您的位置：山东大学 -> 科技期刊社 -> 《山东大学学报（医学版）》

山东大学学报 (医学版) ›› 2024, Vol. 62 ›› Issue (11): 115-124.doi: 10.6040/j.issn.1671-7554.0.2024.0514

• 公共卫生与预防医学 • 上一篇    

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

黄娟1,王樱霖2,李嘉欣1,刘荣杭1,张习发1,李敏1,陈薇1,邱淼1,韩春蕾1   

  1. 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
  • 发布日期:2024-11-25
  • 通讯作者: 韩春蕾. E-mail:diyiyonghu@126.com
  • 基金资助:
    山东省教育科学规划创新素养专项一般课题(2022CYB267)

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

HUANG Juan1, WANG Yinglin2, LI Jiaxin1, LIU Ronghang1, ZHANG Xifa1, LI Min1, CHEN Wei1, QIU Miao1, HAN Chunlei1   

  1. 1. School of Public Health, Binzhou Medical University, Yantai 264003, Shandong, China;
    2. School of Traditional Chinese Medicine, Binzhou Medical University, Yantai 264003, Shandong, China
  • Published:2024-11-25

PDF (PC)

42

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。

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

Abstract: Objective To investigate the current status and influencing factors of residents knowledge, 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 residents knowledge, 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 initiative of families and individuals.

Key words: Post-pandemicera, Traditional Chinese medicine, COVID-19 epidemic, Knowledge, attitude and practice theory, Structural equation modelling

中图分类号: 

