BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are es...BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.AIM To evaluate the knowledge,attitude and practice(KAP)of healthcare professionals regarding IBD.METHODS This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.RESULTS A total of 315 valid questionnaires were analyzed,with 215 participants(68.25%)being female.The mean KAP scores were 17.55±5.35(range:0-24),27.65±2.77(range:8-40),and 18.88±4.23(range:6-30),respectively.Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge:Age 26-35 years(β=2.80,95%CI:0.31-5.30,P=0.028),professional title(β=2.66,95%CI:0.91-4.41,P=0.003),position(β=-3.78,95%CI:-5.45 to-2.11,P<0.001),participation in IBD-related training(β=3.45,95%CI:2.39-4.51,P<0.001),and admission of more than five IBD cases in the past month(β=3.25,95%CI:1.58-4.92,P<0.001).Attitude was independently associated with knowledge(β=0.20,95%CI:0.15-0.26,P<0.001)and being a nurse or nursing supervisor(β=-1.30,95%CI:-2.16 to-0.40,P=0.003).Practice was independently associated with knowledge(β=0.20,95%CI:0.10-0.30,P<0.001)and attitude(β=0.24,95%CI:0.06-0.42,P=0.007).Structural equation modeling demonstrated direct effects of knowledge on attitude(β=0.24,P<0.001)and practice(β=0.26,P<0.001),as well as of attitude on practice(β=0.22,P=0.012).CONCLUSION Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD.Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.展开更多
Objectives: This study aims to investigate the status of knowledge, attitude and practice (KAP) of oral health among medical undergraduate students, and provide reference for implementing oral health interventions. Me...Objectives: This study aims to investigate the status of knowledge, attitude and practice (KAP) of oral health among medical undergraduate students, and provide reference for implementing oral health interventions. Methods: A total of 528 undergraduate students enrolled in Fuzhou Medical College from February 2023 to September 2023 were selected as the research subjects. Their oral health KAP were investigated, and the oral health behavior habits of different types of medical students were compared, and possible influencing factors were analyzed. Results: The total awareness rate of oral health knowledge among medical students is 77.0%, with an average score of 3.85 ± 1.16 points. The overall positive rate of oral health attitudes among medical students is 80.0%, with an average score of 3.19 ± 0.72 points. The total qualified rate of oral health behavior is 65.9%, with an average score of 4.61 ± 1.23 points. The scores of oral health knowledge, attitudes, and behaviors among medical students are related to gender, major, smoking status, and oral health status. The frequency of brushing teeth in the female group was higher than that in the male group, while the habit of brushing teeth before bedtime and the frequency of timely replacement of toothbrushes when deformed were lower, with statistical significance (p 0.05). The frequency of timely replacement of toothbrushes varies among medical students from different majors, and the difference is statistically significant (p 0.05). People who have a habit of eating hot and cold food have a higher frequency of brushing their teeth every day, and the difference is statistically significant (p 0.05). Non smokers have a better habit of brushing their teeth before bedtime and a higher frequency of timely replacement when their toothbrush deforms, with a statistically significant difference (p 0.05). The frequency of using fluoride toothpaste or medicated toothpaste, having a habit of unilateral chewing, and timely replacement of toothbrushes when deformed in patients with existing oral problems is higher than that of those without oral problems, and the difference is statistically significant (p 0.05). Conclusion: The knowledge, attitude, and behavior of oral health among medical students in this school are above average. Students with different genders, dietary and smoking habits, and oral health status have different oral health behavioral habits. It is recommended to include oral health education in mandatory courses for various medical majors.展开更多
Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationshi...Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationship between general conditions (personal, social, and environment, clinical factors) and their knowledge, attitude, and practices (KAP) of diabetes self-management, This aims to provide patients with high-quality nursing care management and services, as well as to provide relevant recommendations for effective self-management. Methods: This study is a descriptive correlational study that used the purposive sampling method to investigate 359 patients with T2DM aged 18-25 years in four designated tertiary hospitals in Shandong Province. Results: Knowledge of self-management was correlated with sex, age, education level, occupation and work situation, monthly household income, medical payment method, family and friend support, frequency of diabetes health education, and diabetes complications. The attitude subscale was correlated with sex, age, education level, work situation, and family and friend support. The practice subscale was associated with age, education level, work situation, family and friend support, frequency of diabetes health education, and HbA1c values. Conclusion: Young adults aged 18-25 with T2DM have positive attitudes towards diabetes self-management, but there are still deficiencies in knowledge acquisition and behavioral practice. The KAP of self-management of diabetes is influenced by personal factors such as sex, age, and education level, and socio-environmental factors such as family income and family or friends’ social support. Additionally, clinical factors such as complications and HbA1c values significantly impacted the patient’s disease self-management ability.展开更多
Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary a...Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.展开更多
Objective:To investigate the effect of an information-knowledge-attitude-practice(IKAP)nursing intervention on the caregiving capacity of family caregivers of elderly dementia patients.Methods:Sixty-nine family caregi...Objective:To investigate the effect of an information-knowledge-attitude-practice(IKAP)nursing intervention on the caregiving capacity of family caregivers of elderly dementia patients.Methods:Sixty-nine family caregivers of elderly dementia patients attending the neurology outpatient clinic of a hospital between October 2024 and March 2025 were selected.They were randomly divided into a control group(n=35)and an observation group(n=34).The control group received routine health education,while the observation group additionally underwent a systematic Information-Knowledge-Attitude-Practice(IKAP)nursing intervention.Care competence and self-efficacy scores were compared between groups before intervention and after 12 weeks.Results:Pre-intervention,no statistically significant difference existed in care competence or self-efficacy scores between groups(p>0.05).Following the 12-week intervention,all scores significantly increased in both groups,with the observation group demonstrating superior outcomes compared to the control group(p<0.001).Conclusion:The care intervention program based on the IKAP model effectively enhances caregivers’care competence and self-efficacy,thereby positively promoting the quality of life for patients with dementia.展开更多
