Knowledge, Attitudes, and Practices Toward LARS Prevention in Rectal Cancer Patients With Prophylactic Stomas: A Multicenter Cross-Sectional Study.
Na Liu, Hong Ying Pi, Yu Ze Sun and 1 others
PMID 42157387WHAT IT FOUND
In 206 patients, most wanted pelvic floor training but knowledge and practice were low.
Attitudes were strong, and education needs focused on technique, diet, and follow-up.
Key findings
01The mean total KAP score was 109.39 of 160, with knowledge 64.10%, attitude 80.04%, and practice 61.84%.
02Attitude partially mediated the relationship between knowledge and practice, accounting for 24.90% of the total effect.
03Patients most wanted to learn pelvic floor muscle training methods (90.29%) and dietary management (84.95%), and time consumption and lack of patience were the most common barrier to rehabilitation behavior (55.34%).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The design was cross-sectional, so it cannot show that knowledge or attitude causes practice. The data were self-reported through interviews and questionnaires. Only 206 of 279 eligible patients were analysed because 46 were unreachable and 27 declined. The sample came from urban tertiary hospitals and overrepresented males, married people, and urban residents, so rural or less educated patients may be underrepresented. The study did not assess standardized clinical performance status such as ASA or WHO scale.
Declared interests
The study was funded by the Youth Independent Innovation Science Fund - Growth Project of Chinese PLA General Hospital. The authors declared no conflicts of interest.
The easy way to misread this
Do not read the mediation finding as proof that changing attitude will improve bowel symptoms or pelvic floor practice. The study was a cross-sectional survey of self-reported knowledge, attitudes, and practices, so it cannot show causation.