scholarly journals The study on knowledge - attitude - practice of primarycare physician toward anticoagulant therapy in patients with Non-valvular atrial fibrillation in Shanghai of China

2020 ◽  
Author(s):  
Shasha Ye ◽  
Tianhao Wang ◽  
Arthur Liu ◽  
Ying Yu ◽  
Zhigang Pan ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Anticoagulant Therapy ◽  
Work Experience ◽  
Primary Care Physicians ◽  
Educational Interventions ◽  
Cluster Sampling ◽  
Primary Role ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Abstract Background: As the large number of Community Health Service (CHS) centers in China face the majority of non-valvular atrial fibrillation (NVAF) patients, primary care physicians (PCPs) play the primary role in the prevention of embolization. Therefore，an awareness of anticoagulant management in NVAF patients must be brought into focus among PCPs in China. This study will investigate PCPs’ Knowledge, Attitude and Practice toward anticoagulant therapy in patients with NVAF and help PCPs increase their awareness of oral anticoagulant (OAC) therapy for NVAF to prevent embolization. Method: This was a cross-sectional observational study of 462 PCPs in CHS centers across Shanghai. We used a self-administered questionnaire to collect data from September to December 2017. A stratified random cluster sampling was adopted in the 90 CHS centers with the family medicine residency program. Result: Among 462 participants, 69.3% (320/462) of females got a medical bachelor’s degree and over 50% participants had more than 10 years of work experience. According to similar study, each section for knowledge, attitude, and practice were categorized as poor (≤39.0%), fair (40.0%–69.0%), and good (≥70.0%) [18] . The level of knowledge of OAC therapy in patients with NVAF among PCPs was insufficient in over half (75.8%) of participants. The majority (89.8%) of PCPs had a positive attitude and 68.0% had modest performance in the anticoagulant management of patients with NVAF. Conclusion: The knowledge and behaviors of PCPs were insufficient in OAC therapy to prevent embolization in patients with NVAF. The study also revealed there is good potential for PCPs’ educational interventions to positively impact on the care of patients with NVAF.

scholarly journals The study on knowledge-attitude-practice of primary care physician toward anticoagulant therapy in patients with Non-valvular atrial fibrillation in Shanghai of China

2020 ◽  
Author(s):  
Shasha Ye ◽  
Tianhao Wang ◽  
Arthur Liu ◽  
Ying Yu ◽  
Zhigang Pan ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Primary Care ◽  
Anticoagulant Therapy ◽  
Work Experience ◽  
Primary Care Physicians ◽  
Educational Interventions ◽  
Cluster Sampling ◽  
Primary Role ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Abstract Background: As the large number of Community Health Service (CHS) centers in China face the majority of non-valvular atrial fibrillation (NVAF) patients, primary care physicians (PCPs) play the primary role in the prevention of embolization. Therefore，an awareness of anticoagulant management in NVAF patients must be brought into focus among PCPs in China. This study will investigate PCPs’ Knowledge, Attitude and Practice toward anticoagulant therapy in patients with NVAF and help PCPs increase their awareness of oral anticoagulant (OAC) therapy for NVAF to prevent embolization.Method: This was a cross-sectional observational study of 462 PCPs in CHS centers across Shanghai. We used a self-administered questionnaire to collect data from September to December 2017. A stratified random cluster sampling was adopted in the 90 CHS centers with the family medicine residency program. Result: Among 462 participants, 69.3% (320/462) of females got a medical bachelor’s degree and over 50% participants had more than 10 years of work experience. According to similar study, each section for knowledge, attitude, and practice were categorized as poor (≤39.0%), fair (40.0%–69.0%), and good (≥70.0%)[18]. The level of knowledge of OAC therapy in patients with NVAF among PCPs was insufficient in over half (75.8%) of participants. The majority (89.8%) of PCPs had a positive attitude and 68.0% had modest performance in the anticoagulant management of patients with NVAF. Conclusion: The knowledge and behaviors of PCPs were insufficient in OAC therapy to prevent embolization in patients with NVAF. The study also revealed there is good potential for PCPs’ educational interventions to positively impact on the care of patients with NVAF.

scholarly journals A study of knowledge, attitudes, and practices of primary care physicians toward anticoagulant therapy in patients with non-valvular atrial fibrillation in Shanghai, China

