Wang Tingrui, Wang Zhangyi, Yao Li, Jia Fangrong, Li Yaling, Cai Pe, Li Qinqin, Liu Yan, Wang Tingshu, Chen Yuhan
School of Nursing, Guizhou Medical University, Guiyang, China.
Nursing Department / Research and Teaching Department, The Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, Hunan, China
BMJ Open. 2025 May 27;15(5):e087610. doi: 10.1136/bmjopen-2024-087610.
To investigate the knowledge, attitude and practice (KAP) of early pulmonary rehabilitation (PR) of acute exacerbation of chronic obstructive pulmonary disease (AECOPD) among Chinese medical staff and the relationship between them.
A multicentre cross-sectional survey was used in this study.
The study was conducted at multiple hospitals in Guizhou Province, China.
A total of 745 medical staff were recruited from several hospitals in Guizhou Province by convenient sampling method.
A 41-item questionnaire was used to collect the demographic characteristics of the respondents and the KAP of the medical staff on the early PR of AECOPD.
The average KAP scores were 64.49±17.24, 42.81±5.95 and 41.39±8.97. There were significant positive correlations between knowledge and attitude (r=0.491, p<0.001), knowledge and practice (r=0.129, p<0.001), and attitude and practice (r=0.246, p<0.001). Medical staff with prior PR training and AECOPD early PR experience had higher knowledge and practice scores. Attitudes were significantly influenced by gender, hospital level, professional title and respiratory staff status, while practice scores were significantly affected by prior experience, knowledge and patient contact frequency.
The study found that medical staff's knowledge and attitudes affect their practices, and experience and education influence their knowledge. It suggests that organisations should enhance education and training to improve medical staff's knowledge and attitudes, thus enhancing clinical practice. However, the study's focus on Guizhou Province and the high number of nurses in the sample may limit the generalisability of the results.
调查中国医务人员对慢性阻塞性肺疾病急性加重期（AECOPD）早期肺康复（PR）的知识、态度和实践（KAP）及其之间的关系。
本研究采用多中心横断面调查。
研究在中国贵州省的多家医院进行。
采用方便抽样法从贵州省多家医院招募了745名医务人员。
使用一份包含41个条目的问卷收集受访者的人口统计学特征以及医务人员对AECOPD早期PR的KAP。
KAP平均得分分别为64.49±17.24、42.81±5.95和41.39±8.97。知识与态度之间（r=0.491，p<0.001）、知识与实践之间（r=0.129，p<0.001）以及态度与实践之间（r=0.246，p<0.001）存在显著正相关。有PR培训经历和AECOPD早期PR经验的医务人员知识和实践得分更高。态度受性别、医院级别、职称和呼吸科工作人员身份的显著影响，而实践得分受既往经验、知识和与患者接触频率的显著影响。
研究发现医务人员的知识和态度影响其实践，经验和教育影响其知识。这表明组织应加强教育和培训，以提高医务人员的知识和态度，从而加强临床实践。然而，该研究以贵州省为重点且样本中护士数量较多，可能会限制结果的普遍性。
