Patients’ knowledge, attitude, and practice toward degenerative lumbar spine disease: A cross-sectional study in Shanxi, China
Abstract Degenerative lumbar spine disease negatively affects physical mobility and daily activities, potentially influenced by patients’ knowledge, attitude, and practice (KAP). This study aimed to examine the KAP of patients with degenerative lumbar spine disease, examine their interrelationships,...
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Nature Portfolio
2025-07-01
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| author | Zhuo Ma Qiao Ye Weiwei Du Jinxuan Wang Haoyu Feng Yannan Zhang |
| author_facet | Zhuo Ma Qiao Ye Weiwei Du Jinxuan Wang Haoyu Feng Yannan Zhang |
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| description | Abstract Degenerative lumbar spine disease negatively affects physical mobility and daily activities, potentially influenced by patients’ knowledge, attitude, and practice (KAP). This study aimed to examine the KAP of patients with degenerative lumbar spine disease, examine their interrelationships, and identify influential factors. A cross-sectional analysis at Shanxi Bethune Hospital enrolled patients from December 2023 to January 2024. Demographic data and KAP scores were gathered through self-designed questionnaires, resulting in 483 valid responses, with 75.16% aged ≥ 51 years and 50.1% male. The knowledge, attitude, and practice scores were 7.43 ± 2.10, 32.69 ± 2.77, and 23.62 ± 5.96, respectively. Multivariate logistic regression revealed that knowledge (OR = 1.66, P < 0.001) and attitude (OR = 1.27, P < 0.001) positively correlated with practice. Participants with higher education levels, compared to those with elementary education or below, showed significant associations with practice: junior high (OR = 4.82, P = 0.007), high school/technical school (OR = 10.3, P < 0.001), and college/bachelor’s and above (OR = 6.61, P = 0.005). Structural equation modeling indicated positive relationships: knowledge and attitude (β = 0.20, P = 0.001), attitude and practice (β = 0.61, P < 0.001), and knowledge and practice (β = 1.22, P < 0.001). In conclusion, patients with degenerative lumbar spine disease demonstrated inadequate knowledge, positive attitude, and poor practice, highlighting the need for educational and behavioral interventions, especially for those with lower education. |
| format | Article |
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| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
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| spelling | doaj-art-d961b984632049558826c9eaacebd8062025-08-20T03:38:15ZengNature PortfolioScientific Reports2045-23222025-07-011511910.1038/s41598-025-09343-xPatients’ knowledge, attitude, and practice toward degenerative lumbar spine disease: A cross-sectional study in Shanxi, ChinaZhuo Ma0Qiao Ye1Weiwei Du2Jinxuan Wang3Haoyu Feng4Yannan Zhang5Department of Orthopedics, Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital,Third Hospital of Shanxi Medical UniversityThird Hospital of Shanxi Medical University,Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi HospitalThe First Clinical Medical College of Jinan UniversityThird Hospital of Shanxi Medical University,Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi HospitalDepartment of Orthopedics, Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital,Third Hospital of Shanxi Medical UniversityDepartment of Orthopedics, Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital,Third Hospital of Shanxi Medical UniversityAbstract Degenerative lumbar spine disease negatively affects physical mobility and daily activities, potentially influenced by patients’ knowledge, attitude, and practice (KAP). This study aimed to examine the KAP of patients with degenerative lumbar spine disease, examine their interrelationships, and identify influential factors. A cross-sectional analysis at Shanxi Bethune Hospital enrolled patients from December 2023 to January 2024. Demographic data and KAP scores were gathered through self-designed questionnaires, resulting in 483 valid responses, with 75.16% aged ≥ 51 years and 50.1% male. The knowledge, attitude, and practice scores were 7.43 ± 2.10, 32.69 ± 2.77, and 23.62 ± 5.96, respectively. Multivariate logistic regression revealed that knowledge (OR = 1.66, P < 0.001) and attitude (OR = 1.27, P < 0.001) positively correlated with practice. Participants with higher education levels, compared to those with elementary education or below, showed significant associations with practice: junior high (OR = 4.82, P = 0.007), high school/technical school (OR = 10.3, P < 0.001), and college/bachelor’s and above (OR = 6.61, P = 0.005). Structural equation modeling indicated positive relationships: knowledge and attitude (β = 0.20, P = 0.001), attitude and practice (β = 0.61, P < 0.001), and knowledge and practice (β = 1.22, P < 0.001). In conclusion, patients with degenerative lumbar spine disease demonstrated inadequate knowledge, positive attitude, and poor practice, highlighting the need for educational and behavioral interventions, especially for those with lower education.https://doi.org/10.1038/s41598-025-09343-xKnowledgeAttitudePracticeDegenerative lumbar spine diseaseCross-sectional study |
| spellingShingle | Zhuo Ma Qiao Ye Weiwei Du Jinxuan Wang Haoyu Feng Yannan Zhang Patients’ knowledge, attitude, and practice toward degenerative lumbar spine disease: A cross-sectional study in Shanxi, China Scientific Reports Knowledge Attitude Practice Degenerative lumbar spine disease Cross-sectional study |
| title | Patients’ knowledge, attitude, and practice toward degenerative lumbar spine disease: A cross-sectional study in Shanxi, China |
| title_full | Patients’ knowledge, attitude, and practice toward degenerative lumbar spine disease: A cross-sectional study in Shanxi, China |
| title_fullStr | Patients’ knowledge, attitude, and practice toward degenerative lumbar spine disease: A cross-sectional study in Shanxi, China |
| title_full_unstemmed | Patients’ knowledge, attitude, and practice toward degenerative lumbar spine disease: A cross-sectional study in Shanxi, China |
| title_short | Patients’ knowledge, attitude, and practice toward degenerative lumbar spine disease: A cross-sectional study in Shanxi, China |
| title_sort | patients knowledge attitude and practice toward degenerative lumbar spine disease a cross sectional study in shanxi china |
| topic | Knowledge Attitude Practice Degenerative lumbar spine disease Cross-sectional study |
| url | https://doi.org/10.1038/s41598-025-09343-x |
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