Journal Article Multicenter Study Epublish
PubMed: 40436459 DOI: 10.1136/bmjopen-2024-087610
Knowledge, attitude and practice of Chinese medical staff in early pulmonary rehabilitation during acute exacerbation of chronic obstructive pulmonary disease: a cross-sectional study.
BMJ Open 15(5):e087610
Authors: Tingrui Wang, Zhangyi Wang, Li Yao, Fangrong Jia, Yaling Li, Pe Cai, Qinqin Li, Yan Liu, Tingshu Wang, Yuhan Chen
Affiliations
- 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.
- Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
- Faculty of Nursing, Prince of Songkla University - Hat Yai Campus, Hat Yai, Thailand.
- Department of Nursing, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
- ENT-Head & Neck, Guiqian International General Hospital, Guiyang, Guizhou, China.
Abstract
OBJECTIVE
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.
DESIGN
A multicentre cross-sectional survey was used in this study.
SETTING
The study was conducted at multiple hospitals in Guizhou Province, China.
PARTICIPANTS
A total of 745 medical staff were recruited from several hospitals in Guizhou Province by convenient sampling method.
PRIMARY AND SECONDARY OUTCOME MEASURES
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.
RESULTS
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.
CONCLUSIONS
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.
MeSH
Cross-Sectional Studies, Rehabilitation, Pulmonary Disease, Chronic Obstructive, Medical Staff, Lung Diseases, Education, Lung Diseases, Obstructive