Objective:To analyze the nursing effect of implementing continuous nursing combined with knowledge,attitude,and practice(KAP)intervention under the guidance of interactive goal-setting theory for patients with gestati...Objective:To analyze the nursing effect of implementing continuous nursing combined with knowledge,attitude,and practice(KAP)intervention under the guidance of interactive goal-setting theory for patients with gestational diabetes mellitus(GDM).Methods:A total of 68 patients with GDM who were admitted to the hospital between December 2021 and December 2023 were selected and randomly divided into two groups using a random number table.The combined group(34 cases)received continuous nursing combined with KAP intervention under the premise of interactive goal-setting theory,while the conventional group(34 cases)received routine nursing care.Blood glucose control,health behavior scores,and other indicators were compared between the two groups.Results:After nursing,the blood glucose level in the combined group was lower than that in the conventional group,and the scores for health behavior and self-management ability were higher than those in the conventional group(P<0.05).Conclusion:Combined nursing can improve blood glucose control in patients with GDM,standardize their health behaviors,and cultivate their self-management skills.展开更多
BACKGROUND Cerebrovascular disease(CVD)poses a serious threat to human health and safety.Thus,developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with ...BACKGROUND Cerebrovascular disease(CVD)poses a serious threat to human health and safety.Thus,developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with CVD.Studies have shown that predictive nursing can improve the quality of care and that the information–knowledge–attitude–practice(IKAP)nursing model has a positive impact on patients who suffered a stroke.Few studies have combined these two nursing models to treat CVD.AIM To explore the effect of the IKAP nursing model combined with predictive nursing on the Fugl–Meyer motor function(FMA)score,Barthel index score,and disease knowledge mastery rate in patients with CVD.METHODS A total of 140 patients with CVD treated at our hospital between December 2019 and September 2021 were randomly divided into two groups,with 70 patients in each.The control group received routine nursing,while the observation group received the IKAP nursing model combined with predictive nursing.Both groups were observed for self-care ability,motor function,and disease knowledge mastery rate after one month of nursing.RESULTS There was no clear difference between the Barthel index and FMA scores of the two groups before nursing(P>0.05);however,their scores increased after nursing.This increase was more apparent in the observation group,and the difference was statistically significant(P<0.05).The rates of disease knowledge mastery,timely medication,appropriate exercise,and reasonable diet were significantly higher in the observation group than in the control group(P<0.05).The satisfaction rate in the observation group(97.14%)was significantly higher than that in the control group(81.43%;P<0.05).CONCLUSION The IKAP nursing model,combined with predictive nursing,is more effective than routine nursing in the care of patients with CVD,and it can significantly improve the Barthel index and FMA scores with better knowledge acquisition,as well as produce high satisfaction in patients.Moreover,they can be widely used in the clinical setting.展开更多
BACKGROUND Breast cancer has the highest incidence of all global cancers.Recent data show that breast cancer is becoming more prevalent in the younger population.Therefore,preventing breast cancer in young populations...BACKGROUND Breast cancer has the highest incidence of all global cancers.Recent data show that breast cancer is becoming more prevalent in the younger population.Therefore,preventing breast cancer in young populations is a significant priority for public health.Relevant investigations of the incidence of breast cancer in young females have already been undertaken in China;however,none of these previous studies investigated the awareness of female college students with regards to breast cancer.AIM To investigate the knowledge,attitude,and practice(KAP)of female college students in Yunnan with regards to breast cancer and a series of influential factors.METHODS A random sample of 1387 female college students from two universities in Dali city were investigated by questionnaires.RESULTS The total KAP scores for breast cancer were 9.86±2.50,3.19±2.01 and 13.31±2.49,respectively.Multiple linear regression analysis showed that educational grade was the most significant influential factor underlying the level of knowledge female college students had with regards to the treatment of breast cancer(P<0.05).Registered residence and educational grade were the most significant factors that influenced attitude(P<0.05).Age,registered residence,grade and major,were the most significant factors that influenced behavior(P<0.05).The KAP of female college students in western Yunnan with regards to breast cancer were low.CONCLUSION There is an urgent need to provide standardized publicity and educational strategies in China to improve the knowledge,attitude,and practice,of college students with regards to breast cancer.展开更多
Agroecological practices are promoted as a more proactive approach than conventional agriculture to achieving a collective global response to climate change and variability while building robust and resilient agricult...Agroecological practices are promoted as a more proactive approach than conventional agriculture to achieving a collective global response to climate change and variability while building robust and resilient agricultural systems to meet food needs and protect the integrity of ecosystems.There is relatively limited evidence on the key traditional agroecological knowledge and practices adopted by smallholder farmers,the factors that influence smallholder farmers’decision to adopt these practices,and the opportunities it presents for building resilient agricultural systems.Using a multi-scale mixed method approach,we conducted key informant interviews(n=12),focus group discussions(n=5),and questionnaire surveys(N=220)to explore the traditional agroecological knowledge and practices,the influencing factors,and the opportunities smallholder farmers presented for achieving resilient agricultural systems.Our findings suggest that smallholder farmers employ a suite of traditional agroecological knowledge and practices to enhance food security,combat climate change,and build resilient agricultural systems.The most important traditional agroecological knowledge and practices in the study area comprise cultivating leguminous crops,mixed crop-livestock systems,and crop rotation,with Relative Importance Index(RII)values of 0.710,0.708,and 0.695,respectively.It is reported that the choice of these practices by smallholder farmers is influenced by their own farming experience,access to market,access to local resources,information,and expertise,and the perceived risk of climate change.Moreover,the results further show that improving household food security and nutrition,improving soil quality,control of pest and disease infestation,and support from NonGovernmental Organizations(NGOs)and local authorities are opportunities for smallholder farmers in adopting traditional agroecological knowledge and practices for achieving resilient agricultural systems.The findings call into question the need for stakeholders and policy-makers at all levels to develop capacity and increase the awareness of traditional agroecological knowledge and practices as mechanisms to ensure resilient agricultural systems for sustainable food security.展开更多
