Shao XX, Fang LY, Guo XR, Wang WZ, Shi RX, Lin DP. Knowledge, attitude, and practice of patients living with inflammatory bowel disease: A cross-sectional study. World J Gastroenterol 2023; 29(43): 5818-5833 [PMID: 38074915 DOI: 10.3748/wjg.v29.i43.5818]
Corresponding Author of This Article
Dao-Po Lin, MD, Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, No. 109 Xueyuan Western Road, Wenzhou 325027, Zhejiang Province, China. wmuldp@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xiao-Xiao Shao, Lu-Yan Fang, Xu-Ri Guo, Dao-Po Lin, Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China
Wei-Zhong Wang, Rui-Xin Shi, The Second Clinical Medical College, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
Author contributions: Fang LY and Guo XR carried out the study and participated in collecting data; Shao XX drafted the manuscript; Wang WZ and Shi RX performed the statistical analysis and participated in its design; Lin DP participated in the acquisition, analysis, and interpretation of data; and all authors read and approved the final manuscript.
Supported byWenzhou Science and Technology Bureau, No. Y20220031.
Institutional review board statement: Our study was approved by the ethics committee of the same hospital (Approval No. 2022-K-184-02).
Informed consent statement: Each patient provided written informed consent before completing the survey.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dao-Po Lin, MD, Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, No. 109 Xueyuan Western Road, Wenzhou 325027, Zhejiang Province, China. wmuldp@163.com
Received: August 14, 2023 Peer-review started: August 14, 2023 First decision: October 8, 2023 Revised: October 20, 2023 Accepted: November 14, 2023 Article in press: November 14, 2023 Published online: November 21, 2023
ARTICLE HIGHLIGHTS
Research background
The management of inflammatory bowel disease (IBD) necessitates the adoption of healthy lifestyle habits, which requires proper knowledge, attitudes, and practice of the specific lifestyle routines to implement. However, patients with IBD generally have poor knowledge, attitude, and practice (KAP) of their disease, while the data from China are lacking.
Research motivation
The motivation of this study is to help healthcare providers to improve the patient’s self-management of IBD.
Research objectives
The object of this study is to investigate the KAP of patients with IBD toward their disease in Zhejiang Province, China.
Research methods
Self-designed questionnaires were administered to the participants through WeChat on the SoJump platform (https://www.wjx.cn/app/survey.aspx). Pearson’s correlation analysis was used to determine the pairwise correlations among KAP scores. A multivariate logistic regression analysis was further performed to determine the independent factors associated with their KAP scores.
Research results
A total of 353 patients (224 males) with IBD completed the questionnaires. Their mean KAP scores were 10.05 ± 3.46 (possible range: 0-14), 41.58 ± 5.23 (possible range: 0-56), 44.20 ± 7.39 (possible range: 0-56), respectively, indicating good knowledge, positive attitude, and proactive practice toward IBD. Age and education were independently associated with their KAP.
Research conclusions
Chinese patients with IBD might have good knowledge, a positive attitude, and proactive practice toward their disease. Nevertheless, some specific items warranting more education were identified, especially regarding the etiology and contributing factors to the disease, extraintestinal manifestations, glucocorticoid side effects, and nutrient absorption.
Research perspectives
The findings of this study may be useful for the management and self-management of IBD patients in clinical practice.
