Knowledge and Attitude of the Medical Staff Concerning Cardiac Rehabilitation in Zhejiang Province, China: A Cross-Sectional Study

Figures & data

Table 1 General Participants

Characteristic	N (%)	Median (Q1, Q3)
Gender
Male	55 (36.2%)
Female	97 (63.8%)
Occupation
Doctor	46 (30.3%)
Nurse	106 (69.7%)
Education level
Junior college	23 (15.1%)
Bachelor’s degree	109 (71.7%)
Master’s degree and above	20 (13.2%)
Job title
Primary	94 (61.9%)
Intermediate	44 (28.9%)
Senior	14 (9.2%)
Work experience (years)		5.0 (3.0, 12.8)
<5	57 (37.5%)
(5–10)	54 (35.5%)
≥4	41 (27.0%)
Specialty work experience (years)		4.0 (1.0, 6.0)
<5	95 (62.5%)
(5–10)	29 (19.1%)
≥10	28 (18.4%)

Table 2 Medical Personnel’s Knowledge of Cardiac Rehabilitation

Characteristic	Knowledge Score	P value
Gender
Male	58.0 (55.0, 61.0)	0.581
Female	58.0 (54.0, 60.0)
Occupation
Doctor	59.5 (55.5, 60.5)	0.098
Nurse	58.0 (54.0, 60.0)
Education level
Junior college	57.0 (54.0, 59.0)	0.363
Bachelor’s degree	58.0 (54.0, 60.0)
Master’s degree and above	58.5 (55.0, 60.5)
Job title
Primary	57.0 (54.0, 59.0)	0.058
Intermediate	59.0 (55.5, 60.0)
Senior	60.0 (56.0, 60.0)
Work experience (years)
<5	56.5 (53.0, 59.0)	0.105
(5–10)	58.0 (55.0, 60.0)
≥10	59.0 (56.0, 60.0)
Specialty work experience (years)
<5	58.0 (54.0, 60.0)	0.247
(5–10)	56.0 (53.0, 60.0)
≥10	58.5 (56.0, 60.0)

Table 3 Scores of Attitudes Toward Cardiac Rehabilitation

Characteristic	Attitude Score	P value
Gender
Male	16.0 (15.0,17.0)	0.091
Female	15.0 (13.0,16.0)
Occupation
Doctor	16.0 (16.0,18.0)	0.004
Nurse	14.5 (13.0,16.0)
Education level
Junior college	14.0 (12.0,16.0)	<0.001
Bachelor’s degree	15.0 (13.0,16.0)
Master’s degree and above	17.0 (16.0,18.0)
Job title
Primary	14.0 (12.0,16.0)	<0.001
Intermediate	16.0 (14.5,17.0)
Senior	16.5 (15.0,18.0)
Work experience (years)
<5	14.0 (13.0,16.0)	0.011
(5–10)	14.0 (12.0,16.0)
≥10	16.0 (14.0,17.0)
Specialty work experience (years)
<5	14.0 (13.0,16.0)	0.005
(5–10)	15.0 (12.0,16.0)
≥10	16.0 (15.0,18.0)

Table 4 Obstructive Factors of Cardiac Rehabilitation According to the Medical Staff

Items	Agree (%)*
No personal benefit in carrying out cardiac rehabilitation	70.4*
Most medical staff do not support early exercise for patients with acute myocardial infarction (no peer-support)	56*
Daily work exhausting the medical staff, with no time to assist patients in rehabilitation exercises	30.93
Current lack of clear clinical pathways/guidelines, allowing effective rehabilitation activities	29.61
Belief of patients and family members that patients should lay in bed for rest after acute myocardial infarction, and patient unwillingness to exercise	29.60
Current lack of cardiac rehabilitation sites and equipment allowing effective rehabilitation activities	26.32
Lack of legal provisions for cardiac rehabilitation doctors/nurses, and no legal protection while applying cardiac rehabilitation	37
Tense conflicts between doctors and patients/worry about medical disputes caused by condition changes during rehabilitation	19.08

Notes: Referred to the proportion of responders selecting “agree“ (4 points) or “completely agree“ (5 points) for the item. *The most top items of obstructive factors.

Table 5 Factors Promoting the Application of Cardiac Rehabilitation by the Medical Staff

Items	Agree (%)*
Knowledge and skills acquired while performing cardiac rehabilitation	97.37*
Increased cardiology team influence, making hospitals pay more attention to the cardiology department.	94.08
Strengthening of collaboration of doctors, nurses, rehabilitators and other medical staff.	94.08
Increased sense of worth in doctors and nurses	84.87
Cardiac rehabilitation allows patients and family members to give higher ratings to doctors/nurses.	82.89
Cardiac rehabilitation can prevent the loss of patient resource	77.63

Notes: Referred to the proportion of responders selecting “agree” (4 points) or “completely agree” (5 points) for the item. *The most significant item is the highest  percentage.