The aim of this research was to assess the knowledge and practices of radiological versus non-radiological health professionals on the optimisation of radiation protection in paediatric and adult radiology in BUKAVU h...The aim of this research was to assess the knowledge and practices of radiological versus non-radiological health professionals on the optimisation of radiation protection in paediatric and adult radiology in BUKAVU hospitals. To achieve this, we surveyed a convenience sample of 73 health professionals including 23 radiologists working in the hospitals surveyed to assess knowledge and level of implementation of radiation protection principles. Also, physical parameters were taken for the calculation of entry doses in paediatric and adult radiology units for comparison with the International Commission on Radiological Protection (ICRP) diagnostic reference levels. After analysis of the data, the following was found: although radiologists have sufficient knowledge of radiation protection standards, technical constraints do not allow them to observe the dose limitation principle recommended by the ICRP. This is why several radiology departments, including those of the HPGRB, the MWANZI clinic and CIRIRI hospital, have proved to be very irradiating for children. However, radiologists and non-radiologists alike do not contribute positively to the optimisation of radiation protection in the diagnostic use of X-rays. Therefore, support in the implementation of radiation protection principles and regular monitoring of the units as well as replacement of non-standard equipment is necessary to promote patient and environmental safety by optimising radiation protection.展开更多
<strong>Introduction:</strong> Timely availability of safe blood or blood products is essential for all health care facilities where transfusion occurs, but in many developing and transitional countries, t...<strong>Introduction:</strong> Timely availability of safe blood or blood products is essential for all health care facilities where transfusion occurs, but in many developing and transitional countries, there is still a considerable gap between the need for blood and the supply available. The overall objective was to study knowledge attitudes, practices, and factors influencing blood donation in the general population in Senegal. <strong>Methods:</strong> This was a cross-sectional descriptive and analytical study conducted among the Fatick health district population from April 1 to 15, 2019. Thus, the sample is based on a two-stage survey. Data collection was conducted through a questionnaire designed, pretested, and administered to 466 people by selected and trained enumerators. The data collected on the smartphone was analyzed using Epi Info 7.2.1.0 software. A descriptive and bivariate analysis was performed with a 5% risk of alpha error. <strong>Results:</strong> The average age of respondents was 35 years (±13), with 34 years (±12) for women and 38 years (±15) for men, and more than half of them between 20 and 40 years of age. A proportion of 87% of respondents lived in rural areas and had agriculture as their primary income source. More than half of the individuals (70%) were married, and 68% were educated. The level of knowledge of individuals about blood donation was low at 91.8%. On the other hand, more than half of them had good habits (53.65%). A proportion of 68.0% of individuals had an intention to donate in the future. However, only 24.68% of the population surveyed had already donated blood. Eighty percent of the donations were voluntary. However, 26.09% had repeated this practice. Factors that could influence the practice of blood donation were age, male sex (ORb = 2.18 [1.40 - 3. 37]), high level of education, good knowledge of blood donation (ORb = 2.14 [1.07 - 4.26]), the existence of a relatives donor (ORb = 3.4 [2.19 - 5.26]) and individuals who did not necessarily require permission from a parent or spouse (ORb = 3.37 [2.13 - 5.31]). <strong>Conclusion:</strong> It is necessary to develop mass communication and proximity strategies, also strengthen the blood bank in terms of human resources and logistics to increase voluntary blood donations in the district. An increase and better planning of mobile clinic outings can facilitate and improve voluntary blood donation by improving accessibility to this service.展开更多
<strong>Introduction</strong><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">: Appropriate feeding and consequentl...<strong>Introduction</strong><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">: Appropriate feeding and consequently good nutritional status </span><span><span style="font-family:Verdana;">of young children largely depends on their caregivers. </span><b><span style="font-family:Verdana;">Aim</span></b><span style="font-family:Verdana;">: The current</span></span><span style="font-family:Verdana;"> study aimed at assessing maternal/caregivers’ current knowledge, attitudes, practices, and beliefs regarding different aspects of infant and young child feeding in Eastern and Central Uganda. </span><b><span style="font-family:Verdana;">Methodology</span></b><span style="font-family:Verdana;">: A cross-sectional survey design with mixed methods employing both qualitative and quantitative methods was used for data collection. </span><b><span style="font-family:Verdana;">Results</span></b><span style="font-family:Verdana;">: The study participants included 556 caregivers and 572 children. Results indicate that most caregivers (77%) were knowledgeable about key infant and young child feeding practices such as breastfeeding, complementary feeding and meal frequency. However, culture </span><span><span style="font-family:Verdana;">and economic hardships were</span><span style="color:red;"> </span><span style="font-family:Verdana;">a major barrier to the applicability of this</span></span><span style="font-family:Verdana;"> knowledge. Nearly all (98%) children were ever breastfed with 41% having been initiated on breast milk in the first hour after birth and 68% of all the children below 6 months exclusively breastfed. Three percent of the children aged 6 - 23 months were classified as having either Moderate (2%) or Severe (1%) Acute malnutrition. The median birth weight was 3.2</span></span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">Kgs with nine percent of the children classified as underweight at birth. The majority (78%) of the children consumed foods from at least four food groups however only </span><span style="font-family:Verdana;">44% consumed heme-rich animal flesh food such as meat, poultry, organ</span><span style="font-family:Verdana;"> meats and fish, 29% consumed milk and milk products while only 11% consumed eggs. The barriers to improved nutritional status and health-seeking</span><span style="color:red;"> </span><span style="font-family:Verdana;">behaviour in children from both regions were largely similar. Some of these included cultural practices which prohibit children from eating certain foods and lack of drugs in the health facilities. Lack of male involvement was a key barrier to health-seeking behaviour and the nutritional well-being of children. Males were, however, more knowledgeable about the key childcare practices that are critical to positive outcomes because they listen to radios, have access to social media and usually congregate at bars where this information is disseminated and exchanged. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> There should be continuous sensitization of mothers on the benefits of breastfeeding with special focus on early initiation and exclusive breastfeeding as well as child feeding practices during ill</span><span style="font-family:Verdana;">ness. To increase protein intake in children 6 - 23 months, interventions </span><span style="font-family:Verdana;">aimed at increasing consumption of these vital nutrients such as promotion of nutrition-sensitive agricultural enterprises like rearing of small livestock and chickens should be emphasized. Consumption of these foods is critical, especially during pregnancy and infancy. Finally, male involvement in maternal and child feeding should be encouraged.</span></span></span></span>展开更多
