Preparation And Preliminary Application Of Knowledge-attitude-practice Questionnaire For Meniscus Injury In Soldiers

Objective:(1)To compile the questionnaire of military meniscal injury knowledge、belief and practice,and to provide scientific evaluation tools for the investigation of meniscal injury knowledge,belief and practice level.(2)To investigate the knowledge,belief and practice status of military.(3)analyze the relationship among soldier’s meniscus injury knowledge,belief and practice and its main influencing factors.Methods:1.Qualitative research: The objective sampling method was used to select 15 active servicemen who had meniscus injury in the orthope dicward of the third class hospital of a certain army to conduct qualitative interview.According to the results of the interview,the related subjects were extracted,and then the questionnaire entry pool was constructed with the results of literature review and discussion by the group to form an expert letter questionnaire.2.Expert letter inquiry: select 20 experts who are familiar with me niscus in military hospitals in clinical medicine,clinical nursing,nursing education,grass-roots troops and psychology,and carry out two rounds of consultation.According to the revised opinions of the experts,combined with the discussion of the research group,the first draft of the questionnaire on the KAP of meniscus injury in military personnel was formed.3.Test of reliability and validity of questionnaire:Using random cluster sampling method,312 military personnel in Hunan province were selected as the research object,and the purpose is to screen the items and test the reliability and validity of the questionnaire.Forming a questionnaire on knowledge,belief and practice of meniscus injury in military personnel.4.Status Survey and Analysis of Influencing Factors:By random cluster sampling,A self-designed questionnaire was used to analyze the knowledge,beliefs,behavior status and influencing factors of meniscus injury of 848 active servicemen who served in Hunan province from September to October 2019.Results:1.Qualitative research results: Through the review of the literature and the semi-structured interview,the expert guidance preliminarily forms the expert correspondence questionnaire,which includes the knowledge,belief and practice,and the total of 44 experts’ correspon dence questionnaire.2.The results of expert letter inquiry: The positive coefficients of the two rounds of expert consultation were all 100.00%,the proposed rate was 85.00%、40.00%,the average value of expert authority coefficient was 0.93,and the overall kendall W was 0.333 、0.180,respectively,all of which had significant differences(P <0.001).Acc ording to the expert’s revised opinion and the discussion result of the research group,a total of 33 initial questionnaires including knowledge,belief and practice were formed.3.Reliability and validity test results: the Cronbach’s α coefficients of the total questionnaire and the dimensions of knowledge,belief,and practice were 0.940、0.873、0.880、0.864;the retest reliability was 0.870、0.975、0.990、0.984;the I-CVI of each objective of theq uestionnaire was 0.89~1.00,and the S-CVI/Ave was 0.96;exploratory factor analysis extracted three factors with a cumulative contribution rate of 60.639%.Finally,there are 14 items of knowledge dimension,9 items of belief dimension and 10 items of behavior dimension,and a total of 33 items of questionnaire.To more intuitively respond to the military men’s meniscus confidence line score,the questionnaire used the score rate to reflect the level of confidence line,in which the score rate below 60% is low level,60%~80% is medium level,>80% is high level.4.Investigation and Analysis of KAP Status of Meniscal Injury in Military Personnel:the total score of questionnaire and the scores of knowledge,belief and behavior were respectively(71.42±13.56)、(5.98±3.90)、(31.69±4.99)、(33.80±5.77),and the scoring rates were 65.52%、42.71%、70.42%、67.60%.Both knowledge,belief and behavior were positively correlated,and the correlation was statistically significant(P <0.01).The results of multivariate linear stepwise regression analysis showed that the main factors affecting the level of meniscus injury were:Meniscal knowledge lectures for troops、 their meniscus damage occurred、their comrades have had meniscus injury,education level,age and military services.Conclusions:1.The questionnaire on the kAP of soldier’s meniscus injury has good reliability and validity,and can be used as an evaluation tool to investigate the knowledge、 belief and practice level of military meniscus injury.2.The level of knowledge mastery of meniscus injury in military personnel is at a low level,the belief and practice are at a moderate lower level.3.The main influencing factors of soldiers with meniscus injury of KAP were Meniscal knowledge lectures for troops、their meniscus damage occurred、their comrades have had meniscus injury,education level,age and military services.The relevant departments of the army should pay attention to the education of soldier’s KAP level of meniscus injury.