慢性呼吸道疾病患者对肺康复的认知、态度及实践：中国一家三级医院基于问卷调查的横断面研究

Knowledge, attitudes and practices regarding pulmonary rehabilitation among patients with chronic respiratory diseases: a cross-sectional questionnaire-based study in a tertiary hospital in China.

作者信息

Su Lin, Wang Lingling, Ding Jie, Zhang Xiaohong, Wang Ruiying, Bai Xueli, Chen Yuan, Liu Xiansheng, Wei Shuang

机构信息

Department of Respiratory and Critical Care Medicine, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.

Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

BMJ Open. 2025 Jan 21;15(1):e085944. doi: 10.1136/bmjopen-2024-085944.

DOI:10.1136/bmjopen-2024-085944

PMID:39842929

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11784421/

Abstract

OBJECTIVES

This study aimed to evaluate the knowledge, attitudes and practices (KAP) of patients with chronic respiratory diseases towards pulmonary rehabilitation.

DESIGN

Cross-sectional, web-based questionnaire study.

SETTING

Tertiary healthcare hospital in Taiyuan, Shanxi Province, China.

PARTICIPANTS

A total of 511 patients with chronic respiratory diseases were recruited from the hospital's outpatient and inpatient departments. After data cleaning, 501 valid responses (98.04% valid response rate) were analysed. Participants were aged 18 or older, able to complete the questionnaire independently or with assistance and included individuals from diverse demographic backgrounds.

PRIMARY AND SECONDARY OUTCOME MEASURES

Primary outcomes included KAP scores related to pulmonary rehabilitation. The secondary outcome assessed the association between demographic factors (age, gender, income, education, smoking status) and KAP scores using structural equation modelling (SEM).

RESULTS

The mean KAP scores were 1.26±2.85 for knowledge, 30.46±3.63 for attitudes and 34.58±5.55 for practices. SEM analysis showed that knowledge directly influenced attitudes (β=-0.538, p<0.001) and both knowledge (β=0.668, p<0.001) and attitudes (β=0.668, p<0.001) significantly influenced practices. Additionally, demographic factors, such as monthly household income, type of chronic respiratory disease, educational level and smoking status were significantly associated with variations in KAP scores (all p<0.05).

CONCLUSIONS

Patients demonstrated poor knowledge, generally positive attitudes, and moderate practices regarding pulmonary rehabilitation. Tailored educational interventions focusing on bridging the knowledge gap and promoting positive behavioural changes are essential for improving pulmonary rehabilitation engagement among chronic respiratory disease patients.

TRIAL REGISTRATION NUMBER

ChiCTR2400080271.

摘要

目的

本研究旨在评估慢性呼吸道疾病患者对肺康复的知识、态度和实践（KAP）。

设计

基于网络的横断面问卷调查研究。

地点

中国山西省太原市的三级医疗保健医院。

参与者

共从医院门诊和住院部招募了511例慢性呼吸道疾病患者。经过数据清理后，分析了501份有效回复（有效回复率为98.04%）。参与者年龄在18岁及以上，能够独立或在协助下完成问卷，包括来自不同人口背景的个体。

主要和次要结局指标

主要结局包括与肺康复相关的KAP评分。次要结局使用结构方程模型（SEM）评估人口统计学因素（年龄、性别、收入、教育程度、吸烟状况）与KAP评分之间的关联。

结果

知识的平均KAP评分为1.26±2.85，态度为30.46±3.63，实践为34.58±5.55。SEM分析表明，知识直接影响态度（β=-0.538，p<0.001），知识（β=0.668，p<0.001）和态度（β=0.668，p<0.001）均显著影响实践。此外，家庭月收入、慢性呼吸道疾病类型、教育程度和吸烟状况等人口统计学因素与KAP评分的变化显著相关（均p<0.05）。