Knowledge, attitude and practice towards insomnia and sleep hygiene among patients with chronic insomnia in Northwest China in 2023: a cross-sectional survey

Objectives To investigate the knowledge, attitude and practice (KAP) towards insomnia and sleep hygiene among patients with chronic insomnia.Design Web-based cross-sectional survey.Setting Shaanxi Provincial People’s Hospital (northwest China) between January 2023 and May 2023.Participants Patients...

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Main Authors: Jing Zhu, Xin Li, Jinghua Wang, Shiping Zhang, Zhibo Zhu, Tao Kang, Yikang Zhao, Lijuan Zhu
Format: Article
Language:English
Published: BMJ Publishing Group 2024-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/6/e083100.full
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author Jing Zhu
Xin Li
Jinghua Wang
Shiping Zhang
Zhibo Zhu
Tao Kang
Yikang Zhao
Lijuan Zhu
author_facet Jing Zhu
Xin Li
Jinghua Wang
Shiping Zhang
Zhibo Zhu
Tao Kang
Yikang Zhao
Lijuan Zhu
author_sort Jing Zhu
collection DOAJ
description Objectives To investigate the knowledge, attitude and practice (KAP) towards insomnia and sleep hygiene among patients with chronic insomnia.Design Web-based cross-sectional survey.Setting Shaanxi Provincial People’s Hospital (northwest China) between January 2023 and May 2023.Participants Patients with chronic insomnia.Primary and secondary outcome measures Demographic characteristics and KAP towards insomnia and sleep hygiene were collected by distributing a questionnaire developed by the authors.Results A total of 613 people participated in this study, with a Mean Knowledge Score of 7.63±2.56 (total score of 12), a Mean Attitude Score of 48.39±6.643 (total score of 70) and a Mean Practice Score of 42.37±8.592 (total score of 70). Knowledge was significantly correlated with attitude (r=0.447, p<0.001) and practice (r=0.327, p<0.001), and attitude was significantly correlated with practice (r=0.486, p<0.001). Multivariable logistic regression showed that higher knowledge (OR=1.181 (1.062–1.314), p=0.002) and better attitude (OR=1.171 (1.124–1.221), p<0.001) were independently associated with good practice. According to the structural equation modelling analysis, knowledge directly influenced practice (β=0.457, p=<0.001) and attitude (β=1.160, p=<0.001), while attitude influenced practice (β=0.550, p=<0.001).Conclusion The KAP towards insomnia and sleep hygiene among patients with chronic insomnia in Northwest China in 2023 was moderate, with better practice showing signs of being influenced by better knowledge and more positive attitudes.
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spelling doaj-art-bd1da7bbdb2e4ffd996289d8bf649a9b2025-08-20T02:40:33ZengBMJ Publishing GroupBMJ Open2044-60552024-06-0114610.1136/bmjopen-2023-083100Knowledge, attitude and practice towards insomnia and sleep hygiene among patients with chronic insomnia in Northwest China in 2023: a cross-sectional surveyJing Zhu0Xin Li1Jinghua Wang2Shiping Zhang3Zhibo Zhu4Tao Kang5Yikang Zhao6Lijuan Zhu7Department of Cardiology, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, ChinaXi`an Medical University, Xi`an, Shaanxi, ChinaDepartment of Anesthesiology, The 305 Hospital of PLA, Beijing, ChinaDepartment of Anesthesiology, Shaanxi Provincial People`s Hospital, Xi`an, Shaanxi, ChinaDepartment of Medical Equipment, Shaanxi Provincial People`s Hospital, Xi`an, Shaanxi, ChinaDepartment of Anesthesiology, Shaanxi Provincial People`s Hospital, Xi`an, Shaanxi, ChinaDepartment of Anesthesiology, Shaanxi Provincial People`s Hospital, Xi`an, Shaanxi, ChinaDepartment of Anesthesiology, Shaanxi Provincial People`s Hospital, Xi`an, Shaanxi, ChinaObjectives To investigate the knowledge, attitude and practice (KAP) towards insomnia and sleep hygiene among patients with chronic insomnia.Design Web-based cross-sectional survey.Setting Shaanxi Provincial People’s Hospital (northwest China) between January 2023 and May 2023.Participants Patients with chronic insomnia.Primary and secondary outcome measures Demographic characteristics and KAP towards insomnia and sleep hygiene were collected by distributing a questionnaire developed by the authors.Results A total of 613 people participated in this study, with a Mean Knowledge Score of 7.63±2.56 (total score of 12), a Mean Attitude Score of 48.39±6.643 (total score of 70) and a Mean Practice Score of 42.37±8.592 (total score of 70). Knowledge was significantly correlated with attitude (r=0.447, p<0.001) and practice (r=0.327, p<0.001), and attitude was significantly correlated with practice (r=0.486, p<0.001). Multivariable logistic regression showed that higher knowledge (OR=1.181 (1.062–1.314), p=0.002) and better attitude (OR=1.171 (1.124–1.221), p<0.001) were independently associated with good practice. According to the structural equation modelling analysis, knowledge directly influenced practice (β=0.457, p=<0.001) and attitude (β=1.160, p=<0.001), while attitude influenced practice (β=0.550, p=<0.001).Conclusion The KAP towards insomnia and sleep hygiene among patients with chronic insomnia in Northwest China in 2023 was moderate, with better practice showing signs of being influenced by better knowledge and more positive attitudes.https://bmjopen.bmj.com/content/14/6/e083100.full
spellingShingle Jing Zhu
Xin Li
Jinghua Wang
Shiping Zhang
Zhibo Zhu
Tao Kang
Yikang Zhao
Lijuan Zhu
Knowledge, attitude and practice towards insomnia and sleep hygiene among patients with chronic insomnia in Northwest China in 2023: a cross-sectional survey
BMJ Open
title Knowledge, attitude and practice towards insomnia and sleep hygiene among patients with chronic insomnia in Northwest China in 2023: a cross-sectional survey
title_full Knowledge, attitude and practice towards insomnia and sleep hygiene among patients with chronic insomnia in Northwest China in 2023: a cross-sectional survey
title_fullStr Knowledge, attitude and practice towards insomnia and sleep hygiene among patients with chronic insomnia in Northwest China in 2023: a cross-sectional survey
title_full_unstemmed Knowledge, attitude and practice towards insomnia and sleep hygiene among patients with chronic insomnia in Northwest China in 2023: a cross-sectional survey
title_short Knowledge, attitude and practice towards insomnia and sleep hygiene among patients with chronic insomnia in Northwest China in 2023: a cross-sectional survey
title_sort knowledge attitude and practice towards insomnia and sleep hygiene among patients with chronic insomnia in northwest china in 2023 a cross sectional survey
url https://bmjopen.bmj.com/content/14/6/e083100.full
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