Author:
Cai Xia,Chen Fei,Wang Shufang,Pan Pinglei,Mu Tianchi,Dong Congsong,Dai Zhenyu,Chen Zhipeng
Abstract
Abstract
Background
To investigate the knowledge, attitude, and practice (KAP) of healthcare professionals regarding cognitive dysfunction and cognitive rehabilitation in Parkinson’s disease (PD).
Methods
This multicenter, cross-sectional survey enrolled physicians and nurses in 10 hospitals between October 2022 and November 2022. A self-administered questionnaire was developed to collect the demographic information of the participants and their knowledge, attitude, and practice toward cognitive dysfunction in PD and cognitive rehabilitation.
Results
This study enrolled 224 physicians and 229 nurses. The knowledge, attitude, and practice scores were 12.57 ± 3.76 (total score: 22), 29.10 ± 3.71 (total score: 32), and 21.07 ± 8.03 (total score: 28) among physicians, and 9.97 ± 4.70 (total score: 22), 25.27 ± 8.96 (total score: 32), and 25.27 ± 8.96 (total score: 28) among nurses. Among physicians, the knowledge scores (OR = 4.23, 95%CI: 2.36–7.58, P < 0.001) and attitude scores (OR = 3.00, 95%CI: 1.67–5.37, P < 0.001) were independently associated with good practice. Among nurses, the knowledge scores (OR = 4.31, 95%CI: 2.31–8.05, P < 0.001), attitude scores (OR = 5.18, 95%CI: 2.82–9.53, P < 0.001), working department (Ref: rehabilitation; neurology: OR = 2.26, 95%CI: 1.01–5.08, P = 0.048; public health service/chronic disease follow-up center: OR = 2.98, 95%CI: 1.12–7.92, P = 0.028) were independently associated with good practice.
Conclusions
Physicians and nurses have insufficient knowledge, favorable attitudes, and active practice regarding cognitive dysfunction and cognitive rehabilitation in PD. This study identified gaps in KAP and suggested education activities to improve the KAP toward cognitive dysfunction in PD.
Funder
the Medical and Scientific Development Program of Yancheng of Jiangsu Province of China
the Special Funds for Science Development of the Yancheng Third People’s Hospital of Jiangsu Vocational College of Medicine
the Programs of Scientific Research Project of Jiangsu Commission of Health of China
Publisher
Springer Science and Business Media LLC
Subject
Education,General Medicine
Reference31 articles.
1. Kalia LV, Lang AE. Parkinson’s Disease. Lancet. 2015;386:896–912.
2. Homayoun H. Parkinson Disease. Ann Intern Med. 2018;169:ITC33–ITC48.
3. Benazzouz A, Mamad O, Abedi P, Bouali-Benazzouz R, Chetrit J. Involvement of dopamine loss in extrastriatal basal ganglia nuclei in the pathophysiology of Parkinson’s Disease. Front Aging Neurosci. 2014;6:87.
4. Aosaki T, Miura M, Suzuki T, Nishimura K, Masuda M. Acetylcholine-dopamine balance hypothesis in the striatum: an update. Geriatr Gerontol Int. 2010;10(Suppl 1):148–57.
5. Lees AJ, Hardy J, Revesz T. Parkinson’s Disease. Lancet. 2009;373:2055–66.