Knowledge, attitude, and practice toward postoperative self-management among patients after percutaneous coronary intervention: A structural equation modeling analysis

IF 2.3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Clinical Cardiology Pub Date : 2024-03-15 DOI:10.1002/clc.24232

Hailing Lei, Lin Zhu, Xin Zhang

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Abstract

Objective

The knowledge, attitude, and practice (KAP) toward post-percutaneous coronary intervention (PCI) self-management among Chinese patients remains unknown. This study investigated the KAP toward postoperative self-management among patients after PCI.

Hypothesis

Patients exhibit poor knowledge, attitudes, and practices regarding post-PCI self-management, requiring enhanced education strategies.

Methods

This cross-sectional study recruited patients after PCI at Jishuitan Hospital, Beijing, between November 2022 and May 2023. Inclusion criteria comprised patients 1–3 months post-PCI, those capable of self-care, and those willingly participating. The questionnaire (49 items) was designed with reference to current guidelines (the Cronbach α = .829). The final questionnaire included four dimensions with 49 items. The Pearson correlation analysis and structural equation modeling (SEM) were used to determine the relationship among knowledge, attitude, and practice.

Results

A total of 476 valid questionnaires were included. The knowledge, attitude, and practice scores were 8.24 ± 2.78 (possible range: 0–12), 21.61 ± 3.15 (possible range: 9–45), and 32.62 ± 3.75 (possible range: 10–50). The Pearson correlation analysis showed only knowledge scores were correlated with the attitude scores (r = .446, p < .001). The SEM showed that knowledge directly affects attitude (β = .616, p < .001) but had no influence on practice (β = .119, p = .155); attitude had no influence on practice (β = .015, p = .809).

Conclusion

This study indicated that patients had poor knowledge, unfavorable attitudes, and unsatisfied practice toward post-PCI self-management. Strengthening patient health education through diverse approaches is imperative.

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经皮冠状动脉介入术后患者对术后自我管理的认识、态度和实践：结构方程模型分析

目的中国患者对经皮冠状动脉介入术（PCI）术后自我管理的知识、态度和实践（KAP）尚不清楚。本研究调查了 PCI 术后患者的术后自我管理知识、态度和实践。假设患者在 PCI 术后自我管理方面表现出的知识、态度和实践较差，需要加强教育策略。方法本横断面研究于 2022 年 11 月至 2023 年 5 月期间在北京积水潭医院招募 PCI 术后患者。纳入标准包括PCI术后1-3个月、有自我管理能力且愿意参与的患者。问卷（49 个条目）的设计参考了现行指南（Cronbach α = .829）。最终问卷包括四个维度，共 49 个项目。采用皮尔逊相关分析和结构方程模型（SEM）来确定知识、态度和实践之间的关系。结果共有 476 份有效问卷。知识、态度和实践得分分别为 8.24 ± 2.78（可能范围：0-12）、21.61 ± 3.15（可能范围：9-45）和 32.62 ± 3.75（可能范围：10-50）。皮尔逊相关分析表明，只有知识得分与态度得分相关（r = .446，p <.001）。SEM 显示，知识直接影响态度（β = .616，p <.001），但对实践没有影响（β = .119，p = .155）；态度对实践没有影响（β = .015，p = .809）。结论本研究表明，患者对PCI术后自我管理的知识贫乏、态度不端正、实践不满意。通过多样化的方法加强患者健康教育势在必行。

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来源期刊

Clinical Cardiology 医学-心血管系统

CiteScore

5.10

自引率

3.70%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Clinical Cardiology provides a fully Gold Open Access forum for the publication of original clinical research, as well as brief reviews of diagnostic and therapeutic issues in cardiovascular medicine and cardiovascular surgery. The journal includes Clinical Investigations, Reviews, free standing editorials and commentaries, and bonus online-only content. The journal also publishes supplements, Expert Panel Discussions, sponsored clinical Reviews, Trial Designs, and Quality and Outcomes.