Ma Yuefeng, Xing Xin, Li Shaomin, Li Jianzhong, Ma Zhenchuan, Sun Liangzhang, Zhang Danjie, Kong Ranran
Department of Thoracic Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.
Cadre Health Care Special Clinic, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.
Healthcare (Basel). 2025 Jul 22;13(15):1771. doi: 10.3390/healthcare13151771.
Postoperative pulmonary embolism (PPE) is a critical complication that can significantly affect patient outcomes. This study aimed to assess knowledge, attitudes, and practices (KAP) of thoracic healthcare professionals toward PPE. A cross-sectional study was conducted from September to December 2022. A total of 222 thoracic healthcare professionals participated in the study; the majority were aged 30-40 years (40.54%) and had over 10 years of work experience (47.75%). Participants completed a self-designed questionnaire assessing demographic data and KAP scores: knowledge (0-11), attitudes (11-55), and practices (9-45). The main measures included the mean scores for knowledge, attitudes, and practices, along with correlation analyses and path analysis to assess relationships among the KAP components. Mean scores were 9.03 ± 1.13 for knowledge, 50.09 ± 4.23 for attitudes, and 35.78 ± 7.85 for practices. Participants showed strong awareness of PPE definitions and risk factors, but only 24.77% correctly identified its classic clinical triad. Attitudinally, while most expressed a willingness to engage in PPE training and risk assessment, 55.41% remained cautious about anticoagulation due to bleeding risks. In practice, although 72.52% consistently supported postoperative mobilization, only 30.63% frequently acquired updated PPE knowledge. Significant positive correlations were found between knowledge and attitudes (r = 0.218, < 0.001) and between attitudes and practices (r = 0.234, < 0.001). Path analysis showed that knowledge positively influenced attitudes (path coefficient 0.748, = 0.002), and attitudes positively influenced practices (path coefficient 0.374, = 0.003). Thoracic healthcare professionals exhibited adequate knowledge, positive attitudes, and proactive practices regarding PPE, indicating a strong foundation for enhancing postoperative care.
术后肺栓塞(PPE)是一种严重的并发症,会显著影响患者的预后。本研究旨在评估胸科医护人员对PPE的知识、态度和实践(KAP)。于2022年9月至12月进行了一项横断面研究。共有222名胸科医护人员参与了该研究;大多数人年龄在30 - 40岁之间(40.54%),工作经验超过10年(47.75%)。参与者完成了一份自行设计的问卷,评估人口统计学数据和KAP得分:知识(0 - 11分)、态度(11 - 55分)和实践(9 - 45分)。主要测量指标包括知识、态度和实践的平均得分,以及用于评估KAP各组成部分之间关系的相关性分析和路径分析。知识的平均得分为9.03±1.13分,态度为50.09±4.23分,实践为35.78±7.85分。参与者对PPE的定义和危险因素有较强的认识,但只有24.77%的人正确识别出其典型的临床三联征。在态度方面,虽然大多数人表示愿意参加PPE培训和风险评估,但由于出血风险,55.41%的人对抗凝治疗仍持谨慎态度。在实践中,尽管72.52%的人始终支持术后活动,但只有30.63%的人经常获取最新的PPE知识。知识与态度之间(r = 0.218,P < 0.001)以及态度与实践之间(r = 0.