Background: Maternal-fetal transmission is the most frequent mode of hepatitis B virus (HBV) contamination in Africa. Prevention of mother-to-child transmission (PMTCT) of hepatitis B is still poorly understood, and t...Background: Maternal-fetal transmission is the most frequent mode of hepatitis B virus (HBV) contamination in Africa. Prevention of mother-to-child transmission (PMTCT) of hepatitis B is still poorly understood, and training of the health workers involved, such as midwives, is rare. Objective: The aim of this study was to assess the knowledge and practices of midwives prevention of HBV’ mother-to-child transmission (PMTCT) in Brazzaville. Patients and Methods: This was a cross-sectional analytical study conducted in Brazzaville from June 1 to July 31, 2023. Midwives present at the time of the survey in the various Brazzaville health centers visited and who agreed to answer the questionnaire during a face-to-face interview with the investigator were included. Univariate analyses were performed using epi info7.2 software. Pearson’s chi-square and Student’s t-tests were used to compare proportions and means, which were significant at the 0.05 level. Results: At the end of our study, 93 midwives out of 127 agreed to take part in the study, i.e. a participation rate of 73.2%. Their median age was of 41.7 years, a median professional experience of 13.7 years, and they worked mainly in primary health care facilities. Global knowledge of HBV PMTCT was satisfactory in 51 (54.3%) midwives. Knowledge of the HBV vaccine was significantly related to professional experience (p = 0.0167). PMTCT practice was poor in 48 (51.6%) cases. Overall, the practice of PMTCT was statistically associated with the midwives’ place of practice (p = 0.0262). Conclusion: Midwives had good knowledge but insufficient practice of PMTCT in Brazzaville. Training and awareness-raising are needed to reduce mother-to-child transmission of HBV.展开更多
Introduction: In El Salvador Mosquito Borne Diseases (MBDs) is a serious public health problem due to produce morbidity and mortality. They produce a high economic loss, which contributes to the collapse of the public...Introduction: In El Salvador Mosquito Borne Diseases (MBDs) is a serious public health problem due to produce morbidity and mortality. They produce a high economic loss, which contributes to the collapse of the public health system. Over the years, the Salvadoran public health system has invested large amounts of resources to minimize the problem through campaigns against MBDs. Despite this, the population is still affected by diseases such as dengue, and more recently chikungunya and zika outbreaks. The aim of this study is to evaluate sanitation conditions variables and identify knowledge, attitudes, practices related to the prevention of MBDs. Methods: A cross-sectional survey about sanitation conditions and knowledge, attitudes and practices on prevention of MBDs of inhabitant’s ≥ 15 years from an urban community of a municipality with the highest number of cases reported in 2015. Results: Majority of respondents (98.2%) had direct supply of drinking water;however 96.4% of respondents were agreed that they had an inconsistent water supply. Regarding MBDs prevention respondents showed high acceptable knowledge (76.8%), high favorable attitude (92.1%) and an acceptable implementation of practices toward prevention reproduction of mosquitoes (58.5%) and a poor implementation of practices to prevent mosquito bites (38.3%). Conclusions: The findings revealed high acceptable knowledge about MBDs and a high favorable attitude regarding to prevent them, but also revealed a scarce implementation of prevention practices. The generalized storage of water on non-covered barrels because the inconsistent water supplies, can be source of proliferation of mosquitoes and therefore increases the risk of transmission of MBDs. High population density of the community can magnify this risk. It is necessary to enhance education to promote better implementation of practices using the most common media together with the local health workers.展开更多
Objective: this paper aims to investigate the status quo of knowledge, attitude, practice of medical safety of the elderly with chronic diseases in the community, and analyze the factors affecting the knowledge, attit...Objective: this paper aims to investigate the status quo of knowledge, attitude, practice of medical safety of the elderly with chronic diseases in the community, and analyze the factors affecting the knowledge, attitude, practice of medical safety of the elderly with chronic diseases, in order to provide basis for improving the medication safety of the elderly with chronic diseases in the community. Methods: the elderly with chronic diseases in three communities in Mengyin County of Shandong Province were selected as the subjects of this survey by convenient sampling. The medication safety survey was conducted in three dimensions: medication safety knowledge, attitude and compliance. Results: the scores of knowledge, attitude and compliance of drug use safety in this survey were 62%, 45% and 48% respectively. The knowledge, attitude and behavior of drug use safety were at the lower level. Among the influencing factors of knowledge, attitude, practice of medical safety, the factors with statistical significance (P < 0.05) are gender, educational level, monthly income, insurance type and previous occupation of elderly patients with chronic diseases. Conclusion: more attention should be paid to the medication safety of elderly patients with chronic diseases, especially the medication safety and health education for women, low income, low proportion of insurance reimbursement, previous physical labor, low educational level, etc. to promote the medication safety of elderly patients with chronic diseases in the community.展开更多
Introduction: Neonatal mortality remains a major concern in West Africa, and exclusive breastfeeding is recognized as a crucial intervention to promote newborn survival. This study aims to identify the factors influen...Introduction: Neonatal mortality remains a major concern in West Africa, and exclusive breastfeeding is recognized as a crucial intervention to promote newborn survival. This study aims to identify the factors influencing the practice of exclusive breastfeeding among mothers, as well as the perceptions of fathers, in the Boulmiougou health district. Method: This cross-sectional mixed study was conducted between May and July 2022, involving 471 mothers and 103 fathers of children under one year of age. Questionnaires and interviews were used to collect data. Results: The practice of exclusive breastfeeding was observed in 44.6% of mothers surveyed. Logistic regression analysis revealed that mothers older than 26 years have a significantly higher chance of exclusive breastfeeding [adjusted OR = 1.7;95% CI: (1.098 - 2.685);p = 0.019] compared to mothers under 26 years of age. Similarly, mothers with at least three antenatal visits were 2.715 times more likely to perform exclusive breastfeeding than those with less than three antenatal visits [adjusted OR = 2.715, 95% CI: (1.184 - 6.225);p = 0.018]. The vast majority of fathers (76.7%) were informed about exclusive breastfeeding, and 59.5% had a correct definition. The analysis of the father’s perception highlighted a stronger focus on traditional practices in 90.3% of cases than on medical recommendations. Conclusion: In light of these results, it is essential to increase sessions to raise awareness and involve men throughout pregnancy, childbirth and early childhood monitoring about the many benefits of exclusive breastfeeding.展开更多