2020 ◽  
Author(s):  
Shasha Ye ◽  
Tianhao Wang ◽  
Arthur Liu ◽  
Ying Yu ◽  
Zhigang Pan ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Primary Care ◽  
Anticoagulant Therapy ◽  
Work Experience ◽  
Primary Care Physicians ◽  
Educational Interventions ◽  
Cluster Sampling ◽  
Primary Role ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Abstract Background:As a large number of Community Health Service (CHS) centers in China face the majority of patients with non-valvular atrial fibrillation (NVAF), primary care physicians (PCPs) play a primary role in the prevention of embolization. Therefore, an awareness of anticoagulant management in patients with NVAF must be brought into focus among PCPs in China. This study investigated PCPs’ knowledge, attitudes, and practices toward anticoagulant therapy in patients with NVAF, to help them understand their shortcomings regarding oral anticoagulant (OAC) therapy in preventing embolization.Method:This was a cross-sectional observational study of 462 PCPs in CHS centers across Shanghai. We used a self-administered questionnaire to collect data from September to December 2017. A stratified random cluster sampling was adopted in the 90 CHS centers with the family medicine residency program.Result:Among 462 participants, 69.3% (320/462) of females received a medical bachelor’s degree and over 50% of participants had more than 10 years of work experience. Each section for knowledge, attitude, and practice were categorized as poor (≤39.0%), fair (40.0%–69.0%), and good (≥70.0%). The level of knowledge of OAC therapy for patients with NVAF among PCPs was insufficient in over half (75.8%) of the participants. The majority (89.8%) of PCPs had a positive attitude and 68.0% had modest performance in the anticoagulant management of patients with NVAF.Conclusions: The knowledge and behaviors of PCPs were insufficient for OAC therapy to prevent embolization in patients with NVAF. The study also revealed that there is good potential for PCPs’ educational interventions to positively impact the care of patients with NVAF.

scholarly journals The study on knowledge-attitude-practice of primary care physician toward anticoagulants therapy in Non-valvular atrial fibrillation patients in Shanghai of China

2020 ◽  
Author(s):  
Shasha Ye ◽  
Tianhao Wang ◽  
Arthur Liu ◽  
Ying Yu ◽  
Zhigang Pan ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Primary Care ◽  
Work Experience ◽  
Primary Care Physicians ◽  
Care Physician ◽  
Bachelor's Degree ◽  
Cluster Sampling ◽  
Primary Role ◽  
Cross Sectional ◽  
Positive Attitudes

Abstract Background As the large number of CHS centers in China face the majority of NVAF patients, primary care physicians (PCPs) play the primary role in the prevention of embolization. Therefore, an awareness of anticoagulant management in NVAF patients must be brought into focus among PCPs in China. This study will help primary care physicians (PCPs) increase their awareness of oral anticoagulant (OAC) therapy for non-valvular atrial fibrillation (NVAF) to prevent embolization.Method This was a cross-sectional observational study of 462 PCPs in community health service (CHS) centers across Shanghai. We used a self-administered questionnaire to collect data from September to December 2017. A stratified random cluster sampling was adopted in the 90 CHS centers with the family medicine residency program.Result Among 462 participants, 69.3% (320/462) of females with a medical bachelor’s degree and more than 10 years of work experience predominated in the 30 to 49 years of age group. The mean score for “knowledge,” “attitude” and “practices” of OAC therapy in NVAF patients among PCPs was 3.68±2.752, 53.62±7.148, and 37.63±10.336, respectively. The level of knowledge of OAC therapy in NVAF patients among PCPs was insufficient in over half (75.8%) of participants. The majority (89.8%) of PCPs had a positive attitude and 68.0% had modest performance in the anticoagulant management of NVAF patients.Conclusion The knowledge and behaviors of PCPs were insufficient in OAC therapy to prevent embolization in NVAF patients. The study also revealed the positive attitudes of participants, and their desire to learn the latest knowledge of OAC therapy.

scholarly journals Relationship Between Sociodemographic Backgrounds And Mothers' Oral Health Knowledge, Attitude And Practice Of Their Preschool Children

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Syarifah Haizan Sayed Kamar ◽  
Noor Inani Jelani ◽  
Noraini Mohamad Nor
Keyword(s):  
Preschool Children ◽  
Oral Health ◽  
Health Knowledge ◽  
Further Education ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Oral Health Knowledge ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice ◽  
Children’S Oral Health

