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ORIGINAL RESEARCH article

Front. Public Health

Sec. Public Health Education and Promotion

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1647650

Knowledge, Attitudes, and Practices of Esophageal Cancer Patients Regarding Pulmonary Rehabilitation Training

Provisionally accepted
Wei  WangWei Wang1Wenqun  XingWenqun Xing1*Peinan  ChenPeinan Chen1Haibo  SunHaibo Sun1Zongfei  WangZongfei Wang1Yan  ZhengYan Zheng1Yongkui  YuYongkui Yu1Deming  ZengDeming Zeng2
  • 1Department of Thoracic Surgery, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China
  • 2Department of Physical Medicine and Rehabilitation, Xiangya Hospital Central South University, Changsha, China

The final, formatted version of the article will be published soon.

Introduction: This study aimed to assess the knowledge, attitudes, and practices (KAP) of esophageal cancer patients concerning pulmonary rehabilitation training. Methods: A cross-sectional study was conducted at the Henan Cancer Hospital from July 1, 2024, to August 31, 2024. Data were collected through questionnaires that gathered demographic information and KAP scores. Results: A total of 530 esophageal cancer patients participated, including 197 (37.17%) regular smokers and 145 (27.36%) regular alcohol consumers. The mean ± SD scores were 7.78 ± 4.56 for knowledge (range: 0-20), 40.42 ± 4.66 for attitudes (range: 10-50), and 21.13 ± 3.08 for practices (range: 5-25). Correlation analyses showed positive relationships between knowledge and attitude scores (r = 0.335, P < 0.001), knowledge and practice scores (r = 0.323, P < 0.001), and attitude and practice scores (r = 0.567, P < 0.001). Structural Equation Modeling (SEM) indicated significant effects of knowledge on attitude (β = 0.420, P < 0.001) and attitude on practice (β = 0.711, P < 0.001). Conclusions: Esophageal cancer patients showed inadequate knowledge but positive attitudes and proactive practices regarding pulmonary rehabilitation. These findings highlight the need for targeted educational interventions to improve patient knowledge, enhancing overall engagement in rehabilitation practices.

Keywords: knowledge, Attitude, Practice, esophageal cancer, Pulmonary Rehabilitation, Cross-sectional study

Received: 16 Jun 2025; Accepted: 21 Oct 2025.

Copyright: © 2025 Wang, Xing, Chen, Sun, Wang, Zheng, Yu and Zeng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Wenqun Xing, xwq92632788@163.com

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