文摘BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.AIM To evaluate the knowledge,attitude and practice(KAP)of healthcare professionals regarding IBD.METHODS This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.RESULTS A total of 315 valid questionnaires were analyzed,with 215 participants(68.25%)being female.The mean KAP scores were 17.55±5.35(range:0-24),27.65±2.77(range:8-40),and 18.88±4.23(range:6-30),respectively.Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge:Age 26-35 years(β=2.80,95%CI:0.31-5.30,P=0.028),professional title(β=2.66,95%CI:0.91-4.41,P=0.003),position(β=-3.78,95%CI:-5.45 to-2.11,P<0.001),participation in IBD-related training(β=3.45,95%CI:2.39-4.51,P<0.001),and admission of more than five IBD cases in the past month(β=3.25,95%CI:1.58-4.92,P<0.001).Attitude was independently associated with knowledge(β=0.20,95%CI:0.15-0.26,P<0.001)and being a nurse or nursing supervisor(β=-1.30,95%CI:-2.16 to-0.40,P=0.003).Practice was independently associated with knowledge(β=0.20,95%CI:0.10-0.30,P<0.001)and attitude(β=0.24,95%CI:0.06-0.42,P=0.007).Structural equation modeling demonstrated direct effects of knowledge on attitude(β=0.24,P<0.001)and practice(β=0.26,P<0.001),as well as of attitude on practice(β=0.22,P=0.012).CONCLUSION Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD.Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.
文摘Objectives: This study aims to investigate the status of knowledge, attitude and practice (KAP) of oral health among medical undergraduate students, and provide reference for implementing oral health interventions. Methods: A total of 528 undergraduate students enrolled in Fuzhou Medical College from February 2023 to September 2023 were selected as the research subjects. Their oral health KAP were investigated, and the oral health behavior habits of different types of medical students were compared, and possible influencing factors were analyzed. Results: The total awareness rate of oral health knowledge among medical students is 77.0%, with an average score of 3.85 ± 1.16 points. The overall positive rate of oral health attitudes among medical students is 80.0%, with an average score of 3.19 ± 0.72 points. The total qualified rate of oral health behavior is 65.9%, with an average score of 4.61 ± 1.23 points. The scores of oral health knowledge, attitudes, and behaviors among medical students are related to gender, major, smoking status, and oral health status. The frequency of brushing teeth in the female group was higher than that in the male group, while the habit of brushing teeth before bedtime and the frequency of timely replacement of toothbrushes when deformed were lower, with statistical significance (p 0.05). The frequency of timely replacement of toothbrushes varies among medical students from different majors, and the difference is statistically significant (p 0.05). People who have a habit of eating hot and cold food have a higher frequency of brushing their teeth every day, and the difference is statistically significant (p 0.05). Non smokers have a better habit of brushing their teeth before bedtime and a higher frequency of timely replacement when their toothbrush deforms, with a statistically significant difference (p 0.05). The frequency of using fluoride toothpaste or medicated toothpaste, having a habit of unilateral chewing, and timely replacement of toothbrushes when deformed in patients with existing oral problems is higher than that of those without oral problems, and the difference is statistically significant (p 0.05). Conclusion: The knowledge, attitude, and behavior of oral health among medical students in this school are above average. Students with different genders, dietary and smoking habits, and oral health status have different oral health behavioral habits. It is recommended to include oral health education in mandatory courses for various medical majors.
文摘Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationship between general conditions (personal, social, and environment, clinical factors) and their knowledge, attitude, and practices (KAP) of diabetes self-management, This aims to provide patients with high-quality nursing care management and services, as well as to provide relevant recommendations for effective self-management. Methods: This study is a descriptive correlational study that used the purposive sampling method to investigate 359 patients with T2DM aged 18-25 years in four designated tertiary hospitals in Shandong Province. Results: Knowledge of self-management was correlated with sex, age, education level, occupation and work situation, monthly household income, medical payment method, family and friend support, frequency of diabetes health education, and diabetes complications. The attitude subscale was correlated with sex, age, education level, work situation, and family and friend support. The practice subscale was associated with age, education level, work situation, family and friend support, frequency of diabetes health education, and HbA1c values. Conclusion: Young adults aged 18-25 with T2DM have positive attitudes towards diabetes self-management, but there are still deficiencies in knowledge acquisition and behavioral practice. The KAP of self-management of diabetes is influenced by personal factors such as sex, age, and education level, and socio-environmental factors such as family income and family or friends’ social support. Additionally, clinical factors such as complications and HbA1c values significantly impacted the patient’s disease self-management ability.
文摘Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.
文摘Objective:To investigate the effect of an information-knowledge-attitude-practice(IKAP)nursing intervention on the caregiving capacity of family caregivers of elderly dementia patients.Methods:Sixty-nine family caregivers of elderly dementia patients attending the neurology outpatient clinic of a hospital between October 2024 and March 2025 were selected.They were randomly divided into a control group(n=35)and an observation group(n=34).The control group received routine health education,while the observation group additionally underwent a systematic Information-Knowledge-Attitude-Practice(IKAP)nursing intervention.Care competence and self-efficacy scores were compared between groups before intervention and after 12 weeks.Results:Pre-intervention,no statistically significant difference existed in care competence or self-efficacy scores between groups(p>0.05).Following the 12-week intervention,all scores significantly increased in both groups,with the observation group demonstrating superior outcomes compared to the control group(p<0.001).Conclusion:The care intervention program based on the IKAP model effectively enhances caregivers’care competence and self-efficacy,thereby positively promoting the quality of life for patients with dementia.