Introduction: Mothers play important roles in their children's oral health. The aim of this study is to determine the relationship between mothers’ sociodemographic backgrounds and their oral health knowledge, attitude and practice of their preschool children. Materials and Methods: A cross sectional study was conducted among 149 mothers of 4 to 6-year-old preschool children from selected kindergartens. Stratified cluster sampling was done to select kindergartens from urban and suburban areas in Kuantan, Pahang. Knowledge and attitude of mothers were assessed using selfadministered questionnaires and children's oral health practice was recorded using three days tooth brushing diary. Data were analyzed using SPSS version 16.0. Results: Mothers had high oral health knowledge (Mean score 73.6%, SD 1.3%) and attitude (Mean score 73.2%, SD 2.4%) scores. Significant relationships were reported between mothers' oral health knowledge and age (p=0.037), educational status (p0.05). Conclusion(s): Lack of further education, low household income and living further away from the city contributed to low oral health knowledge and poor oral health attitude among mothers, towards their preschool children. Younger mothers had lower oral health knowledge, whereas older mothers had poorer oral health attitude.

scholarly journals Assessment of Knowledge, Attitude, and Practice of Iranian Nurses towards Toothbrush Maintenance and Use

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Mohammad Nazarianpirdosti ◽  
Maryam Janatolmakan ◽  
Bahare Andayeshgar ◽  
Alireza khatony
Keyword(s):  
Work Experience ◽  
Role Model ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Practice ◽  
Training Courses ◽  
Knowledge Attitude And Practice ◽  
Nurses Knowledge

Background. Since nurses are considered a role model in society, they should have sufficient knowledge, attitude, and practice in the field of oral hygiene. This study was aimed to assess the nurses’ knowledge, practice, and attitude towards toothbrush maintenance and use. Methods. In this cross-sectional study, 325 nurses working in hospitals affiliated to Kermanshah University of Medical Sciences were randomly recruited. Data collection tools included a demographic information form and a researcher-made questionnaire on knowledge, attitude, and practice regarding toothbrush maintenance and use. Data were analyzed by SPSS software using descriptive and inferential statistics (Mann–Whitney U and Kruskal–Wallis H). Results. The mean scores of nurses’ knowledge, attitude, and practice were 59.2 ± 16.4, 64.2 ± 20.6, and 51.4 ± 17.0 out of 100, respectively. There was no statistically significant relation between nurses’ knowledge, attitude, and practice and their gender, age, level of education, and work experience. Conclusions. Nurses had moderate knowledge, attitude, and practice regarding toothbrush maintenance and use, which is not very desirable given their role model. Therefore, training courses are recommended to be held to increase the nurses’ knowledge, attitude, and practice regarding toothbrush maintenance and use.

scholarly journals Knowledge, attitude and practice of antibiotics and their determinants in Eritrea: an urban population-based survey

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e046432
Author(s):  
Mulugeta Russom ◽  
Merhawi Bahta ◽  
Merhawi Debesai ◽  
Iyassu Bahta ◽  
Abrahalei Kessete ◽  
...  
Keyword(s):  
Urban Population ◽  
Processing System ◽  
Negative Attitude ◽  
Population Based ◽  
Secondary Outcome ◽  
Cluster Sampling ◽  
Secondary Outcome Measure ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

ObjectiveTo measure knowledge, attitude and practice of antibiotics and antibiotic resistance (ABR) and their determinants in the Eritrean urban population.DesignA population-based, nation-wide, cross-sectional study.SettingUrban settings of Eritrea.ParticipantsMembers of the general public aged ≥18 years and living in 13 urban places of Eritrea. Three-stage stratified cluster sampling was used to select the study participants.Data collection and analysisDate were collected from July 2019 to September 2019 in a face-to-face interview using a structured questionnaire. The collected data were double entered and analysed using Census and Survey Processing system (V.7.0) and SPSS (V.23), respectively. Descriptive statistics, χ2 test, t-tests, analysis of variance, factorial analysis and multivariable logistic regression were performed. All analyses were weighted and p<0.05 was considered significant.Primary and secondary outcome measuresMain outcome variables were knowledge, attitude and practice of antibiotics and ABR. Secondary outcome measure was the determinants of knowledge, attitude and practice.ResultsA total of 2477 adults were interviewed. The mean score of knowledge and attitude of antibiotics and ABR was 10.36/20 (SD=3.51, minimum=0 and maximum=20) and 22.34/30 (SD=3.59, minimum=6 and maximum=30), respectively. Of those who used antibiotics, the proportion of at least one inappropriate practice (use of antibiotics without prescription and/or discontinuation of prescribed antibiotics before completing the full course) was 23.8%. Young age <24 years (adjusted odds ratio (AOR)=1.61, 95% CI: 1.08 to 2.41), male sex (AOR=1.48, 95% CI: 1.14 to 1.91), higher level of education (AOR=1.76, 95% CI: 1.08 to 2.88), and negative attitude towards appropriate use of antibiotics (AOR=0.95, 95% CI: 0.92 to 0.97) were found to be the significant determinants of inappropriate practice of antibiotics.ConclusionThe gap in knowledge and inappropriate practice of antibiotics in the Eritrean urban population was widespread; requiring immediate attention from policy-makers and healthcare professionals.