  • R193
[1] 岳远雷, 姜柏生. 中医药融入公共卫生应急管理体系的法治化保障问题研究[J]. 中国卫生事业管理, 2023, 40(3): 188-192. YUE Yuanlei, JIANG Baisheng. Researches on the legalization guarantee of the integration of traditional Chinese medicine into public health emergency management system[J]. Chinese Health Service Management, 2023, 40(3): 188-192.
[2] 余艳红, 于文明. 充分发挥中医药独特优势和作用 为人民群众健康作出新贡献[J]. 中国中西医结合杂志, 2020, 40(9): 1029-1031. YU Yanhong, YU Wenming. Fully exert peculiar advantages and functions of traditional Chinese medicine for new contributions of peoples health[J]. Chinese Journal of Integrated Traditional and Western Medicine, 2020, 40(9): 1029-1031.
[3] 谭清立, 伍绮敏. 我国中医药产业发展现状及优化策略: 基于SWOT分析[J]. 卫生经济研究, 2023, 40(1): 18-21. TAN Qingli, WU Qimin. Current situation and optimization strategies for the development of traditional Chinese medicine industry in China-based on SWOT analysis[J]. Health Economics Research, 2023, 40(1): 18-21.
[4] 王青云. 山东加强国家中医药综改示范区中医药文化建设[J]. 中医药管理杂志, 2022, 30(16): 102.
[5] 戚鲁颖. 新冠疫情期间山东某地居民营养知信行、心理状况及影响因素研究[D]. 济南: 山东大学, 2023.
[6] 于振, 王萍. KAP理论在传染病管理中的应用及启示[J]. 医学与法学, 2021, 13(4): 106-109. YU Zhen, WANG Ping. Application and enlightenment of KAP theory in infectious disease management[J]. Medicine and Jurisprudence, 2021, 13(4): 106-109.
[7] 王然禹. 中医药健康文化素养对健康公平性的调节效应研究[D]. 北京:北京中医药大学, 2021.
[8] 李明霞, 胡淑慧, 邵书铱, 等. 育龄女性患者生育力保存指导建议——基于改良德尔菲法[J]. 复旦学报(医学版), 2024, 51(2): 151-158. LI Mingxia, HU Shuhui, SHAO Shuyi, et al. Guiding recommendations for fertility preservation of female patients of reproductive age based on modified Delphi method[J]. Fudan University Journal of Medical Sciences, 2024, 51(2): 151-158.
[9] 罗敏红, 黄若楠, 李慧敏. 基于德尔菲法和层次分析法构建区域间居民健康素养综合评价指标体系的研究[J]. 中国健康教育, 2023, 39(1): 70-74. LUO Minhong, HUANG Ruonan, LI Huimin. Construction of comprehensive evaluation index system of residents’ health literacy in different regions based on Delphi method and analytic hierarchy process[J]. Chinese Journal of Health Education, 2023, 39(1): 70-74.
[10] 侯鑫宇, 李华玉, 黄俊霖, 等. 新冠疫情期间居民对中医药认知情况的调查[J]. 健康教育与健康促进, 2021, 16(1): 28-30. HOU Xinyu, LI Huayu, HUANG Junlin, et al. Investigation on residents cognition of TCM under the background of COVID-19[J]. Health Education and Health Promotion, 2021, 16(1): 28-30.
[11] 曾予, 赵敏. 中医药抗击新冠肺炎疫情的纵深实践及制度构建[J]. 时珍国医国药, 2020, 31(4): 951-954. ZENG Yu, ZHAO Min. In-depth practice and system construction of traditional Chinese medicine against COVID-19 epidemic[J]. China Industrial Economics, 2020, 31(4): 951-954.
[12] 李悦琳, 刘勇, 李继科, 等. 中西医治疗流行性感冒轻症病例229例的临床对照研究[J]. 世界中医药, 2016, 11(9): 1793-1797. LI Yuelin, LIU Yong, LI Jike, et al. Clinical control study on 229 cases of epidemic cold with light syndrome treated with Chinese medicine and western medicine[J]. World Chinese Medicine, 2016, 11(9): 1793-1797.
[13] 海妮, 王建军. 中医药美容产业发展的人才瓶颈及人才培养的对策研究[J]. 财富时代, 2019(8): 215.
[14] 魏颖, 姜南, 王金凤, 等. 2021年山东省居民中医药健康文化素养水平及影响因素分析[J]. 中国健康教育, 2023, 39(3): 242-247. WEI Ying, JIANG Nan, WANG Jinfeng, et al. Prevalence of traditional Chinese medicine health culture literacy and its influencing factors among residents in Shandong Province in 2021[J]. Chinese Journal of Health Education, 2023, 39(3): 242-247.
[15] 王亚妮, 李善鹏, 贾晓蓉, 等. 2017年青岛市居民中医药健康文化素养水平及影响因素研究[J]. 预防医学论坛, 2021, 27(12): 897-901. WANG Yani, LI Shanpeng, JIA Xiaorong, et al. Survey on status of health literacy on traditional Chinese medicine and its influencing factors among residents, Qingdao city, 2017[J]. Preventive Medicine Tribune, 2021, 27(12): 897-901.
[16] 谭巍, 靳琦, 赵玉洋, 等. 2017年中国公民中医药健康文化素养水平及影响因素分析[J]. 中国中药杂志, 2019, 44(13): 2865-2870. TAN Wei, JIN Qi, ZHAO Yuyang, et al. Analysis of Chinese citizens traditional Chinese medicine health culture literacy level and its influence factors in 2017[J]. China Journal of Chinese Materia Medica, 2019, 44(13): 2865-2870.
