,22.77%had a positive attitude and 35.34%behaved well.A positive correlation existed between knowledge,attitude and practices.They generally acquired a high level of knowledge and decent prac-tices about the protective measures of COVID-19 infection.However,there were insufficient knowledge,negative attitude and poor practices about pharmacotherapy.The results of multivariate regression analysis showed that Han population,higher educa-tion level,vaccination against COVID-19 and non-infection of COVID-19 were correlated significantly with knowledge.Indi-viduals with a monthly income ≥20 000 yuan had significantly more positive attitudes than those with a monthly income<3 000 yuan.Younger age and higher monthly income level were correlated significantly with better practices.CONCLUSION During COVID-19 pandemic in China,for boosting their knowledge,attitude,practices and the level of rational pharmacotherapy,spe-cialized medical professionals should implement health science popularization and strengthen patient management in a timely man-ner,especially ethnic minorities,low-educated,low-income,elderly and rural residents.

COVID-19kidney transplant recipientknowledge-attitude-practices surveyquestionnaire

石伟龙、王智丹、程吟楚、王晓星、侯小飞、赵荣生

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北京大学第三医院,药剂科,北京 100191

北京大学第三医院,泌尿外科,北京 100191

中日友好医院药学部,北京 100029

新型冠状病毒 肾移植患者 认知-态度-行为调查 问卷

北京大学第三医院新冠感染患者临床用药路径评价研究

BYSYDL2023001-08

2024

中国医院药学杂志
中国药学会

中国医院药学杂志

CSTPCD北大核心
影响因子:1.198
ISSN:1001-5213
年,卷(期):2024.44(12)