Scientific reports · 2025
Healthcare workers' knowledge, attitudes, and practices regarding diabetic cardiovascular autonomic neuropathy.
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Zhu Hong, Wu Yanzhe, Jiang Yalong, Wu Li, Wang Wen, Zhu Guang, Cao Changchun, Wu Ji
Аннотация
This study examined healthcare workers' knowledge, attitudes, and practices (KAP) concerning diabetic cardiovascular autonomic neuropathy. A cross-sectional survey was conducted at Nanjing Gulou Hospital Group Suqian Hospital and other hospitals in Suqian City's Sucheng district from August to October 2023, using a structured questionnaire. Among 495 respondents, 71.9% were female, 87.5% worked in tertiary hospitals, and 49.9% were nurses. Median scores (25th-75th percentiles) were: knowledge (10, 7-12), attitude (30, 28-33), and practice (34, 28-40). Multivariable logistic regression identified factors linked to poor practices, including employment in non-tertiary hospitals (OR = 0.388, 95% CI: 0.213-0.709, P = 0.002), lacking a professional title (OR = 0.264, 95% CI: 0.087-0.797, P = 0.018), and holding an intermediate title (OR = 0.459, 95% CI: 0.230-0.914, P = 0.027). Overall, healthcare workers demonstrated insufficient knowledge, favorable attitudes, but suboptimal practices. The findings suggest a need for targeted education and training programs to improve their understanding and management of diabetic cardiovascular autonomic neuropathy, ultimately enhancing patient care outcomes.