Knowledge, attitude, and practice of stroke patients' family members towards stroke rehabilitation: A cross-sectional study

Dongdong Li , Hui Guo , Yiwen Sun , Zhijun Zhang , Huilin Liu
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Abstract

Background

This study aimed to explore the knowledge, attitude, and practice (KAP) among family members of stroke patients regarding stroke rehabilitation.

Methods

A cross-sectional study was conducted on the family members of stroke patients at the China Rehabilitation Research Center from February 15 to May 2, 2024. This study collected demographic data and KAP scores through a self-designed questionnaire.

Results

The study enrolled 517 family members, of which 344 (66.54%) were male. The mean scores for knowledge, attitude, and practice were 12.01 ± 5.46 (possible range: 0-20), 49.40 ± 4.96 (possible range: 11-55), and 41.93 ± 7.49 (possible range: 10-50), respectively. Correlation analyses demonstrated a significant positive relationship between knowledge and attitude (r = 0.501, P < 0.001), knowledge and practice (r = 0.471, P < 0.001), and attitude and practice (r = 0.441, P < 0.001). Structural Equation Modeling indicated that showed that knowledge directly affected attitude (β = 0.481, P = 0.004) and practice (β = 0.351, P = 0.009), and attitude directly affected practice (β = 0.244, P = 0.007). Additionally, knowledge indirectly affected practice through attitude (β = 0.117, P = 0.006).

Conclusions

This study identified significant gaps in knowledge, despite generally positive attitudes and proactive practices among family members of stroke patients regarding stroke rehabilitation. This highlights the necessity for tailored educational programs for family members to address these knowledge gaps.
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脑卒中患者家属脑卒中康复知识、态度与行为的横断面研究
背景:本研究旨在了解脑卒中患者家属对脑卒中康复的认知、态度和实践情况。方法:对中国康复研究中心于2024年2月15日至5月2日收治的脑卒中患者家属进行横断面研究。本研究通过自行设计的问卷收集人口统计数据和KAP得分。结果:共纳入517名家庭成员,其中男性344人,占66.54%。知识、态度和实践的平均得分分别为12.01±5.46分(可能范围0 ~ 20)、49.40±4.96分(可能范围11 ~ 55)和41.93±7.49分(可能范围10 ~ 50)。相关分析显示,知识与态度(r = 0.501,P < 0.001)、知识与实践(r = 0.471,P < 0.001)、态度与实践(r = 0.441,P < 0.001)呈正相关。结构方程模型表明,表明知识直接影响态度(β = 0.481,P = 0.004)和实践(β = 0.351,P = 0.009),和态度直接影响实践(β = 0.244,P = 0.007)。知识通过态度间接影响实践(β = 0.117,P = 0.006)。结论:本研究发现,尽管中风患者的家庭成员对中风康复普遍持积极态度和积极主动的做法,但在知识方面存在显著差距。这凸显了为家庭成员量身定制教育方案以解决这些知识差距的必要性。
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来源期刊
CiteScore
5.00
自引率
4.00%
发文量
583
审稿时长
62 days
期刊介绍: The Journal of Stroke & Cerebrovascular Diseases publishes original papers on basic and clinical science related to the fields of stroke and cerebrovascular diseases. The Journal also features review articles, controversies, methods and technical notes, selected case reports and other original articles of special nature. Its editorial mission is to focus on prevention and repair of cerebrovascular disease. Clinical papers emphasize medical and surgical aspects of stroke, clinical trials and design, epidemiology, stroke care delivery systems and outcomes, imaging sciences and rehabilitation of stroke. The Journal will be of special interest to specialists involved in caring for patients with cerebrovascular disease, including neurologists, neurosurgeons and cardiologists.
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