scholarly journals Assessment of Knowledge, Attitude, and Practice toward Antibiotic Use among Harar City and Its Surrounding Community, Eastern Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
ALemnesh Jifar ◽  
Yohanes Ayele
Keyword(s):  
Antibiotic Use ◽  
Educational Interventions ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Full Dose ◽  
Attitude And Practice ◽  
Antibiotics Use ◽  
Knowledge And Attitude ◽  
Knowledge Attitude And Practice

Purpose. Community plays significant role in the process of emergence and spread of antibiotic resistance. The aim of this study is to assess knowledge, attitude, and practice toward antibiotic use among Harar city and its surrounding community, Eastern Ethiopia. Patient and Methods. A cross-sectional study was conducted among 384 subjects from February 1 to May 1, 2017, through interview using pretested structured questionnaires. The data was entered into EpiData 3.1 and analyzed using Statistical Package for Social Science for windows version 20. Results. A large number of the respondents (83%) replied that antibiotics speed up the recovery from coughs and colds. The majority of participants (78.4%) agreed that the unnecessarily use of antibiotics can increase the resistance of bacteria. Many respondents agreed on the importance of taking full dose (92.1%) and not to keep antibiotics for future use in their home (87.2%). They (90%) also had belief that antibiotics should not be shared from family or friends without a physician consultation and significant participants (73.1%) emphasized on the need for prescription to collect antibiotics from pharmacy. Around 79% of the subjects reported the use of antibiotic 1 year prior to study period at least once. During this period many subjects (65.3%) self-prescribed antibiotics without consulting physicians. Conclusion. In the present study, widespread use of antibiotics was reported, most of this antibiotics being accessed without prescription. Respondent exhibited poor knowledge and attitude toward antibiotics use. There were also malpractices such as failing to take full dose. Therefore, educational interventions on antibiotics use and its association with drug resistance are needed to promote judicious use of antibiotic. Introducing and enforcing antibiotics regulations should be also considered to reduce antibiotics self-prescription.

scholarly journals Evaluating Knowledge, Attitude and Practice of General Dentists in Yazd about Fissure Sealant in 1396

2019 ◽  
Author(s):  
Niloofar Halvani ◽  
Zahra Bahrololoomi ◽  
Ali Sarchami ◽  
Fatemeh Zarebidoki
Keyword(s):  
Work Experience ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
P Value ◽  
Cross Sectional ◽  
Fissure Sealant ◽  
Attitude And Practice ◽  
Significant Difference ◽  
General Dentists ◽  
Knowledge Attitude And Practice

Introduction: Fissure sealant is one of the most important and effective preventing techniques. Having proper information and guidelines is the most important factors for the success of treatment. Therefore, in this study, the knowledge, attitude and practice of general dentists about fissure sealant in Yazd in 2017 were evaluated. Methods: A descriptive cross-sectional study was conducted by a questionnaire in which 140 general dentists were investigated in Yazd. The questionnaire consisted of demographic information, 9 questions about awareness of the issue of Fissure sealant, 4 questions about people's attitude and 7 questions about their practice. After gathering the data, they were analyzed by SPSS 20 version 18 software and ANOVA test. Results: The results of the study showed that the majority of General dentists had a good knowledge (85.72%), their attitude level (77.14%) and performance (85%) were moderate. There was a significant difference in knowledge (P-value = 0.004) and practice (P-value = 0.000) levels in age group and work experience, but there was no significant difference in attitude level (P-value = 0.980). Conclusion: According to the results, the knowledge of dentists in Yazd seems to be good in most cases, but their attitudes and practice are moderate and in some cases poor, despite having good knowledge, the results indicate that they are not up to date with new information and resources. This indicates the need to train new resources in retraining courses with emphasis on functional weaknesses and dentists' awareness.

scholarly journals Knowledge, attitude and practice immediately before and following a three-day workshop on ‘Strategies for reducing antimicrobial resistance and promoting rational use of antimicrobials’

