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Updated: Jun 10, 2026

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
Published on: December 5, 2025
Knowledge, attitude, practice and training of inhalation therapy among respiratory nurses: a cross-sectional study on
Xia Yang1,2, Huan Liang2,3, Zhen Huang4
1Department of Respiratory and Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, 610041, Sichuan, China.
Abstract:
Effective inhalation therapy is critical for managing chronic airway diseases, yet improper technique remains prevalent and contributes to poor clinical outcomes. In China, nurses play a central role in patient education. However, the relationship between nurses' own training and their competency in delivering inhalation therapy education remains underexplored. A cross-sectional online survey was conducted from September to October 2025 among 387 respiratory nurses from 32 hospitals across 25 provinces. A validated 61-item questionnaire assessed their knowledge, attitudes, practices (KAP), and training status regarding inhalation therapy. Mean scores were 33.78 ± 2.76 for knowledge, 35.01 ± 7.98 for attitude, and 61.37 ± 10.2 for practice. Only 50.13% achieved a "good" level of theoretical knowledge. Practice correlated more with attitudes (Rho = 0.57, P < 0.001) than knowledge. Years of experience in specialty nursing, practical workshops and specialist nurse training were markedly associated with the knowledge and practice of inhalation therapy, respectively (P < 0.05), while educational video utilization was significantly correlated with better performance in both areas (all P < 0.05). In summary, respiratory nurses demonstrate positive attitudes and practices but have insufficient theoretical knowledge towards inhalation therapy. Integrated learning strategies combining theoretical instruction with visual tools like educational videos are recommended.
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