Yin Na, Xiao Xiao, Yao Xinmei, Peng Liyuan, Yang Haili
Cardiothoracic Surgery, Civil Aviation General Hospital, Beijing, 100123, China.
BMC Pulm Med. 2025 Jul 12;25(1):341. doi: 10.1186/s12890-025-03814-7.
This study examines thoracic surgical nurses’ Knowledge-Attitude-Practice (KAP) regarding postoperative pulmonary rehabilitation to improve patient recovery and reduce complications after thoracic surgery.
This cross-sectional study was conducted among thoracic surgical nurses from 7 tertiary hospitals in Beijing between April 8 and April 30, 2024, using a self-administered questionnaire.
A total of 238 valid questionnaires remained. Of these, 191 (80.25%) were female, and 169 (71.01%) had received training in perioperative pulmonary rehabilitation. The mean knowledge, attitudes and practices score were 10.45 ± 3.98 (possible range: 0–34), 33.31 ± 6.50 (possible range: 8–40), and 31.65 ± 6.52 (possible range: 8–40), respectively. The mediation analysis revealed that gender (β = 1.731, = 0.021), age (β = 0.161, = 0.018), hospital level (β = -0.943, = 0.008), education (β = 1.031, = 0.031), and years of working (β = -1.127, = 0.006) had significant direct impacts on knowledge. Knowledge itself was a significant predictor of attitudes (β = 0.777, = 0.009) and directly influenced practice as well (knowledge: β = 0.327, = 0.010; attitudes: β = 0.342, = 0.010). Concurrently, gender (β = 1.346, = 0.012), age (β = 0.125, = 0.011), hospital level (β = -0.733, = 0.006), education (β = 0.801, = 0.021), and working years (β = -0.876, = 0.005) indirectly influenced attitudes. Additionally, gender (β = 1.732, = 0.009), age (β = 0.095, = 0.007), and knowledge (β = 0.266, = 0.011) indirectly impacted practice.
Thoracic surgical nurses exhibit a solid foundation in knowledge and positive attitudes towards postoperative pulmonary rehabilitation, influenced by demographics and education. Targeted training programs are recommended to improve their knowledge, potentially enhancing patient outcomes in recovery.
The online version contains supplementary material available at 10.1186/s12890-025-03814-7.
本研究调查胸外科护士关于术后肺康复的知识、态度和实践情况，以改善患者术后恢复并减少胸外科手术后的并发症。
本横断面研究于2024年4月8日至4月30日在北京7家三级医院的胸外科护士中进行，采用自填式问卷。
共获得238份有效问卷。其中，191名（80.25%）为女性，169名（71.01%）接受过围手术期肺康复培训。知识、态度和实践的平均得分分别为10.45±3.98（可能范围：0 - 34）、33.31±6.50（可能范围：8 - 40）和31.65±6.52（可能范围：8 - 40）。中介分析显示，性别（β = 1.731，P = 0.021）、年龄（β = 0.161，P = 0.018）、医院级别（β = -0.943，P = 0.008）、学历（β = 1.031，P = 0.031）和工作年限（β = -1.127，P = 0.006）对知识有显著直接影响。知识本身是态度的显著预测因素（β = 0.777，P = 0.009），并直接影响实践（知识：β = 0.327，P = 0.010；态度：β = 0.342，P = 0.010）。同时，性别（β = 1.346，P = 0.012）、年龄（β = 0.125，P = 0.011）、医院级别（β = -0.733，P = 0.006）、学历（β = 0.801，P = 0.021）和工作年限（β = -0.876，P = 0.005）间接影响态度。此外，性别（β = 1.732，P = 0.009）、年龄（β = 0.095，P = 0.007）和知识（β = 0.266，P = 0.011）间接影响实践。
胸外科护士在术后肺康复知识方面有坚实基础，且态度积极，受人口统计学特征和教育程度影响。建议开展针对性培训项目以提高其知识水平，可能改善患者康复结局。
在线版本包含可在10.1186/s12890 - 025 - 03814 - 7获取的补充材料。
