{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T10:05:19Z","timestamp":1779789919558,"version":"3.53.1"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess the current status of knowledge, attitudes, and practices (KAP) related to Low Anterior Resection Syndrome (LARS) prevention among rectal cancer patients with prophylactic stomas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A multicenter cross\u2010sectional study was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey was administered to 206 patients who underwent prophylactic stoma reversal after sphincter saving rectal cancer surgery at 20 tertiary hospitals in a specific region between January 2024 and January 2025. A validated KAP questionnaire was utilized, comprising three domains: knowledge (12 items), attitudes (10 items), and practices (10 items). Data analysis included descriptive statistics, univariate analysis, multiple linear regression, and mediation analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The total KAP score was 109.39 (20.29) (maximum: 160), with sub\u2010scores of 38.46 (8.46) (knowledge), 40.02 (4.25) (attitudes), and 30.92 (10.59) (practices). Educational level, residence, and primary caregiver were identified as significant explanatory factors in multiple linear regression analysis of KAP scores (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Attitudes partially mediated the relationship between knowledge and practice (mediation effect: 24.90%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Despite positive attitudes, patients demonstrated moderate knowledge gaps and suboptimal behavioral compliance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Patients contributed data to this study but were not involved in its design, analysis, or reporting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70576","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T04:21:40Z","timestamp":1779250900000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, Attitudes, and Practices Toward LARS Prevention in Rectal Cancer Patients With Prophylactic Stomas: A Multicenter Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0612-7821","authenticated-orcid":false,"given":"Na","family":"Liu","sequence":"first","affiliation":[{"name":"The First Medical Center of Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong Ying","family":"Pi","sequence":"additional","affiliation":[{"name":"Medical Service Training Center of Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu Ze","family":"Sun","sequence":"additional","affiliation":[{"name":"PLA Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tian Ze","family":"Wang","sequence":"additional","affiliation":[{"name":"PLA Medical College  Beijing 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