Evidence map›Paper›PMID 40256408›Full record

ArticlePreventive medicine reports2025

Knowledge, attitude, and practice of cardiac rehabilitation referral among healthcare professionals in China: A mediation model.

Ziqiang Yao, Ning Qin, Shuangjiao Shi, Yinglong Duan, Shuhua Zhang, Xiao Li, Haoqi Liu, Zhuqing Zhong

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Article in Preventive medicine reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Ziqiang YaoXiangya Nursing School, Central South University, Changsha, Hunan, China.
Ning QinXiangya Nursing School, Central South University, Changsha, Hunan, China.
Shuangjiao ShiNursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yinglong DuanNursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Shuhua ZhangNursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Xiao LiNursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Haoqi LiuNursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Zhuqing ZhongXiangya Nursing School, Central South University, Changsha, Hunan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Despite proven clinical benefits, cardiac rehabilitation referral rates remained insufficient and low globally. Healthcare professionals' knowledge and attitudes of cardiac rehabilitation may affect their referral behaviors, yet their interrelationships are rarely studied in China. This study aims to examine the cardiac rehabilitation referral rate among Chinese healthcare professionals and explore the associations among knowledge, attitude, and practice (KAP) of cardiac rehabilitation referral. Methods: From July to August 2021, a cross-sectional study was conducted among 321 healthcare professionals from 40 hospitals in Hunan Province of China. The participants completed an online questionnaire to assess their KAP of cardiac rehabilitation referral. Mediation analysis was conducted using logistic regression analysis, Sobel test and Bootstrap method. Results: About one-third of healthcare professionals never recommended cardiac rehabilitation to their patients. The correlation analysis showed that cardiac rehabilitation knowledge was positively correlated with cardiac rehabilitation referral attitude ( Conclusion: The low cardiac rehabilitation referral rate among healthcare professionals indicates an urgent need to improve cardiac rehabilitation referral. Our mediation model suggests that enhancing cardiac rehabilitation knowledge and promoting positive attitudes through education and training may effectively promote cardiac rehabilitation referral. Furthermore, the findings underscore the necessity of establishing an organized cardiac rehabilitation system to facilitate structured cardiac rehabilitation implementation and improve patient outcomes.

Indexed as

Cardiac rehabilitation referralChinaHealthcare professionalKnowledge, attitude, and practiceMediation model

Identifiers

PMID40256408
PMCPMC12008619

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