Zhongda Hospital Affiliated to Southeast University, Nanjing, 210009, China.
Southeast University, Nanjing, 210009, China.
Sci Rep. 2024 Oct 29;14(1):25905. doi: 10.1038/s41598-024-77546-9.
There is a significant interrelationship between cardiovascular disease and obstructive sleep apnea (OSA), as they share common risk factors and comorbidities. This study aimed to investigate the knowledge, attitude, and practice (KAP) of inpatients with cardiovascular disease towards OSA. This cross-sectional study was conducted between January, 2022 and January, 2023 at Zhongda Hospital Affiliated to Southeast University among inpatients with cardiovascular disease using a self-administered questionnaire. A self-designed questionnaire was used to assess KAP, and the STOP-Bang questionnaire was applied to evaluate participants' OSA risk. Spearman correlation and path analyses were conducted to explore relationships among KAP scores and high OSA risk. Subgroup analyses were conducted within the high-risk population identified by the STOP-Bang questionnaire. In a study analyzing 591 questionnaires, 66.33% were males. Mean scores were 6.81 ± 4.903 for knowledge, 26.84 ± 4.273 for attitude, and 14.46 ± 2.445 for practice. Path analysis revealed high risk of OSA positively impacting knowledge (β = 2.351, P < 0.001) and practice (β = 0.598, P < 0.001) towards OSA. Knowledge directly affected attitude (β = 0.544) and practice (β = 0.139), while attitude influenced practice (β = 0.266). Among high OSA risk individuals, knowledge directly impacted attitude (β = 0.645) and practice (β = 0.133). Knowledge indirectly influenced practice via attitude (β = 0.197). Additionally, attitude directly affected practice (β = 0.305). These findings provide insights into the interplay between OSA risk, knowledge, attitude, and practice. Inpatients with cardiovascular disease demonstrated inadequate knowledge, moderate attitude, and practice towards OSA. The findings highlighting the need for targeted educational interventions to improve awareness and management of OSA.
心血管疾病与阻塞性睡眠呼吸暂停（OSA）之间存在显著的相互关系，因为它们具有共同的危险因素和合并症。本研究旨在调查心血管疾病住院患者对 OSA 的知识、态度和实践（KAP）。这是一项横断面研究，于 2022 年 1 月至 2023 年 1 月在东南大学附属中大医院的心血管疾病住院患者中进行，采用自我管理问卷进行调查。使用自行设计的问卷评估 KAP，应用 STOP-Bang 问卷评估参与者的 OSA 风险。采用 Spearman 相关和路径分析探讨 KAP 评分与高 OSA 风险之间的关系。在 STOP-Bang 问卷确定的高危人群中进行亚组分析。在一项分析了 591 份问卷的研究中，66.33%为男性。知识得分的平均值为 6.81±4.903，态度得分为 26.84±4.273，实践得分为 14.46±2.445。路径分析显示，OSA 高风险对 OSA 的知识（β=2.351，P<0.001）和实践（β=0.598，P<0.001）有积极影响。知识直接影响态度（β=0.544）和实践（β=0.139），而态度影响实践（β=0.266）。在 OSA 高风险个体中，知识直接影响态度（β=0.645）和实践（β=0.133）。知识通过态度间接影响实践（β=0.197）。此外，态度直接影响实践（β=0.305）。这些发现深入了解了 OSA 风险、知识、态度和实践之间的相互作用。心血管疾病住院患者对 OSA 的知识不足，态度中等，实践水平较低。这些发现强调需要进行有针对性的教育干预，以提高对 OSA 的认识和管理。
