Investigation and Research on the Knowledge, Attitude and Practice of Intensive Care Unit Nurses on Pulmonary Rehabilitation after Cerebral Hemorrhage Surgery Based on the IKAP model
Abstract
Objective: To investigate the knowledge, beliefs, and behaviors of ICU nursing staff regarding pulmonary rehabilitation after cerebral hemorrhage surgery, and to analyze the influencing factors based on the IKAP (Information-knowledge-belief-behavior) model, in order to provide a basis for optimizing nursing project management. Methods: A cross-sectional study design was used to conduct a questionnaire survey among ICU nursing staff in a tertiary grade A hospital from January to June 2025. A self-compiled questionnaire on knowledge, attitude and practice of pulmonary rehabilitation after cerebral hemorrhage was used, which included demographic data, knowledge dimension (10 questions), belief dimension (10 questions), and behavior dimension (10 questions). The questionnaire was scored on a Likert scale of 5, with a higher total score indicating a better level of knowledge, attitude and practice. Descriptive statistics, t-tests and one-way analysis of variance were used for the data using SPSS 25.0. Results: A total of 120 questionnaires were distributed, and 115 valid questionnaires were retrieved, with an effective recovery rate of 95.8%. Nursing staff scored (7.2 ± 1.5) points (out of 10) in the knowledge dimension, (8.0 ± 1.2) points (out of 10) in the belief dimension, and (6.5 ± 1.8) points (out of 10) in the behavior dimension. There were statistically significant differences in knowledge-attitude-practice scores among nursing staff of different ages, years of service and titles (p < 0.05). Multiple linear regression showed that years of service and training experience were the main influencing factors of knowledge, attitude and practice (β = 0.25, p < 0.01). Conclusion: ICU nursing staff have a moderate level of knowledge and behavior regarding pulmonary rehabilitation after cerebral hemorrhage surgery, have positive beliefs, but their practical behavior needs to be strengthened. Nursing project management based on the IKAP model can improve the quality of care through intensive training and personalized intervention.
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