Knowledge, attitude and practice of Chinese medical staff in early pulmonary rehabilitation during acute exacerbation of chronic obstructive pulmonary disease: a cross-sectional study

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 thi...

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Main Authors: Yan Liu, Li Yao, Yaling Li, Tingshu Wang, Tingrui Wang, Zhangyi Wang, Fangrong Jia, Pe Cai, Qinqin Li, Yuhan Chen
Format: Article
Language:English
Published: BMJ Publishing Group 2025-05-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/5/e087610.full
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author Yan Liu
Li Yao
Yaling Li
Tingshu Wang
Tingrui Wang
Zhangyi Wang
Fangrong Jia
Pe Cai
Qinqin Li
Yuhan Chen
author_facet Yan Liu
Li Yao
Yaling Li
Tingshu Wang
Tingrui Wang
Zhangyi Wang
Fangrong Jia
Pe Cai
Qinqin Li
Yuhan Chen
author_sort Yan Liu
collection DOAJ
description 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.
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spelling doaj-art-3fa084004c1d4098ab019a3b1467f9012025-08-20T03:05:45ZengBMJ Publishing GroupBMJ Open2044-60552025-05-0115510.1136/bmjopen-2024-087610Knowledge, attitude and practice of Chinese medical staff in early pulmonary rehabilitation during acute exacerbation of chronic obstructive pulmonary disease: a cross-sectional studyYan Liu0Li Yao1Yaling Li2Tingshu Wang3Tingrui Wang4Zhangyi Wang5Fangrong Jia6Pe Cai7Qinqin Li8Yuhan Chen9School of Nursing, Guizhou Medical University, Guiyang, ChinaDepartment of Respiratory and Critical Care Medicine, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, ChinaSchool of Nursing, Guizhou Medical University, Guiyang, ChinaSchool of Nursing, Guizhou Medical University, Guiyang, ChinaSchool of Nursing, Guizhou Medical University, Guiyang, ChinaNursing Department / Research and Teaching Department, The Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, Hunan, ChinaFaculty of Nursing, Prince of Songkla University - Hat Yai Campus, Hat Yai, ThailandDepartment of Nursing, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, ChinaSchool of Nursing, Guizhou Medical University, Guiyang, ChinaENT-Head & Neck, Guiqian International General Hospital, Guiyang, Guizhou, ChinaObjective 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.https://bmjopen.bmj.com/content/15/5/e087610.full
spellingShingle Yan Liu
Li Yao
Yaling Li
Tingshu Wang
Tingrui Wang
Zhangyi Wang
Fangrong Jia
Pe Cai
Qinqin Li
Yuhan Chen
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
title Knowledge, attitude and practice of Chinese medical staff in early pulmonary rehabilitation during acute exacerbation of chronic obstructive pulmonary disease: a cross-sectional study
title_full Knowledge, attitude and practice of Chinese medical staff in early pulmonary rehabilitation during acute exacerbation of chronic obstructive pulmonary disease: a cross-sectional study
title_fullStr Knowledge, attitude and practice of Chinese medical staff in early pulmonary rehabilitation during acute exacerbation of chronic obstructive pulmonary disease: a cross-sectional study
title_full_unstemmed Knowledge, attitude and practice of Chinese medical staff in early pulmonary rehabilitation during acute exacerbation of chronic obstructive pulmonary disease: a cross-sectional study
title_short Knowledge, attitude and practice of Chinese medical staff in early pulmonary rehabilitation during acute exacerbation of chronic obstructive pulmonary disease: a cross-sectional study
title_sort knowledge attitude and practice of chinese medical staff in early pulmonary rehabilitation during acute exacerbation of chronic obstructive pulmonary disease a cross sectional study
url https://bmjopen.bmj.com/content/15/5/e087610.full
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