新疆心脏科医护人员对胸腔镜手术的认知、态度及实践：一项横断面研究
Knowledge, Attitudes, and Practices of Cardiac Healthcare Workers Toward Thoracoscopic Surgery in Xinjiang: A Cross-Sectional Study.
作者信息
Aibibula Aili, Liu Zheng, Tuerxun Aikeremu, Aini Abudousaimi, Yu Guojun, Mutailifu Duolikun, Huo Qiang, Maimaitiaili Abudunaibi
机构信息
The Department of Cardiac Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi City, Xinjiang Uygur Autonomous Region, 830054, People's Republic of China.
出版信息
J Multidiscip Healthc. 2025 May 31;18:3105-3119. doi: 10.2147/JMDH.S507226. eCollection 2025.
PURPOSE
Thoracoscopic cardiac surgery can achieve better patient outcomes than median sternotomy, but it is a complex procedure with pros and cons. This study investigated the Knowledge, attitude, and practice (KAP) of cardiac healthcare workers (HWs) toward thoracoscopic surgery in Xinjiang.
METHODS
This cross-sectional study was conducted from September 2023 to May 2024 at the Department of Cardiac Surgery, First Affiliated Hospital of Xinjiang Medical University, and enrolled HWs working in cardiac surgery (convenience sampling). An investigator-designed questionnaire was used to collect the demographic and KAP data. The effects of demographic factors on KAP were analyzed using multivariable analyses. Relationships among KAP dimensions were examined using a structural equation modeling (SEM) analysis.
RESULTS
The analysis included 194 participants. The mean knowledge, attitude, and practice scores were 12.97±5.74 (/24, 54.04%), 26.11±2.57 (/35, 74.60%), and 30.70±9.34 (/45, 68.22%), indicating poor knowledge, positive attitudes, and poor practices. Having a doctoral degree (OR=25.7, 95% CI: 1.59-416, P=0.022) and no experience in applying thoracoscopic cardiac surgery for patient treatment (OR=0.05, 95% CI: 0.01-0.31, P=0.001) were independently associated with knowledge. Being a nurse (OR=0.48, 95% CI: 0.24-0.94, P=0.034) was independently associated with attitudes. The knowledge scores (OR=1.17, 95% CI: 1.05-1.30, P=0.003), the attitude scores (OR=1.45, 95% CI: 1.22-1.73, P<0.001), and working in the cardiology (OR=0.17, 95% CI: 0.03-0.95, P=0.044), anesthesiology (OR=0.20, 95% CI: 0.05-0.77, P=0.019), and the operating room (OR=0.04, 95% CI: 0.00-0.32, P=0.002) departments were independently associated with practice. Knowledge influenced attitude (β=0.08, P=0.010), attitude influenced practice (β=0.98, P<0.001), and knowledge influenced practice (β=0.90, P<0.001).
CONCLUSION
Cardiac HWs in Xinjiang had poor knowledge, positive attitudes, and poor practice regarding thoracoscopic cardiac surgery.
目的
与正中开胸手术相比，胸腔镜心脏手术可使患者获得更好的治疗效果，但这是一项复杂的手术，有其利弊。本研究调查了新疆心脏科医护人员（HWs）对胸腔镜手术的知识、态度和实践（KAP）情况。
方法
本横断面研究于2023年9月至2024年5月在新疆医科大学第一附属医院心脏外科进行，纳入在心脏外科工作的医护人员（便利抽样）。使用研究者设计的问卷收集人口统计学和KAP数据。采用多变量分析方法分析人口统计学因素对KAP的影响。使用结构方程模型（SEM）分析KAP维度之间的关系。
结果
分析纳入了194名参与者。知识、态度和实践的平均得分分别为12.97±5.74（/24，54.04%）、26.11±2.57（/35，74.60%）和30.70±9.34（/45，68.22%），表明知识水平较差、态度积极但实践情况不佳。拥有博士学位（OR=25.7，95%CI：1.59 - 416，P=0.022）以及没有应用胸腔镜心脏手术治疗患者的经验（OR=0.05，95%CI：0.01 - 0.31，P=0.001）与知识水平独立相关。作为护士（OR=0.48，95%CI：0.24 - 0.94，P=0.034）与态度独立相关。知识得分（OR=1.17，95%CI：1.05 - 1.30，P=0.003）、态度得分（OR=1.45，95%CI：1.22 - 1.73，P<0.001）以及在心内科（OR=0.17，95%CI：0.03 - 0.95，P=0.044）、麻醉科（OR=0.20，95%CI：0.05 - 0.77，P=0.019）和手术室（OR=0.04，95%CI：0.00 - 0.32，P=0.002）工作与实践独立相关。知识影响态度（β=0.08，P=0.010），态度影响实践（β=0.98，P<0.001），知识影响实践（β=0.90，P<0.001）。
结论
新疆心脏科医护人员对胸腔镜心脏手术的知识水平较差、态度积极但实践情况不佳。
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