ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health Education and Promotion
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1583361
This article is part of the Research TopicAdvancing Intervertebral Disc Degeneration Research: Focus on Annulus Fibrosus and Pain ManagementView all articles
Knowledge, Attitudes, and Practices Regarding Lumbar Disc Herniation Among Diagnosed Patients
Provisionally accepted
- 1Department of Orthopedics, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- 2Department of Orthopedics, Changzhou Geriatric hospital affiliated to Soochow University, Changzhou, China
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Introduction: This study aimed to investigate the knowledge, attitudes, and practices (KAP) of patients with lumbar disc herniation (LDH) regarding their condition.Methods: A cross-sectional study was conducted between June and September 2024 at Tongren Hospital in Shanghai and the Seventh People’s Hospital of Changzhou, targeting patients diagnosed with LDH. Demographic information and KAP scores were collected and evaluated through a structured questionnaire. The Oswestry Disability Index (ODI) was used to assess the level of disability experienced by patients in daily activities.Results: A total of 395 valid questionnaires were collected, yielding an effective rate of 84.40%. Of the respondents, 205 (51.90%) were female, 201 (50.89%) had undergone surgical treatment. The mean ± SD scores for knowledge, attitude, practice, and ODI were 14.91 ± 5.07 (possible range: 0-22), 39.26 ± 3.78 (possible range: 10-50), 39.48 ± 6.70 (possible range: 11-55), and 12.92 ± 9.60 (possible range: 0-50), respectively. The Structural Equation Model indicated that knowledge had a direct effect on both attitude (β = 0.458, P = 0.006) and practice (β = 0.214, P = 0.002), while attitude directly affected practice (β = 0.323, P = 0.008). Knowledge also indirectly influenced practice via attitude (β = 0.148, P = 0.006).Conclusion: Patients with LDH demonstrated inadequate knowledge but generally positive attitudes and proactive practices regarding their condition, along with a moderate level of disability related to low back pain. Improving patient education, particularly focusing on enhancing knowledge, may foster more positive attitudes and better self-management practices, potentially reducing disability.
Keywords: Lumbar disc herniation, Knowledge, attitudes, practice, Cross-sectional study, Structural Equation Modeling, KAP
Received: 25 Feb 2025; Accepted: 16 Jun 2025.
Copyright: © 2025 Xu, Ning, Yu, Yu, Yu and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jiangming Yu, Department of Orthopedics, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Haojie Chen, Department of Orthopedics, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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