Knowledge, attitudes and practices regarding pulmonary rehabilitation among patients with chronic respiratory diseases: a cross-sectional questionnaire-based study in a tertiary hospital in China
Objectives This study aimed to evaluate the knowledge, attitudes and practices (KAP) of patients with chronic respiratory diseases towards pulmonary rehabilitation.Design Cross-sectional, web-based questionnaire study.Setting Tertiary healthcare hospital in Taiyuan, Shanxi Province, China.Participan...
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| Format: | Article |
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e085944.full |
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| author | Xueli Bai Yuan Chen Xiansheng Liu Lingling Wang Xiaohong Zhang Jie Ding Lin Su Ruiying Wang Shuang Wei |
| author_facet | Xueli Bai Yuan Chen Xiansheng Liu Lingling Wang Xiaohong Zhang Jie Ding Lin Su Ruiying Wang Shuang Wei |
| author_sort | Xueli Bai |
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| description | Objectives This study aimed to evaluate the knowledge, attitudes and practices (KAP) of patients with chronic respiratory diseases towards pulmonary rehabilitation.Design Cross-sectional, web-based questionnaire study.Setting Tertiary healthcare hospital in Taiyuan, Shanxi Province, China.Participants A total of 511 patients with chronic respiratory diseases were recruited from the hospital’s outpatient and inpatient departments. After data cleaning, 501 valid responses (98.04% valid response rate) were analysed. Participants were aged 18 or older, able to complete the questionnaire independently or with assistance and included individuals from diverse demographic backgrounds.Primary and secondary outcome measures Primary outcomes included KAP scores related to pulmonary rehabilitation. The secondary outcome assessed the association between demographic factors (age, gender, income, education, smoking status) and KAP scores using structural equation modelling (SEM).Results The mean KAP scores were 1.26±2.85 for knowledge, 30.46±3.63 for attitudes and 34.58±5.55 for practices. SEM analysis showed that knowledge directly influenced attitudes (β=−0.538, p<0.001) and both knowledge (β=0.668, p<0.001) and attitudes (β=0.668, p<0.001) significantly influenced practices. Additionally, demographic factors, such as monthly household income, type of chronic respiratory disease, educational level and smoking status were significantly associated with variations in KAP scores (all p<0.05).Conclusions Patients demonstrated poor knowledge, generally positive attitudes, and moderate practices regarding pulmonary rehabilitation. Tailored educational interventions focusing on bridging the knowledge gap and promoting positive behavioural changes are essential for improving pulmonary rehabilitation engagement among chronic respiratory disease patients.Trial registration number ChiCTR2400080271. |
| format | Article |
| id | doaj-art-5d728baa80574d599aebe33b2468acc8 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-5d728baa80574d599aebe33b2468acc82025-01-23T09:55:09ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-085944Knowledge, attitudes and practices regarding pulmonary rehabilitation among patients with chronic respiratory diseases: a cross-sectional questionnaire-based study in a tertiary hospital in ChinaXueli Bai0Yuan Chen1Xiansheng Liu2Lingling Wang3Xiaohong Zhang4Jie Ding5Lin Su6Ruiying Wang7Shuang Wei82 Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China4 General Medical Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 Department of Respiratory and Critical Care Medicine, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China2 Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China2 Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China3 Department of Surgery, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China1 Department of Respiratory and Critical Care Medicine, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China1 Department of Respiratory and Critical Care Medicine, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China1 Department of Respiratory and Critical Care Medicine, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, ChinaObjectives This study aimed to evaluate the knowledge, attitudes and practices (KAP) of patients with chronic respiratory diseases towards pulmonary rehabilitation.Design Cross-sectional, web-based questionnaire study.Setting Tertiary healthcare hospital in Taiyuan, Shanxi Province, China.Participants A total of 511 patients with chronic respiratory diseases were recruited from the hospital’s outpatient and inpatient departments. After data cleaning, 501 valid responses (98.04% valid response rate) were analysed. Participants were aged 18 or older, able to complete the questionnaire independently or with assistance and included individuals from diverse demographic backgrounds.Primary and secondary outcome measures Primary outcomes included KAP scores related to pulmonary rehabilitation. The secondary outcome assessed the association between demographic factors (age, gender, income, education, smoking status) and KAP scores using structural equation modelling (SEM).Results The mean KAP scores were 1.26±2.85 for knowledge, 30.46±3.63 for attitudes and 34.58±5.55 for practices. SEM analysis showed that knowledge directly influenced attitudes (β=−0.538, p<0.001) and both knowledge (β=0.668, p<0.001) and attitudes (β=0.668, p<0.001) significantly influenced practices. Additionally, demographic factors, such as monthly household income, type of chronic respiratory disease, educational level and smoking status were significantly associated with variations in KAP scores (all p<0.05).Conclusions Patients demonstrated poor knowledge, generally positive attitudes, and moderate practices regarding pulmonary rehabilitation. Tailored educational interventions focusing on bridging the knowledge gap and promoting positive behavioural changes are essential for improving pulmonary rehabilitation engagement among chronic respiratory disease patients.Trial registration number ChiCTR2400080271.https://bmjopen.bmj.com/content/15/1/e085944.full |
| spellingShingle | Xueli Bai Yuan Chen Xiansheng Liu Lingling Wang Xiaohong Zhang Jie Ding Lin Su Ruiying Wang Shuang Wei Knowledge, attitudes and practices regarding pulmonary rehabilitation among patients with chronic respiratory diseases: a cross-sectional questionnaire-based study in a tertiary hospital in China BMJ Open |
| title | Knowledge, attitudes and practices regarding pulmonary rehabilitation among patients with chronic respiratory diseases: a cross-sectional questionnaire-based study in a tertiary hospital in China |
| title_full | Knowledge, attitudes and practices regarding pulmonary rehabilitation among patients with chronic respiratory diseases: a cross-sectional questionnaire-based study in a tertiary hospital in China |
| title_fullStr | Knowledge, attitudes and practices regarding pulmonary rehabilitation among patients with chronic respiratory diseases: a cross-sectional questionnaire-based study in a tertiary hospital in China |
| title_full_unstemmed | Knowledge, attitudes and practices regarding pulmonary rehabilitation among patients with chronic respiratory diseases: a cross-sectional questionnaire-based study in a tertiary hospital in China |
| title_short | Knowledge, attitudes and practices regarding pulmonary rehabilitation among patients with chronic respiratory diseases: a cross-sectional questionnaire-based study in a tertiary hospital in China |
| title_sort | knowledge attitudes and practices regarding pulmonary rehabilitation among patients with chronic respiratory diseases a cross sectional questionnaire based study in a tertiary hospital in china |
| url | https://bmjopen.bmj.com/content/15/1/e085944.full |
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