Wentong Dong, Bin Yang, Xianjie Li, Runsheng Zhang, Qiankun Chen, Wenhao Peng, Zhengyu Li, Feilong Zeng, Tinghua Li, Siming Zhu

Zhengzhou Seventh People’s Hospital & Henan Provincial Key Laboratory of Cardiac Remodeling and Transplantation, Zhengzhou Seventh People’s Hospital Affiliated to Xinxiang Medical College, Zhengzhou, Henan, People’s Republic of China

Correspondence: Bin Yang, Email Yb12252023@163.com

Background: Coronary heart disease (CHD) is a leading cause of mortality worldwide. Coronary artery bypass grafting (CABG) is a recognized effective treatment, particularly for patients with complex multivessel disease. However, there is limited research on the knowledge, attitudes, and practices (KAP) of CHD patients toward this surgery.
Aim: This study aimed to investigate the KAP of CHD patients regarding CABG.
Methods: A cross-sectional study was conducted from September 13, 2023 to January 25, 2024 at the Cardiology and Cardiothoracic Surgery Departments of Zhengzhou Seventh People’s Hospital through the dissemination of a self-designed KAP questionnaire, which demonstrated good internal consistency with a Cronbach’s α coefficient of 0.921 in the pilot test.
Results: A total of 427 participants (mean age 58.05 ± 13.2 years; 62.53% male) were enrolled. Among them, 151 (35.36%) had undergone or are scheduled for CABG. The mean knowledge, attitude, and practice scores were 6.03± 2.16, 43.03± 6.61, and 37.7± 5.51, respectively. Participants with CABG experience or plans exhibited significantly higher attitude and knowledge scores compared to those without. Correlation analyses showed that there were significant positive correlations between knowledge and attitude (r = 0.128, P = 0.008) as well as practice (r = 0.202, P < 0.001). Also, there was a correlation between attitude and practice (r = 0.654, P < 0.001). Multivariate analyses showed that attitude score (OR = 1.294, 95% CI: [1.226– 1.367], P < 0.001), marital status other than married (OR = 2.32, 95% CI: [1.048– 5.136], P = 0.038) were independently associated with proactive practice.
Conclusion: CHD patients exhibited insufficient knowledge, positive attitudes and proactive practices regarding CABG. Healthcare professionals should prioritize patient education initiatives aimed at enhancing knowledge regarding CABG, while also reinforcing and leveraging positive attitudes and proactive behaviors to optimize patient outcomes and treatment adherence.

Keywords: coronary heart disease, coronary artery bypass grafting, knowledge, attitude, practice