Abstract
This study investigated knowledge, attitudes, and practices of coronary heart disease patients towards cardiac rehabilitation. This cross-sectional study was conducted at Department of Cardiology, Affiliated Hospital of Hebei University from May to June 2024. Demographic data and knowledge, attitudes, and practices scores were evaluated through questionnaires. Of 490 participants enrolled, 292 (59.59%) were male. The mean knowledge, attitude, and practice scores were 11.68 ± 5.21 (range: 0-20), 21.11 ± 2.62 (range: 5-25), and 39.97 ± 7.46 (range: 10-50). Multivariate logistic regression showed knowledge score (OR = 1.08, 95% CI: [1.04-1.13], P < .001), attitude score (OR = 1.17, 95% CI: [1.08-1.27], P < .001), married status (OR = 5.24, 95% CI: [1.76-15.6], P = .003), and myocardial infarction (OR = 1.86, 95% CI: [1.09-3.19], P = .023) were independently associated with proactive practice. Structural equation model analysis showed direct effects of knowledge on attitude (β = 0.16, P < .001) and practice (β = 0.32, P < .001), with attitude impacting practice (β = 0.95, P < .001), and knowledge indirectly influencing practice through attitude (β = 0.15, P < .001). Coronary heart disease patients showed inadequate knowledge but positive attitudes and practices towards cardiac rehabilitation, highlighting the need for targeted interventions to improve knowledge and engagement in rehabilitation programs.