中国医疗保健专业人员心脏康复转诊的知识、态度和实践：一种中介模型。
Knowledge, attitude, and practice of cardiac rehabilitation referral among healthcare professionals in China: A mediation model.
作者信息
Yao Ziqiang, Qin Ning, Shi Shuangjiao, Duan Yinglong, Zhang Shuhua, Li Xiao, Liu Haoqi, Zhong Zhuqing
机构信息
Xiangya Nursing School, Central South University, Changsha, Hunan, China.
Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
出版信息
Prev Med Rep. 2025 Apr 5;53:103064. doi: 10.1016/j.pmedr.2025.103064. eCollection 2025 May.
OBJECTIVE
Despite proven clinical benefits, cardiac rehabilitation referral rates remained insufficient and low globally. Healthcare professionals' knowledge and attitudes of cardiac rehabilitation may affect their referral behaviors, yet their interrelationships are rarely studied in China. This study aims to examine the cardiac rehabilitation referral rate among Chinese healthcare professionals and explore the associations among knowledge, attitude, and practice (KAP) of cardiac rehabilitation referral.
METHODS
From July to August 2021, a cross-sectional study was conducted among 321 healthcare professionals from 40 hospitals in Hunan Province of China. The participants completed an online questionnaire to assess their KAP of cardiac rehabilitation referral. Mediation analysis was conducted using logistic regression analysis, Sobel test and Bootstrap method.
RESULTS
About one-third of healthcare professionals never recommended cardiac rehabilitation to their patients. The correlation analysis showed that cardiac rehabilitation knowledge was positively correlated with cardiac rehabilitation referral attitude ( = 0.57, < 0.001). There was a robust positive association between cardiac rehabilitation knowledge and cardiac rehabilitation referral practice, which was partially mediated by cardiac rehabilitation referral attitude, with the mediating effect accounting for 4.3 %.
CONCLUSION
The low cardiac rehabilitation referral rate among healthcare professionals indicates an urgent need to improve cardiac rehabilitation referral. Our mediation model suggests that enhancing cardiac rehabilitation knowledge and promoting positive attitudes through education and training may effectively promote cardiac rehabilitation referral. Furthermore, the findings underscore the necessity of establishing an organized cardiac rehabilitation system to facilitate structured cardiac rehabilitation implementation and improve patient outcomes.
目的
尽管心脏康复已被证明具有临床益处，但全球范围内心脏康复的转诊率仍然不足且较低。医疗保健专业人员对心脏康复的知识和态度可能会影响他们的转诊行为，然而在中国，它们之间的相互关系很少被研究。本研究旨在调查中国医疗保健专业人员的心脏康复转诊率，并探讨心脏康复转诊的知识、态度和实践（KAP）之间的关联。
方法
2021年7月至8月，对来自中国湖南省40家医院的321名医疗保健专业人员进行了一项横断面研究。参与者完成了一份在线问卷，以评估他们对心脏康复转诊的KAP。使用逻辑回归分析、Sobel检验和Bootstrap方法进行中介分析。
结果
约三分之一的医疗保健专业人员从未向患者推荐过心脏康复。相关性分析表明，心脏康复知识与心脏康复转诊态度呈正相关（r = 0.57，P < 0.001）。心脏康复知识与心脏康复转诊实践之间存在强烈的正相关，其中部分由心脏康复转诊态度介导，中介效应占4.3%。
结论
医疗保健专业人员中较低的心脏康复转诊率表明迫切需要改善心脏康复转诊。我们的中介模型表明，通过教育和培训增强心脏康复知识并促进积极态度可能有效地促进心脏康复转诊。此外，研究结果强调了建立有组织的心脏康复系统以促进结构化心脏康复实施并改善患者结局的必要性。
Zotero 插件