Department of General Surgery, General Hospital of Northern Theater Command (General Hospital of Shenyang Military Command), Shenyang, 110016, China.
Sci Rep. 2024 Apr 19;14(1):9034. doi: 10.1038/s41598-024-59361-4.
To explore the knowledge, attitude, and practice (KAP) towards enhanced recovery after surgery (ERAS) among colorectal cancer (CRC) patients. This cross-sectional study included CRC patients who underwent selective operation at the author's Hospital, between April 2021 and April 2023. Their demographic characteristics and KAP towards ERAS were collected using a self-designed questionnaire. A total of 652 valid questionnaires were collected, with knowledge, attitude, and practice scores of 37.29 ± 11.35 (possible range: 11-55), 39.51 ± 6.40 (possible range: 11-55), and 6.53 ± 2.21 (possible range: 0-8), respectively. A positive correlation was found between knowledge and attitude (r = 0.291, P < 0.001), knowledge and practice (r = 0.292, P < 0.001), and attitude and practice (r = 0.363, P < 0.001). Structural equation model (SEM) analysis showed that knowledge had a significant direct effect on attitude (β = 0.164, P < 0.001) and attitude had direct effect on practice (β = 0.099, P < 0.001), indicating an indirect effect of knowledge on practice. Attitude also had a direct effect on practice (β = 0.038, P < 0.001). CRC patients showed moderate knowledge and attitude, and proactive practice towards ERAS. Further improvement of knowledge may improve their attitude and practice, leading to better outcomes and quality of care among CRC patients.
调查结直肠癌(CRC)患者对加速康复外科(ERAS)的知识、态度和实践(KAP)情况。
这是一项横断面研究,纳入了 2021 年 4 月至 2023 年 4 月期间在作者医院接受选择性手术的 CRC 患者。采用自行设计的问卷收集患者的人口统计学特征和 ERAS 相关 KAP。共收集了 652 份有效问卷,知识、态度和实践得分分别为 37.29±11.35(可能范围:11-55)、39.51±6.40(可能范围:11-55)和 6.53±2.21(可能范围:0-8)。知识与态度呈正相关(r=0.291,P<0.001),知识与实践呈正相关(r=0.292,P<0.001),态度与实践呈正相关(r=0.363,P<0.001)。结构方程模型(SEM)分析显示,知识对态度有显著的直接影响(β=0.164,P<0.001),态度对实践有直接影响(β=0.099,P<0.001),表明知识对实践有间接影响。态度对实践也有直接影响(β=0.038,P<0.001)。CRC 患者对 ERAS 的知识和态度处于中等水平,实践积极性较高。进一步提高知识水平可能会改善他们的态度和实践,从而改善 CRC 患者的结局和护理质量。