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已发表论文
骨折患者术后管理相关知识、态度和实践：一项横断面研究
Authors Wang Y, Chen H, Zhao X, Wang X
Received 23 September 2025
Accepted for publication 21 January 2026
Published 8 February 2026 Volume 2026:20 569742
DOI https://doi.org/10.2147/PPA.S569742
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Ramón Morillo-Verdugo
Yiying Wang,1 Hui Chen,1 Xiner Zhao,1 Xianliang Wang2
1Department of Nutrition, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, People’s Republic of China; 2Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, People’s Republic of China
Correspondence: Xiner Zhao, Email 2247241459@qq.com Xianliang Wang, Email wxl218370@126.com
Background: Patients with fractures often face complex postoperative management requirements, and their knowledge, attitude, and practice regarding these aspects remain insufficiently understood.
Purpose: This study aims to assess the knowledge, attitude, and practice (KAP) related to postoperative management among patients with fractures.
Patients and Methods: A cross-sectional study was conducted in the Trauma Orthopedics Department of the Second Affiliated Hospital of Wenzhou Medical University from July 2024 to August 2024. A self-designed questionnaire was administered to collect demographic information and to evaluate KAP scores.
Results: A total of 556 (n = 556) valid responses were analyzed. Of the respondents, 279 (50.18%) were female, and 380 (68.35%) reported fractures resulting from falls. The mean ± SD scores for knowledge, attitude, and practice were 15.24 ± 3.62 (possible range: 0– 22), 31.43 ± 6.40 (possible range: 8– 40), and 83.07 ± 17.24 (possible range: 21– 105), respectively. Based on a 70% cutoff of the total score, 42.73% of participants had adequate knowledge, 82.59% had a positive attitude, and 72.53% reported proactive practice. Correlation analysis revealed significant positive correlations between knowledge scores and attitude scores (r = 0.782, P < 0.001), as well as between knowledge scores and practice scores (r = 0.832, P < 0.001). Additionally, attitude scores were positively correlated with practice scores (r = 0.804, P < 0.001). The structural equation model demonstrated that knowledge had a direct effect on attitude (standardized β = 0.913, P < 0.001) and practice (standardized β = 0.710, P < 0.001), while attitude also directly impacted practice (standardized β = 0.258, P = 0.021).
Conclusion: Patients with fractures exhibited suboptimal knowledge but generally positive attitudes and proactive practices toward postoperative management. Tailored educational interventions to improve patient knowledge could significantly enhance attitude and practice.
Keywords: health knowledge, attitudes, practice, fractures, bone, postoperative care, patient education as topic
1Department of Nutrition, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, People’s Republic of China; 2Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, People’s Republic of China
Correspondence: Xiner Zhao, Email 2247241459@qq.com Xianliang Wang, Email wxl218370@126.com
Background: Patients with fractures often face complex postoperative management requirements, and their knowledge, attitude, and practice regarding these aspects remain insufficiently understood.
Purpose: This study aims to assess the knowledge, attitude, and practice (KAP) related to postoperative management among patients with fractures.
Patients and Methods: A cross-sectional study was conducted in the Trauma Orthopedics Department of the Second Affiliated Hospital of Wenzhou Medical University from July 2024 to August 2024. A self-designed questionnaire was administered to collect demographic information and to evaluate KAP scores.
Results: A total of 556 (n = 556) valid responses were analyzed. Of the respondents, 279 (50.18%) were female, and 380 (68.35%) reported fractures resulting from falls. The mean ± SD scores for knowledge, attitude, and practice were 15.24 ± 3.62 (possible range: 0– 22), 31.43 ± 6.40 (possible range: 8– 40), and 83.07 ± 17.24 (possible range: 21– 105), respectively. Based on a 70% cutoff of the total score, 42.73% of participants had adequate knowledge, 82.59% had a positive attitude, and 72.53% reported proactive practice. Correlation analysis revealed significant positive correlations between knowledge scores and attitude scores (r = 0.782, P < 0.001), as well as between knowledge scores and practice scores (r = 0.832, P < 0.001). Additionally, attitude scores were positively correlated with practice scores (r = 0.804, P < 0.001). The structural equation model demonstrated that knowledge had a direct effect on attitude (standardized β = 0.913, P < 0.001) and practice (standardized β = 0.710, P < 0.001), while attitude also directly impacted practice (standardized β = 0.258, P = 0.021).
Conclusion: Patients with fractures exhibited suboptimal knowledge but generally positive attitudes and proactive practices toward postoperative management. Tailored educational interventions to improve patient knowledge could significantly enhance attitude and practice.
Keywords: health knowledge, attitudes, practice, fractures, bone, postoperative care, patient education as topic