文摘Objective:To analyze the nursing effect of implementing continuous nursing combined with knowledge,attitude,and practice(KAP)intervention under the guidance of interactive goal-setting theory for patients with gestational diabetes mellitus(GDM).Methods:A total of 68 patients with GDM who were admitted to the hospital between December 2021 and December 2023 were selected and randomly divided into two groups using a random number table.The combined group(34 cases)received continuous nursing combined with KAP intervention under the premise of interactive goal-setting theory,while the conventional group(34 cases)received routine nursing care.Blood glucose control,health behavior scores,and other indicators were compared between the two groups.Results:After nursing,the blood glucose level in the combined group was lower than that in the conventional group,and the scores for health behavior and self-management ability were higher than those in the conventional group(P<0.05).Conclusion:Combined nursing can improve blood glucose control in patients with GDM,standardize their health behaviors,and cultivate their self-management skills.
基金Supported by Basic scientific research industry of Heilongjiang Provincial undergraduate universities in 2019,No.2019-KYYWF-1213.
文摘BACKGROUND Cerebrovascular disease(CVD)poses a serious threat to human health and safety.Thus,developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with CVD.Studies have shown that predictive nursing can improve the quality of care and that the information–knowledge–attitude–practice(IKAP)nursing model has a positive impact on patients who suffered a stroke.Few studies have combined these two nursing models to treat CVD.AIM To explore the effect of the IKAP nursing model combined with predictive nursing on the Fugl–Meyer motor function(FMA)score,Barthel index score,and disease knowledge mastery rate in patients with CVD.METHODS A total of 140 patients with CVD treated at our hospital between December 2019 and September 2021 were randomly divided into two groups,with 70 patients in each.The control group received routine nursing,while the observation group received the IKAP nursing model combined with predictive nursing.Both groups were observed for self-care ability,motor function,and disease knowledge mastery rate after one month of nursing.RESULTS There was no clear difference between the Barthel index and FMA scores of the two groups before nursing(P>0.05);however,their scores increased after nursing.This increase was more apparent in the observation group,and the difference was statistically significant(P<0.05).The rates of disease knowledge mastery,timely medication,appropriate exercise,and reasonable diet were significantly higher in the observation group than in the control group(P<0.05).The satisfaction rate in the observation group(97.14%)was significantly higher than that in the control group(81.43%;P<0.05).CONCLUSION The IKAP nursing model,combined with predictive nursing,is more effective than routine nursing in the care of patients with CVD,and it can significantly improve the Barthel index and FMA scores with better knowledge acquisition,as well as produce high satisfaction in patients.Moreover,they can be widely used in the clinical setting.
基金Supported by the grant from the Master's Scientific Fund Project of Education Department of Yunnan Province(No.2020Y0583)the Yunnan Provincial University Joint Fund(No.2018FH001-073).
文摘BACKGROUND Breast cancer has the highest incidence of all global cancers.Recent data show that breast cancer is becoming more prevalent in the younger population.Therefore,preventing breast cancer in young populations is a significant priority for public health.Relevant investigations of the incidence of breast cancer in young females have already been undertaken in China;however,none of these previous studies investigated the awareness of female college students with regards to breast cancer.AIM To investigate the knowledge,attitude,and practice(KAP)of female college students in Yunnan with regards to breast cancer and a series of influential factors.METHODS A random sample of 1387 female college students from two universities in Dali city were investigated by questionnaires.RESULTS The total KAP scores for breast cancer were 9.86±2.50,3.19±2.01 and 13.31±2.49,respectively.Multiple linear regression analysis showed that educational grade was the most significant influential factor underlying the level of knowledge female college students had with regards to the treatment of breast cancer(P<0.05).Registered residence and educational grade were the most significant factors that influenced attitude(P<0.05).Age,registered residence,grade and major,were the most significant factors that influenced behavior(P<0.05).The KAP of female college students in western Yunnan with regards to breast cancer were low.CONCLUSION There is an urgent need to provide standardized publicity and educational strategies in China to improve the knowledge,attitude,and practice,of college students with regards to breast cancer.
文摘Agroecological practices are promoted as a more proactive approach than conventional agriculture to achieving a collective global response to climate change and variability while building robust and resilient agricultural systems to meet food needs and protect the integrity of ecosystems.There is relatively limited evidence on the key traditional agroecological knowledge and practices adopted by smallholder farmers,the factors that influence smallholder farmers’decision to adopt these practices,and the opportunities it presents for building resilient agricultural systems.Using a multi-scale mixed method approach,we conducted key informant interviews(n=12),focus group discussions(n=5),and questionnaire surveys(N=220)to explore the traditional agroecological knowledge and practices,the influencing factors,and the opportunities smallholder farmers presented for achieving resilient agricultural systems.Our findings suggest that smallholder farmers employ a suite of traditional agroecological knowledge and practices to enhance food security,combat climate change,and build resilient agricultural systems.The most important traditional agroecological knowledge and practices in the study area comprise cultivating leguminous crops,mixed crop-livestock systems,and crop rotation,with Relative Importance Index(RII)values of 0.710,0.708,and 0.695,respectively.It is reported that the choice of these practices by smallholder farmers is influenced by their own farming experience,access to market,access to local resources,information,and expertise,and the perceived risk of climate change.Moreover,the results further show that improving household food security and nutrition,improving soil quality,control of pest and disease infestation,and support from NonGovernmental Organizations(NGOs)and local authorities are opportunities for smallholder farmers in adopting traditional agroecological knowledge and practices for achieving resilient agricultural systems.The findings call into question the need for stakeholders and policy-makers at all levels to develop capacity and increase the awareness of traditional agroecological knowledge and practices as mechanisms to ensure resilient agricultural systems for sustainable food security.
