Wang Pengfei, Wu Zhuangtian, Tang Junpeng, Liu Weipeng, Zhu Jie
Department of Emergency, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province, 510120, People's Republic of China.
Department of Emergency, Shenshan Medical Center of Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Shanwei, Guangdong Province, 516400, People's Republic of China.
J Multidiscip Healthc. 2025 Aug 29;18:5299-5311. doi: 10.2147/JMDH.S536181. eCollection 2025.
Post-cardiac arrest syndrome (PCAS) occurs after cardiac arrest resuscitation, causing cardiac and neurological sequelae if not well treated. In China, physicians are vital in PCAS management from early diagnosis, therapeutic treatment to individualized care. Physicians' knowledge, attitudes, and practices (KAP) towards the condition significantly affect such process, which remain understudied in China.
This study aimed to investigate physicians' KAP regarding PCAS.
This dual-center cross-sectional study was conducted in June 2024 at Sun Yat-Sen Memorial Hospital, affiliated to Sun Yat-Sen University and Shenshan Medical Center, affiliated to Memorial Hospital of Sun Yat-Sen University. Self-developed questionnaires were used to gather demographic and KAP data, yielding 633 responses.
A total of 551 valid questionnaires were included, with 51.2% of respondents being male. The mean scores for KAP were 8.12±1.66 (range: 0-12), 47.96±5.13 (range: 12-60), and 49.00±5.26 (range: 11-55), respectively. Spearman correlation analysis revealed positive correlations between knowledge and attitudes (r=0.248, P<0.001), knowledge and practices (r=0.243, P<0.001), and attitudes and practices (r=0.369, P<0.001). The structural equation modeling (SEM) results confirmed direct associations between knowledge and attitudes (β=0.500, 95% CI: 0.401-0.598, P<0.001), knowledge and practices (β=0.345, 95% CI: 0.263-0.428, P<0.001), and attitudes and practices (β=0.691, 95% CI: 0.608-0.773, P<0.001).
Physicians exhibited limited knowledge, negative attitudes, and proactive practices regarding PCAS. Future educational and behavioral interventions are necessary to enhance physicians' KAP towards PCAS.
心脏骤停后综合征（PCAS）发生于心脏骤停复苏后，若治疗不当会导致心脏和神经后遗症。在中国，医生在PCAS的管理中至关重要，涵盖早期诊断、治疗及个体化护理。医生对该病症的知识、态度和实践（KAP）显著影响这一过程，而在中国这方面仍研究不足。
本研究旨在调查医生对PCAS的KAP。
这项双中心横断面研究于2024年6月在中山大学附属孙逸仙纪念医院和中山大学孙逸仙纪念医院附属深汕中心医院开展。使用自行编制的问卷收集人口统计学和KAP数据，共获得633份回复。
共纳入551份有效问卷，51.2%的受访者为男性。KAP的平均得分分别为8.12±1.66（范围：0 - 12）、47.96±5.13（范围：12 - 60）和49.00±5.26（范围：11 - 55）。Spearman相关性分析显示知识与态度之间存在正相关（r = 0.248，P < 0.001）、知识与实践之间存在正相关（r = 0.243，P < 0.001）以及态度与实践之间存在正相关（r = 0.369，P < 0.001）。结构方程模型（SEM）结果证实知识与态度之间存在直接关联（β = 0.500，95% CI：0.401 - 0.598，P < 0.001）、知识与实践之间存在直接关联（β = 0.345，95% CI：0.263 - 0.428，P < 0.001）以及态度与实践之间存在直接关联（β = 0.691，95% CI：0.608 - 0.773，P < 0.001）。
医生对PCAS的知识有限、态度消极且实践积极。未来有必要开展教育和行为干预以提高医生对PCAS的KAP。
