Kidney Disease Knowledge and Its Determinants Among Patients With Chronic Kidney Disease

Abstract

The alarming rise in the incidence of end-stage renal disease in Nigeria is likely to continue if patients with chronic kidney disease (CKD) lack knowledge of this disease, its management, and practices to support effective self-management. The study aimed to assess CKD knowledge and to investigate its predictors. A cross-sectional survey was conducted using a paper-based questionnaire at the medical and nephrology outpatients' clinics of a secondary and tertiary hospital in Maiduguri. The study enrolled 220 patients with CKD stages 1 to 4. Sixty-five percent of the participants had poor CKD knowledge. The patients who had a tertiary level of education were significantly more likely to have higher CKD knowledge compared to those with no formal education (adjusted odds ratio: 2.62, 95% CI: 1.20-5.72). The study shows that the majority of the participants had poor CKD knowledge. Tertiary educational level was the only significant independent predictor of higher CKD knowledge. Therefore, targeted educational interventions are needed among patients with no or low formal education to be able to support them with self-management behaviors.

Correlations between uncertainty in illness and anxiety, depression and quality of life in patients receiving maintenance haemodialysis: A cross‐sectional study

“…On the other hand, due to the symptoms hidden of CKD, many patients ignored the health problems at early stages and know little about disease progression, treatment and prognosis (Khalil & Abdalrahim, 2014 ; Okoro et al., 2020 ). The lack of knowledge could give rise to patient's uncertainty in illness that could damage patients’ physical, social, spiritual, mental, economic dimensions of life, thus reducing their compliance and coping abilities.…”

CKD Knowledge and Its Associated Factors Among Patients with Type 2 Diabetes Mellitus Attending Follow-up in a Penang Primary Health Clinic

“…The patients might not be receiving adequate education from the healthcare providers about their disease and its potential complications, or it also can be the failure of the patients themselves to understand the information delivered by healthcare providers. Indeed, a lack of CKD knowledge is not only a common problem among diabetic patients, but it is also a major issue among those with established CKD diagnosis 13 . Therefore, more aggressive actions are needed to address this problem.…”

Effectiveness of the Nurse-led Self and Family Management Support Program among Adults with Early-stage Chronic Kidney Disease: A Randomized Controlled Trial

“…Poor self-management leads to worse clinical outcomes, particularly eGFR and high blood pressure, which increases the need for dialysis. 8 Suboptimal self-management is related to poor disease knowledge, 9 which is a prerequisite to understanding the need for change in behavior and lifestyle practices. Notably, adults with early-stage CKD are likely asymptomatic, making them not concerned about their disease and not seeing the need for strictly controlling their self-management behavior.…”

“…For context, self-management is influenced by the condition-specific risk and protective factors, physical and social environments, individuals, and families. From the literature review, the important contextual factors of CKD self-management include the individuals' characteristics (i.e., knowledge 9 and awareness of CKD 10 ) and the family's characteristics, particularly the family's capabilities to provide support, information, and guidance in coping with problems in CKD selfmanagement. 12 Contextual dimension elements have a direct impact on outcomes, as well as on how individuals and families engage in the self-management process.…”