2020 ◽  
Author(s):  
Nisha Jha ◽  
Pathiyil Ravi Shankar ◽  
Shital Bhandary
Keyword(s):  
Antimicrobial Resistance ◽  
Work Experience ◽  
Cross Sectional Study ◽  
Infection Prevention And Control ◽  
Post Intervention ◽  
Cross Sectional ◽  
Rational Use ◽  
Attitude And Practice ◽  
Before And After ◽  
Knowledge Attitude And Practice

Abstract Context: Antimicrobials are commonly used worldwide. Reducing antimicrobial resistance (AMR) is an urgent matter to be addressed. Aims: The study aimed to measure knowledge, attitude and practice (KAP) of participants before and after a three-day workshop on various strategies towards reducing antimicrobial resistance and promoting rational use of antimicrobials.Settings and Design: The cross-sectional study was conducted during the workshop held from 17th to 19th April 2019 at a medical college in Nepal.Methods and Material:There were 33 participants. KAP scores were measured immediately before and after the workshop. A questionnaire containing twelve sections related to various themes of the workshop was developed. Feedback regarding each session was also obtained from all the participants.Statistical analysis used: Mean scores were compared among participants before and after the workshop. The ratings for individual sessions were also calculated. Results: Maximum participants were 26-30 years of age and 22(66.7%) were males. Maximum participants, 19(57.6%) were having less than five years work experience. Post intervention scores improved for six out of twelve sessions - rational use of antimicrobials, infection prevention and control for limiting AMR, monitoring the use of antimicrobials in Nepal, effectiveness of various programs to prevent AMR, familiarizing with microbes to tackle AMR, and role of government, media and other organizations for preventing AMR.Conclusions: Excessive use of antimicrobials can lead to problems like AMR. The three-day workshop was effective in increasing the KAP scores of the participants and may lead to more rational use of antimicrobials.

scholarly journals Knowledge, attitude and practice regarding COVID-19 among healthcare workers in Chitwan, Nepal

2020 ◽  
Author(s):  
Richa Nepal ◽  
Kalyan Sapkota ◽  
Kalidas Adhikari ◽  
Pramod Paudel ◽  
Bhojraj Adhikari ◽  
...  
Keyword(s):  
Work Experience ◽  
Healthcare Workers ◽  
Positive Attitude ◽  
Cross Sectional Study ◽  
P Value ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge And Practice ◽  
Knowledge Attitude And Practice

Abstract Background COVID-19 is a viral respiratory disease that was recently recognized in humans. The number of COVID-19 cases has been gradually increasing in Nepal. The objective of this study was to evaluate knowledge, attitude and practice regarding COVID-19 among healthcare workers in Chitwan, one of the districts located in central Nepal. Methods It was a cross-sectional study conducted among healthcare workers from various health institutions located in Chitwan district of Nepal. A self-reported questionnaire was circulated online. Bivariate analyses were done using Spearman’s correlation coefficient, Pearson’s chi square test, and student’s t test as appropriate, whereas multivariate analyses were done using linear regression models. Results A total of 353 responses were analyzed, out of which 47% were nurses, 28.9% were doctors, 11.6% were health assistants, 2% were certified medical assistants, and the remaining 10.5% were categorized as others. The majorities were females (58.9%), were in the age group of 16–29 years (67.1%) and had work experience of less than 5 years (62%). The majority of healthcare workers obtained good to moderate knowledge and practice scores (n = 82.15%, 83.57%, respectively) and had positive attitude scores (n = 90.93%). Mean score values were 21.65 ± 4.71 out of 33 in knowledge section, 8.07 ± 1.49 out of 13 in attitude section and 13.89 ± 5.33 out of 20 in practice section. Mean knowledge and practice scores were significantly associated with job descriptions of healthcare workers (p value – 0.000, 0.007, respectively) with highest mean knowledge scores among doctors (23.70 ± 4.48) and highest mean practice scores among health assistants (15.10 ± 3.61). Higher practice scores (ß = 0.626) and infection prevention training (ß = 1.467) were significantly associated with higher knowledge scores; higher knowledge (ß = 1.366) and higher practice scores (ß = 0.110) were significantly associated with higher attitude scores; and higher knowledge scores (ß = 0.308) and higher attitude scores (ß = 0.265) were significantly associated with higher practice scores. Conclusion The majority of healthcare workers from Chitwan, Nepal, had good to moderate knowledge and practice scores and had a positive attitude toward COVID-19. There was a significant association between knowledge, attitude and practice scores regarding COVID-19 among healthcare workers.

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