文摘The aim of this research was to assess the knowledge and practices of radiological versus non-radiological health professionals on the optimisation of radiation protection in paediatric and adult radiology in BUKAVU hospitals. To achieve this, we surveyed a convenience sample of 73 health professionals including 23 radiologists working in the hospitals surveyed to assess knowledge and level of implementation of radiation protection principles. Also, physical parameters were taken for the calculation of entry doses in paediatric and adult radiology units for comparison with the International Commission on Radiological Protection (ICRP) diagnostic reference levels. After analysis of the data, the following was found: although radiologists have sufficient knowledge of radiation protection standards, technical constraints do not allow them to observe the dose limitation principle recommended by the ICRP. This is why several radiology departments, including those of the HPGRB, the MWANZI clinic and CIRIRI hospital, have proved to be very irradiating for children. However, radiologists and non-radiologists alike do not contribute positively to the optimisation of radiation protection in the diagnostic use of X-rays. Therefore, support in the implementation of radiation protection principles and regular monitoring of the units as well as replacement of non-standard equipment is necessary to promote patient and environmental safety by optimising radiation protection.
文摘<strong>Introduction:</strong> Timely availability of safe blood or blood products is essential for all health care facilities where transfusion occurs, but in many developing and transitional countries, there is still a considerable gap between the need for blood and the supply available. The overall objective was to study knowledge attitudes, practices, and factors influencing blood donation in the general population in Senegal. <strong>Methods:</strong> This was a cross-sectional descriptive and analytical study conducted among the Fatick health district population from April 1 to 15, 2019. Thus, the sample is based on a two-stage survey. Data collection was conducted through a questionnaire designed, pretested, and administered to 466 people by selected and trained enumerators. The data collected on the smartphone was analyzed using Epi Info 7.2.1.0 software. A descriptive and bivariate analysis was performed with a 5% risk of alpha error. <strong>Results:</strong> The average age of respondents was 35 years (±13), with 34 years (±12) for women and 38 years (±15) for men, and more than half of them between 20 and 40 years of age. A proportion of 87% of respondents lived in rural areas and had agriculture as their primary income source. More than half of the individuals (70%) were married, and 68% were educated. The level of knowledge of individuals about blood donation was low at 91.8%. On the other hand, more than half of them had good habits (53.65%). A proportion of 68.0% of individuals had an intention to donate in the future. However, only 24.68% of the population surveyed had already donated blood. Eighty percent of the donations were voluntary. However, 26.09% had repeated this practice. Factors that could influence the practice of blood donation were age, male sex (ORb = 2.18 [1.40 - 3. 37]), high level of education, good knowledge of blood donation (ORb = 2.14 [1.07 - 4.26]), the existence of a relatives donor (ORb = 3.4 [2.19 - 5.26]) and individuals who did not necessarily require permission from a parent or spouse (ORb = 3.37 [2.13 - 5.31]). <strong>Conclusion:</strong> It is necessary to develop mass communication and proximity strategies, also strengthen the blood bank in terms of human resources and logistics to increase voluntary blood donations in the district. An increase and better planning of mobile clinic outings can facilitate and improve voluntary blood donation by improving accessibility to this service.
文摘<strong>Introduction</strong><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">: Appropriate feeding and consequently good nutritional status </span><span><span style="font-family:Verdana;">of young children largely depends on their caregivers. </span><b><span style="font-family:Verdana;">Aim</span></b><span style="font-family:Verdana;">: The current</span></span><span style="font-family:Verdana;"> study aimed at assessing maternal/caregivers’ current knowledge, attitudes, practices, and beliefs regarding different aspects of infant and young child feeding in Eastern and Central Uganda. </span><b><span style="font-family:Verdana;">Methodology</span></b><span style="font-family:Verdana;">: A cross-sectional survey design with mixed methods employing both qualitative and quantitative methods was used for data collection. </span><b><span style="font-family:Verdana;">Results</span></b><span style="font-family:Verdana;">: The study participants included 556 caregivers and 572 children. Results indicate that most caregivers (77%) were knowledgeable about key infant and young child feeding practices such as breastfeeding, complementary feeding and meal frequency. However, culture </span><span><span style="font-family:Verdana;">and economic hardships were</span><span style="color:red;"> </span><span style="font-family:Verdana;">a major barrier to the applicability of this</span></span><span style="font-family:Verdana;"> knowledge. Nearly all (98%) children were ever breastfed with 41% having been initiated on breast milk in the first hour after birth and 68% of all the children below 6 months exclusively breastfed. Three percent of the children aged 6 - 23 months were classified as having either Moderate (2%) or Severe (1%) Acute malnutrition. The median birth weight was 3.2</span></span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">Kgs with nine percent of the children classified as underweight at birth. The majority (78%) of the children consumed foods from at least four food groups however only </span><span style="font-family:Verdana;">44% consumed heme-rich animal flesh food such as meat, poultry, organ</span><span style="font-family:Verdana;"> meats and fish, 29% consumed milk and milk products while only 11% consumed eggs. The barriers to improved nutritional status and health-seeking</span><span style="color:red;"> </span><span style="font-family:Verdana;">behaviour in children from both regions were largely similar. Some of these included cultural practices which prohibit children from eating certain foods and lack of drugs in the health facilities. Lack of male involvement was a key barrier to health-seeking behaviour and the nutritional well-being of children. Males were, however, more knowledgeable about the key childcare practices that are critical to positive outcomes because they listen to radios, have access to social media and usually congregate at bars where this information is disseminated and exchanged. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> There should be continuous sensitization of mothers on the benefits of breastfeeding with special focus on early initiation and exclusive breastfeeding as well as child feeding practices during ill</span><span style="font-family:Verdana;">ness. To increase protein intake in children 6 - 23 months, interventions </span><span style="font-family:Verdana;">aimed at increasing consumption of these vital nutrients such as promotion of nutrition-sensitive agricultural enterprises like rearing of small livestock and chickens should be emphasized. Consumption of these foods is critical, especially during pregnancy and infancy. Finally, male involvement in maternal and child feeding should be encouraged.</span></span></span></span>
