Tian Xiaochen, Han Tao, Bu Fanli, Li Jing, Hao Lin, Zhang Leisheng, Lu Ping
Cardiology Department of The Fourth People's Hospital of Jinan, Jinan, 250000, China.
Community Management Department of The Fourth People's Hospital of Jinan, Jinan, 250000, China.
Sci Rep. 2025 Feb 12;15(1):5306. doi: 10.1038/s41598-025-89118-6.
Stent implantation effectively relieves coronary artery disease (CAD), and post-surgery cardiac rehabilitation is essential for prognosis. This study aimed to investigate the knowledge, attitude, and practice (KAP) of patients undergoing coronary artery stenting regarding cardiac rehabilitation. Conducted in multiple hospitals from December 2023 to January 2024, a self-administered questionnaire collected demographic information and KAP scores. A total of 452 valid subjects were included, with 262 participating in cardiac rehabilitation. The average age was 56.76 ± 12.97 years, with 57.52% male and 72.35% urban residents. Mean KAP scores were 14.63 ± 4.70 (knowledge), 37.50 ± 4.15 (attitude), and 30.96 ± 4.49 (practice). Positive correlations were found between KAP scores (r = 0.378-0.474, P < 0.001). Urban residence, angina, and myocardial infarction diagnoses were positively associated with knowledge (OR = 1.881-3.192, P < 0.05). Conversely, medical insurance, continued drinking post-implantation, and other underlying diseases were negatively associated (OR = 0.193-0.592, P < 0.05). Myocardial infarction diagnosis (OR = 2.059, P = 0.026) and health education (OR = 1.830, P = 0.018) positively influenced attitudes. Medical insurance was associated with practice (OR = 4.567, P = 0.028). Patients showed moderate knowledge and positive attitudes towards cardiac rehabilitation, highlighting the need for educational interventions for rural residents and individuals who did not initiate rehabilitation.
支架植入术能有效缓解冠状动脉疾病（CAD），术后心脏康复对预后至关重要。本研究旨在调查接受冠状动脉支架置入术患者对心脏康复的知识、态度和实践（KAP）情况。于2023年12月至2024年1月在多家医院开展研究，通过自填式问卷收集人口统计学信息和KAP得分。共纳入452名有效受试者，其中262人参与心脏康复。平均年龄为56.76±12.97岁，男性占57.52%，城市居民占72.35%。KAP平均得分分别为知识14.63±4.70、态度37.50±4.15、实践30.96±4.49。KAP得分之间存在正相关（r = 0.378 - 0.474，P < 0.001）。城市居住、心绞痛和心肌梗死诊断与知识呈正相关（OR = 1.881 - 3.192，P < 0.05）。相反，医疗保险、植入后继续饮酒和其他基础疾病与知识呈负相关（OR = 0.193 - 0.592，P < 0.05）。心肌梗死诊断（OR = 2.059，P = 0.026）和健康教育（OR = 1.830，P = 0.018）对态度有积极影响。医疗保险与实践相关（OR = 4.567，P = 0.028）。患者对心脏康复的知识掌握程度中等，态度积极，这凸显了对农村居民和未开始康复的个体进行教育干预的必要性。
