The knowledge, attitudes, and practices of thoracic surgical nurses towards postoperative pulmonary rehabilitation

Abstract Background This study examines thoracic surgical nurses’ Knowledge-Attitude-Practice (KAP) regarding postoperative pulmonary rehabilitation to improve patient recovery and reduce complications after thoracic surgery. Methods This cross-sectional study was conducted among thoracic surgical n...

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Main Authors: Na Yin, Xiao Xiao, Xinmei Yao, Liyuan Peng, Haili Yang
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Pulmonary Medicine
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Online Access:https://doi.org/10.1186/s12890-025-03814-7
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author Na Yin
Xiao Xiao
Xinmei Yao
Liyuan Peng
Haili Yang
author_facet Na Yin
Xiao Xiao
Xinmei Yao
Liyuan Peng
Haili Yang
author_sort Na Yin
collection DOAJ
description Abstract Background This study examines thoracic surgical nurses’ Knowledge-Attitude-Practice (KAP) regarding postoperative pulmonary rehabilitation to improve patient recovery and reduce complications after thoracic surgery. Methods This cross-sectional study was conducted among thoracic surgical nurses from 7 tertiary hospitals in Beijing between April 8 and April 30, 2024, using a self-administered questionnaire. Results A total of 238 valid questionnaires remained. Of these, 191 (80.25%) were female, and 169 (71.01%) had received training in perioperative pulmonary rehabilitation. The mean knowledge, attitudes and practices score were 10.45 ± 3.98 (possible range: 0–34), 33.31 ± 6.50 (possible range: 8–40), and 31.65 ± 6.52 (possible range: 8–40), respectively. The mediation analysis revealed that gender (β = 1.731, p = 0.021), age (β = 0.161, p = 0.018), hospital level (β = -0.943, p = 0.008), education (β = 1.031, p = 0.031), and years of working (β = -1.127, p = 0.006) had significant direct impacts on knowledge. Knowledge itself was a significant predictor of attitudes (β = 0.777, p = 0.009) and directly influenced practice as well (knowledge: β = 0.327, p = 0.010; attitudes: β = 0.342, p = 0.010). Concurrently, gender (β = 1.346, p = 0.012), age (β = 0.125, p = 0.011), hospital level (β = -0.733, p = 0.006), education (β = 0.801, p = 0.021), and working years (β = -0.876, p = 0.005) indirectly influenced attitudes. Additionally, gender (β = 1.732, p = 0.009), age (β = 0.095, p = 0.007), and knowledge (β = 0.266, p = 0.011) indirectly impacted practice. Conclusions Thoracic surgical nurses exhibit a solid foundation in knowledge and positive attitudes towards postoperative pulmonary rehabilitation, influenced by demographics and education. Targeted training programs are recommended to improve their knowledge, potentially enhancing patient outcomes in recovery.
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series BMC Pulmonary Medicine
spelling doaj-art-519c5777c2f5426da5d04d64cbf736852025-08-20T03:42:43ZengBMCBMC Pulmonary Medicine1471-24662025-07-0125111110.1186/s12890-025-03814-7The knowledge, attitudes, and practices of thoracic surgical nurses towards postoperative pulmonary rehabilitationNa Yin0Xiao Xiao1Xinmei Yao2Liyuan Peng3Haili Yang4Cardiothoracic Surgery, Civil Aviation General HospitalCardiothoracic Surgery, Civil Aviation General HospitalCardiothoracic Surgery, Civil Aviation General HospitalCardiothoracic Surgery, Civil Aviation General HospitalCardiothoracic Surgery, Civil Aviation General HospitalAbstract Background This study examines thoracic surgical nurses’ Knowledge-Attitude-Practice (KAP) regarding postoperative pulmonary rehabilitation to improve patient recovery and reduce complications after thoracic surgery. Methods This cross-sectional study was conducted among thoracic surgical nurses from 7 tertiary hospitals in Beijing between April 8 and April 30, 2024, using a self-administered questionnaire. Results A total of 238 valid questionnaires remained. Of these, 191 (80.25%) were female, and 169 (71.01%) had received training in perioperative pulmonary rehabilitation. The mean knowledge, attitudes and practices score were 10.45 ± 3.98 (possible range: 0–34), 33.31 ± 6.50 (possible range: 8–40), and 31.65 ± 6.52 (possible range: 8–40), respectively. The mediation analysis revealed that gender (β = 1.731, p = 0.021), age (β = 0.161, p = 0.018), hospital level (β = -0.943, p = 0.008), education (β = 1.031, p = 0.031), and years of working (β = -1.127, p = 0.006) had significant direct impacts on knowledge. Knowledge itself was a significant predictor of attitudes (β = 0.777, p = 0.009) and directly influenced practice as well (knowledge: β = 0.327, p = 0.010; attitudes: β = 0.342, p = 0.010). Concurrently, gender (β = 1.346, p = 0.012), age (β = 0.125, p = 0.011), hospital level (β = -0.733, p = 0.006), education (β = 0.801, p = 0.021), and working years (β = -0.876, p = 0.005) indirectly influenced attitudes. Additionally, gender (β = 1.732, p = 0.009), age (β = 0.095, p = 0.007), and knowledge (β = 0.266, p = 0.011) indirectly impacted practice. Conclusions Thoracic surgical nurses exhibit a solid foundation in knowledge and positive attitudes towards postoperative pulmonary rehabilitation, influenced by demographics and education. Targeted training programs are recommended to improve their knowledge, potentially enhancing patient outcomes in recovery.https://doi.org/10.1186/s12890-025-03814-7KnowledgeAttitudePracticeThoracic surgical nursePulmonary rehabilitation
spellingShingle Na Yin
Xiao Xiao
Xinmei Yao
Liyuan Peng
Haili Yang
The knowledge, attitudes, and practices of thoracic surgical nurses towards postoperative pulmonary rehabilitation
BMC Pulmonary Medicine
Knowledge
Attitude
Practice
Thoracic surgical nurse
Pulmonary rehabilitation
title The knowledge, attitudes, and practices of thoracic surgical nurses towards postoperative pulmonary rehabilitation
title_full The knowledge, attitudes, and practices of thoracic surgical nurses towards postoperative pulmonary rehabilitation
title_fullStr The knowledge, attitudes, and practices of thoracic surgical nurses towards postoperative pulmonary rehabilitation
title_full_unstemmed The knowledge, attitudes, and practices of thoracic surgical nurses towards postoperative pulmonary rehabilitation
title_short The knowledge, attitudes, and practices of thoracic surgical nurses towards postoperative pulmonary rehabilitation
title_sort knowledge attitudes and practices of thoracic surgical nurses towards postoperative pulmonary rehabilitation
topic Knowledge
Attitude
Practice
Thoracic surgical nurse
Pulmonary rehabilitation
url https://doi.org/10.1186/s12890-025-03814-7
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