文摘Background: Maternal-fetal transmission is the most frequent mode of hepatitis B virus (HBV) contamination in Africa. Prevention of mother-to-child transmission (PMTCT) of hepatitis B is still poorly understood, and training of the health workers involved, such as midwives, is rare. Objective: The aim of this study was to assess the knowledge and practices of midwives prevention of HBV’ mother-to-child transmission (PMTCT) in Brazzaville. Patients and Methods: This was a cross-sectional analytical study conducted in Brazzaville from June 1 to July 31, 2023. Midwives present at the time of the survey in the various Brazzaville health centers visited and who agreed to answer the questionnaire during a face-to-face interview with the investigator were included. Univariate analyses were performed using epi info7.2 software. Pearson’s chi-square and Student’s t-tests were used to compare proportions and means, which were significant at the 0.05 level. Results: At the end of our study, 93 midwives out of 127 agreed to take part in the study, i.e. a participation rate of 73.2%. Their median age was of 41.7 years, a median professional experience of 13.7 years, and they worked mainly in primary health care facilities. Global knowledge of HBV PMTCT was satisfactory in 51 (54.3%) midwives. Knowledge of the HBV vaccine was significantly related to professional experience (p = 0.0167). PMTCT practice was poor in 48 (51.6%) cases. Overall, the practice of PMTCT was statistically associated with the midwives’ place of practice (p = 0.0262). Conclusion: Midwives had good knowledge but insufficient practice of PMTCT in Brazzaville. Training and awareness-raising are needed to reduce mother-to-child transmission of HBV.
文摘Introduction: In El Salvador Mosquito Borne Diseases (MBDs) is a serious public health problem due to produce morbidity and mortality. They produce a high economic loss, which contributes to the collapse of the public health system. Over the years, the Salvadoran public health system has invested large amounts of resources to minimize the problem through campaigns against MBDs. Despite this, the population is still affected by diseases such as dengue, and more recently chikungunya and zika outbreaks. The aim of this study is to evaluate sanitation conditions variables and identify knowledge, attitudes, practices related to the prevention of MBDs. Methods: A cross-sectional survey about sanitation conditions and knowledge, attitudes and practices on prevention of MBDs of inhabitant’s ≥ 15 years from an urban community of a municipality with the highest number of cases reported in 2015. Results: Majority of respondents (98.2%) had direct supply of drinking water;however 96.4% of respondents were agreed that they had an inconsistent water supply. Regarding MBDs prevention respondents showed high acceptable knowledge (76.8%), high favorable attitude (92.1%) and an acceptable implementation of practices toward prevention reproduction of mosquitoes (58.5%) and a poor implementation of practices to prevent mosquito bites (38.3%). Conclusions: The findings revealed high acceptable knowledge about MBDs and a high favorable attitude regarding to prevent them, but also revealed a scarce implementation of prevention practices. The generalized storage of water on non-covered barrels because the inconsistent water supplies, can be source of proliferation of mosquitoes and therefore increases the risk of transmission of MBDs. High population density of the community can magnify this risk. It is necessary to enhance education to promote better implementation of practices using the most common media together with the local health workers.
文摘Objective: this paper aims to investigate the status quo of knowledge, attitude, practice of medical safety of the elderly with chronic diseases in the community, and analyze the factors affecting the knowledge, attitude, practice of medical safety of the elderly with chronic diseases, in order to provide basis for improving the medication safety of the elderly with chronic diseases in the community. Methods: the elderly with chronic diseases in three communities in Mengyin County of Shandong Province were selected as the subjects of this survey by convenient sampling. The medication safety survey was conducted in three dimensions: medication safety knowledge, attitude and compliance. Results: the scores of knowledge, attitude and compliance of drug use safety in this survey were 62%, 45% and 48% respectively. The knowledge, attitude and behavior of drug use safety were at the lower level. Among the influencing factors of knowledge, attitude, practice of medical safety, the factors with statistical significance (P < 0.05) are gender, educational level, monthly income, insurance type and previous occupation of elderly patients with chronic diseases. Conclusion: more attention should be paid to the medication safety of elderly patients with chronic diseases, especially the medication safety and health education for women, low income, low proportion of insurance reimbursement, previous physical labor, low educational level, etc. to promote the medication safety of elderly patients with chronic diseases in the community.
文摘Introduction: Neonatal mortality remains a major concern in West Africa, and exclusive breastfeeding is recognized as a crucial intervention to promote newborn survival. This study aims to identify the factors influencing the practice of exclusive breastfeeding among mothers, as well as the perceptions of fathers, in the Boulmiougou health district. Method: This cross-sectional mixed study was conducted between May and July 2022, involving 471 mothers and 103 fathers of children under one year of age. Questionnaires and interviews were used to collect data. Results: The practice of exclusive breastfeeding was observed in 44.6% of mothers surveyed. Logistic regression analysis revealed that mothers older than 26 years have a significantly higher chance of exclusive breastfeeding [adjusted OR = 1.7;95% CI: (1.098 - 2.685);p = 0.019] compared to mothers under 26 years of age. Similarly, mothers with at least three antenatal visits were 2.715 times more likely to perform exclusive breastfeeding than those with less than three antenatal visits [adjusted OR = 2.715, 95% CI: (1.184 - 6.225);p = 0.018]. The vast majority of fathers (76.7%) were informed about exclusive breastfeeding, and 59.5% had a correct definition. The analysis of the father’s perception highlighted a stronger focus on traditional practices in 90.3% of cases than on medical recommendations. Conclusion: In light of these results, it is essential to increase sessions to raise awareness and involve men throughout pregnancy, childbirth and early childhood monitoring about the many benefits of exclusive breastfeeding.
