山东省16地市居民中医药知信行现状调查的影响因素和作用路径  

Survey on the current situation,influencing factors and pathways of knowledge,attitude and practice related to traditional Chinese medicine among residents of 16 cities in Shandong Province

作　　者：黄娟 王樱霖[2] 李嘉欣 刘荣杭 张习发 李敏[1] 陈薇 邱淼 韩春蕾[1] HUANG Juan;WANG Yinglin;LI Jiaxin;LIU Ronghang;ZHANG Xifa;LI Min;CHEN Wei;QIU Miao;HAN Chunlei(School of Public Health,Binzhou Medical University,Yantai 264003,Shandong,China;School of Traditional Chinese Medicine,Binzhou Medical University,Yantai 264003,Shandong,China)

机构地区：[1]滨州医学院公共卫生学院,山东烟台264003 [2]滨州医学院中医学院,山东烟台264003

出　　处：《山东大学学报（医学版）》2024年第11期115-124,共10页Journal of Shandong University:Health Sciences

基　　金：山东省教育科学规划创新素养专项一般课题(2022CYB267)。

摘　　要：目的 了解后疫情时代山东省居民中医药知信行现状及影响因素,为中医药更好地融入传染病防控体系提供参考。方法 采用自编问卷,按配额抽样在山东省16个地级市15岁以上常住居民中抽取1 168人进行调查,应用单因素分析和多重线性回归分析探究居民中医药知信行现状的影响因素,基于结构方程模型分析认知、态度和行为之间的作用路径。结果 回收有效问卷937份。新冠疫情发生后,山东省居民中医药认知维度平均得分16.20±4.22,态度维度平均得分20.11±3.03,行为维度平均得分17.97±3.41。多重线性回归分析结果显示,文化程度、年龄、自评健康状况、新冠疫情期间经历是认知维度得分的影响因素(P<0.05),文化程度、年龄是态度维度得分的影响因素(P<0.05),文化程度、自评健康状况、新冠疫情期间经历、职业是行为维度得分的影响因素(P<0.05)。中医药认知对行为的间接效应、直接效应和总效应分别为0.199、0.349、0.548,中医药态度具有部分中介效应。结论 新冠疫情后居民中医药相关的认知、态度和行为较疫情前提高,但整体认知度仍较低;居民对中药和中医药服务满意度较低。政府应针对重点人群开展中医药文化普及工作,加大对中医药的宣传力度,完善基层中医药服务体系建设,打好社会媒体组合拳,同时提高家庭和个人的主动性。Objective To investigate the current status and influencing factors of residentsknowledge,attitude and practice of traditional Chinese medicine(TCM)in Shandong Province in the post-epidemic era,and to provide evidence for better integration of TCM into the infectious disease prevention and control system.Methods Quota sampling was used to select 1,168 permanent residents aged 15 years old and above in 16 prefectures across Shandong Province as respondents using a self-designed questionnaire.Univariate analysis and multiple linear regression analysis were applied to analyse the factors influencing the current status of residentsknowledge,attitude and practice of TCM,and the pathways,attitude and practice was analysed based on structural equation modelling.Results A total of 937 valid questionnaires were collected.After the COVID-19 epidemic,the average scores of TCM knowledge,attitude and practice of residents in Shandong Province were 16.20±4.22,20.11±3.03 and 17.97±3.41,respectively.Multiple linear regression results showed that education level,age,self-rated health status and experience during COVID-19 were influencing factors of knowledge dimension score(P<0.05);educational level and age were influencing factors of attitude dimension score(P<0.05);educational level,self-rated health status,experience during COVID-19 and occupation were influencing factors of practice dimension score(P<0.05).The indirect,direct and total effects of TCM knowledge on practice were 0.199,0.349 and 0.548,respectively,and TCM attitude had a partial mediating effect.Conclusion The knowledge,attitude and practice of TCM among residents after the COVID-19 epidemic are improved than those before the epidemic,but the overall knowledge is still low;residents are less satisfied with TCM and TCM services.The government should carry out the popularisation of TCM culture for key populations,improve the publicity of TCM,improve the TCM service system at grassroots health institutions,make a good combination of social media,and promote the i

关 键 词：后疫情时代 中医药 新冠疫情 知信行理论 结构方程模型 

分 类 号：R193[医药卫生—卫生事业管理]