[17] 景睿, 张文茜, 董卉, 等. 济南市大一新生结核病防治知信行现状及行为影响因素[J]. 山东大学学报(医学版), 2024, 62(2): 101-108. JING Rui, ZHANG Wenqian, DONG Hui, et al. Current status of tuberculosis prevention and control knowledge, attitude and practice and the influencing factors of behavior among freshmen in colleges and universities in Jinan, Shandong Province[J]. Journal of Shandong University(Health Sciences), 2024, 62(2): 101-108.
[18] 王攀月, 刘振, 张宗明. 中医药文化传播的新途径: 以动漫为例[J]. 南京中医药大学学报(社会科学版), 2022, 23(1): 17-22. WANG Panyue, LIU Zhen, ZHANG Zongming. A new way of Chinese medicine culture communication: take animation as an example[J]. Journal of Nanjing University of Traditional Chinese Medicine(Social Science Edition), 2022, 23(1): 17-22.
[19] 王洋洋, 匡海学, 苏发智, 等. 中药四性的临床应用价值及与五味的关系[J]. 中草药, 2023, 54(4): 1329-1341. WANG Yangyang, KUANG Haixue, SU Fazhi, et al. Clinical value of four natures of traditional Chinese medicine and its relationship with five flavors[J]. Chinese Traditional and Herbal Drugs, 2023, 54(4): 1329-1341.
[20] 胡德美, 郑霏艳, 尹文凤, 等. 矫味剂在掩盖中药苦味中的应用[J]. 云南中医中药杂志, 2017, 38(10): 86-88. HU Demei, ZHENG Feiyan, YIN Wenfeng, et al. Application of corrective in masking the bitterness of traditional Chinese medicine[J]. Yunnan Journal of Traditional Chinese Medicine and Materia Medica, 2017, 38(10): 86-88.
[21] 黄小敏, 赵亚莉, 董晓雯, 等. 乡村医生中医药服务提供现状——以山东省烟台市为例[J].山东大学学报(医学版), 2019, 57(3): 104-108. HUANG Xiaomin, ZHAO Yali, DONG Xiaowen, et al. Current situation of traditional Chinese medicine service providing of rural doctors in Yantai City, Shandong Province, China[J]. Journal of Shandong University(Health Sciences), 2019, 57(3): 104-108.
[22] 宋瑞雪. 疫情防控背景下中医药民众认知度调查研究[D]. 哈尔滨:黑龙江中医药大学, 2022.
[23] 朱欣叶. 我国中医药人力资源配置现状及发展研究[D]. 南京:南京中医药大学, 2024.
[24] 王亭, 曲美燕. 基于健康山东战略基层技术技能中医药人才培养实践: 以山东中医药高等专科学校人才培养为例[J]. 中国中医药现代远程教育, 2023, 21(13): 156-159. WANG Ting, QU Meiyan. Practice research on the training of grassroots traditional Chinese medicine talents with technical skills under the background of healthy Shandong strategy—taking talents training of Shandong college of traditional Chinese medicine as an example[J]. Chinese Medicine Modern Distance Education of China, 2023, 21(13): 156-159.
[25] 徐吉哲. 公立医院医药价格综合改革对医疗费用的影响研究: 以吉林省某三甲医院为例[D]. 长春: 长春中医药大学, 2019.
[26] 夏怡. 新冠肺炎疫情下中医药服务利用行为的提升策略研究[D]. 广州:南方医科大学, 2022.
[27] 孙延波, 李慧, 田丹. 辽宁省居民中医药健康文化素养水平及影响因素研究[J]. 中国初级卫生保健, 2020, 34(9): 105-108. SUN Yanbo, LI Hui, TIAN Dan. Study on the current situation and influencing factors of Chinese medicine health literacy of residents in Liaoning Province[J]. Chinese Primary Health Care, 2020, 34(9): 105-108.
[28] 郭艳童, 于媛媛, 陈莹莹, 等. 山东省主动健康示范区域老年人慢病管理知信行现状及影响机制[J]. 山东大学学报(医学版), 2024, 62(7): 98-105. GUO Yantong, YU Yuanyuan, CHEN Yingying, et al. Current situation and influencing mechanism of knowledge, attitude and practice about chronic disease management among elderly people in Shandong Provinces proactive health demonstration area[J]. Journal of Shandong University(Health Sciences), 2024, 62(7): 98-105.
[29] 陈昱全, 左群. 社会生态学理论视角下我国老年人体育锻炼行为研究展望[J]. 中国健康教育, 2019, 35(5): 438-441. CHEN Yuquan, ZUO Qun. Research prospects of physical activity behaviors in the elderly in China based on social ecology theory[J]. Chinese Journal of Health Education, 2019, 35(5): 438-441.
[30] 夏怡, 史卢少博, 石曾萍, 等. 新冠肺炎疫情背景下民众中医药认知的影响因素研究[J]. 中国卫生事业管理, 2022, 39(6): 437-442. XIA Yi, SHI Lushaobo, SHI Zengping, et al. Researches on the factors influencing the publics cognition of traditional Chinese medicine in the context of COVID-19 epidemic[J]. Chinese Health Service Management, 2022, 39(6): 437-442.
[1] 黄小敏,赵亚莉,董晓雯,孙强. 乡村医生中医药服务提供现状 ——以山东省烟台市为例[J]. 山东大学学报 (医学版), 2019, 57(3): 104-108.
[2] 杨琳, 苗戎, 宋春敬, 卢斌, 徐倩, 王萍. 完善课堂教学环节,提高中医药院校机能实验课的教学质量[J]. 山东大学学报（医学版）, 2014, 52(Z1): 219-220.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
版权所有 © 2018 《山东大学学报(医学版)》编辑部　
地址:山东大学科技期刊社（济南市历城区山大南路27号山东大学中心校区明德楼B座721室） 电话: 0531-88366918 E-mail: xbyxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发