Supplementary file 1_Nurses' knowledge, attitude, and practice toward the sexual health of breast cancer patients.docx

BackgroundThis study explores the knowledge, attitude, and practice (KAP) regarding the sexual health of breast cancer patients among nurses in Nanjing, China.
MethodsConducted from June to July 2023 across six hospitals, this web-based cross-sectional study utilized a self-administered questionnaire, resulting in 252 valid responses, predominantly from female nurses (98.41%).
ResultsThe mean scores indicated inadequate knowledge (8.82 ± 5.33), a positive attitude (38.43 ± 5.23), and inactive practice (27.75 ± 6.68) regarding patients' sexual health. Multivariate logistic regression identified that the lack of training on breast cancer sexual health was significantly associated with lower knowledge (OR = 0.31, p = 0.001), while job satisfaction correlated positively with knowledge levels (OR = 1.28, p = 0.018). Age (OR = 1.13, p = 0.001) and attitude (OR = 1.22, p < 0.001) were linked to higher levels of practice. Structural equation modeling revealed that knowledge significantly positively influenced attitude (β = 0.493, p < 0.001), and both knowledge and attitude directly affected practice (β = 0.563 and β = 0.897 respectively, p < 0.001).
ConclusionOverall, nurses demonstrated a need for improved knowledge and active practices concerning the sexual health of breast cancer patients.