Knowledge, Attitudes, and Practices of Cardiac Healthcare Workers Toward Thoracoscopic Surgery in Xinjiang: A Cross-Sectional Study.

IF 2.4 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Multidisciplinary Healthcare Pub Date : 2025-05-31 eCollection Date: 2025-01-01 DOI:10.2147/JMDH.S507226

Aili Aibibula, Zheng Liu, Aikeremu Tuerxun, Abudousaimi Aini, Guojun Yu, Duolikun Mutailifu, Qiang Huo, Abudunaibi Maimaitiaili

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引用次数: 0

Abstract

Purpose: Thoracoscopic cardiac surgery can achieve better patient outcomes than median sternotomy, but it is a complex procedure with pros and cons. This study investigated the Knowledge, attitude, and practice (KAP) of cardiac healthcare workers (HWs) toward thoracoscopic surgery in Xinjiang.

Methods: This cross-sectional study was conducted from September 2023 to May 2024 at the Department of Cardiac Surgery, First Affiliated Hospital of Xinjiang Medical University, and enrolled HWs working in cardiac surgery (convenience sampling). An investigator-designed questionnaire was used to collect the demographic and KAP data. The effects of demographic factors on KAP were analyzed using multivariable analyses. Relationships among KAP dimensions were examined using a structural equation modeling (SEM) analysis.

Results: The analysis included 194 participants. The mean knowledge, attitude, and practice scores were 12.97±5.74 (/24, 54.04%), 26.11±2.57 (/35, 74.60%), and 30.70±9.34 (/45, 68.22%), indicating poor knowledge, positive attitudes, and poor practices. Having a doctoral degree (OR=25.7, 95% CI: 1.59-416, P=0.022) and no experience in applying thoracoscopic cardiac surgery for patient treatment (OR=0.05, 95% CI: 0.01-0.31, P=0.001) were independently associated with knowledge. Being a nurse (OR=0.48, 95% CI: 0.24-0.94, P=0.034) was independently associated with attitudes. The knowledge scores (OR=1.17, 95% CI: 1.05-1.30, P=0.003), the attitude scores (OR=1.45, 95% CI: 1.22-1.73, P<0.001), and working in the cardiology (OR=0.17, 95% CI: 0.03-0.95, P=0.044), anesthesiology (OR=0.20, 95% CI: 0.05-0.77, P=0.019), and the operating room (OR=0.04, 95% CI: 0.00-0.32, P=0.002) departments were independently associated with practice. Knowledge influenced attitude (β=0.08, P=0.010), attitude influenced practice (β=0.98, P<0.001), and knowledge influenced practice (β=0.90, P<0.001).

Conclusion: Cardiac HWs in Xinjiang had poor knowledge, positive attitudes, and poor practice regarding thoracoscopic cardiac surgery.

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新疆地区心脏医护人员胸腔镜手术的知识、态度和实践：一项横断面研究

目的：胸腔镜心脏手术比胸骨正中切开术疗效更好，但手术过程复杂，利弊参半。本研究调查新疆地区心脏医护人员对胸腔镜手术的知识、态度和实践（KAP）情况。方法：本横断面研究于2023年9月至2024年5月在新疆医科大学第一附属医院心脏外科进行，招募从事心脏外科工作的医护人员（方便抽样）。采用调查人员设计的问卷收集人口统计和KAP数据。采用多变量分析分析人口统计学因素对KAP的影响。利用结构方程模型（SEM）分析检验了KAP各维度之间的关系。结果：共纳入194名受试者。平均知识、态度和行为得分分别为12.97±5.74（/24,54.04%）、26.11±2.57（/35,74.60%）和30.70±9.34(/45,68.22%)，表现为知识差、积极态度和行为差。拥有博士学位（OR=25.7, 95% CI: 1.59-416， P=0.022）和没有应用胸腔镜心脏手术治疗患者的经验（OR=0.05, 95% CI: 0.01-0.31， P=0.001）与知识独立相关。护士身份与态度独立相关（OR=0.48, 95% CI: 0.24-0.94， P=0.034）。知识得分（OR=1.17, 95% CI: 1.05 ~ 1.30， P=0.003）、态度得分（OR=1.45, 95% CI: 1.22 ~ 1.73）。结论：新疆地区心脏专科护士胸腔镜下心脏手术知识、态度、操作较差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Multidisciplinary Healthcare Nursing-General Nursing

CiteScore

4.60

自引率

3.00%

发文量

287

审稿时长

16 weeks

期刊介绍： The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.