Patient preference and adherence · 2026
Knowledge, Attitudes, and Practice Regarding Postoperative Rehabilitation Among Patients Who Underwent Biliary Surgery and Their Family Members: A Cross-Sectional Study.
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Zhang Tengfei, Wang Jiale, Tong Chaogang, Song Dejing
Аннотация
OBJECTIVE: This study aimed to investigate knowledge, attitudes, and practices (KAP) regarding postoperative rehabilitation among patients undergoing biliary surgery and their family members.
METHODS: A single-center cross-sectional survey was conducted between June and September 2025 at the Fourth Affiliated Hospital of Anhui Medical University. A self-designed, expert-reviewed questionnaire covering knowledge (8 items), attitudes (8 items), and practices (6 items) was administered to patients undergoing biliary surgery and their family members. The sample comprised 205 patients and 213 family members involved in postoperative care. Data were collected via the Wenjuanxing platform (a WeChat-based survey tool) and analyzed using Spearman correlation analysis and structural equation modeling (SEM).
RESULTS: Participants had a mean age of 46.82 years with a balanced gender distribution (51.9% female). The mean KAP scores were 10.73 ± 5.03 (possible range: 0-16), 30.20 ± 3.92 (range: 8-40), and 18.97 ± 4.85 (range: 6-30), respectively. Knowledge was positively correlated with attitude and practice, and attitude was positively correlated with practice in both patients and family members (all P < 0.001). Structural equation modeling showed significant direct associations of knowledge with attitude and practice and a significant indirect association of knowledge with practice through attitude in both patients and family members (all P = 0.001).
CONCLUSION: Based on the observed KAP scores, participants demonstrated limited knowledge, relatively positive attitudes, but suboptimal practices toward postoperative rehabilitation after biliary surgery. Given the cross-sectional and single-center design, these findings should not be interpreted as causal.
METHODS: A single-center cross-sectional survey was conducted between June and September 2025 at the Fourth Affiliated Hospital of Anhui Medical University. A self-designed, expert-reviewed questionnaire covering knowledge (8 items), attitudes (8 items), and practices (6 items) was administered to patients undergoing biliary surgery and their family members. The sample comprised 205 patients and 213 family members involved in postoperative care. Data were collected via the Wenjuanxing platform (a WeChat-based survey tool) and analyzed using Spearman correlation analysis and structural equation modeling (SEM).
RESULTS: Participants had a mean age of 46.82 years with a balanced gender distribution (51.9% female). The mean KAP scores were 10.73 ± 5.03 (possible range: 0-16), 30.20 ± 3.92 (range: 8-40), and 18.97 ± 4.85 (range: 6-30), respectively. Knowledge was positively correlated with attitude and practice, and attitude was positively correlated with practice in both patients and family members (all P < 0.001). Structural equation modeling showed significant direct associations of knowledge with attitude and practice and a significant indirect association of knowledge with practice through attitude in both patients and family members (all P = 0.001).
CONCLUSION: Based on the observed KAP scores, participants demonstrated limited knowledge, relatively positive attitudes, but suboptimal practices toward postoperative rehabilitation after biliary surgery. Given the cross-sectional and single-center design, these findings should not be interpreted as causal.