Knowledge, Attitude, and Perception About Renal Transplantation of CKD Patients, Caregivers, and General Population

Iqbal, Muhammad Omer; Hossain, Rana Mokarram; Hossain, K M Amran; Faroque, M O; Islam, Shafiqul; Iqbal, Sarwar; Chowdhury, Mohiuddin Ahsanul Kabir

doi:10.1016/j.transproceed.2018.04.048

Cited by 9 publications

(10 citation statements)

References 10 publications

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“…Sadly only 72% of our patients had knowledge about transplant as a modality for renal replacement therapy, lesser than the West-African MHD patients from Cote d'Ivoire (97.3%) and Nigeria (75%), [4,5] however they were better informed than the Saudi Arabian (39%) and Bangladesh CKD cohorts (30%, 34%). [6][7][8] Consequently lesser number of our patients (69.4%) were willing for transplant than the Cote d'Ivoire cohort (78.3%), [4] Saudi-Arabians had comparable willingness (69%) as they also feared their old age (61%) and surgical complications (26%), whereas Chinese feared transplantation the most with only 46.4% willing for transplant. [9] Even the high income country like Hungary had no different experience, with only 71% of their MHD patient willing for transplant.…”

Section: Discussionmentioning

confidence: 73%

Knowledge, Perception and Attitude of Indian Maintenance Hemodialysis Patients toward Renal Transplantation

Kaur¹,

Sharma²,

Chahal³

et al. 2019

AJMR

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Background: Chronic Kidney Disease (CKD) is a global health problem and so is the dilemma of choosing the right renal replacement therapy in end-stage renal disease. Renal transplantation undoubtedly improves the quality of life and long-term survival as compared to dialysis, but patients' choice is influenced by their awareness regarding these treatment modalities. Objectives: The aim of the present study was to evaluate the knowledge, perceptions and attitude of maintenance hemodialysis (MHD) patients towards transplantation. Subjects and Methods: Patients on MHD for more than 3 months duration were included in this questionnaire based cross-sectional study, after a written informed consent. Results: A total of 144 patients with a mean age of 48 ±12 years were included in the study, with 92(63.9%) males and 52(36.2%) females. Most of these had diabetic kidney disease (n=58,40.3%). The source of knowledge regarding transplantation were the treating doctor (76.4%), paramedical staff (9.7%), relatives/friends (11.1%) and social media/other sources (2.8%). Majority of them (n=100,69.4%) were willing to undergo transplantation, but had multiple reasons for continuing hemodialysis, including old age (31.8%), financial constrains (40.9%), fear of post-transplant complications (54.5%), concern for health of the donor after donation (22.7%) and various co-morbidities precluding transplantation (9.1%). Only 41.7% patient was aware of option of diseased donor transplantation, but just 11.1% were enrolled for the same. Conclusion: Negative attitude towards transplantation is a potentially modifiable factor and increasing awareness among CKD patients can improve their quality of life, after live or deceased donor transplantation.

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Section: Discussionmentioning

confidence: 73%

Knowledge, Perception and Attitude of Indian Maintenance Hemodialysis Patients toward Renal Transplantation

Kaur¹,

Sharma²,

Chahal³

et al. 2019

AJMR

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“…In addition, women should be acknowledged due to their evaluations of insufficiency in several dimensions. Patients’ educational level may also be linked to knowledge, 27 , 29 , 30 yet it was not investigated in this study due to focusing on factors related to health and patient education. Written educational material can contribute to the sufficiency of knowledge processed in patient education, although earlier studies suggest that patients with CKD do not necessarily perceive written material as useful.…”

Section: Discussionmentioning

confidence: 99%

“…Objective evaluation is the observation of knowledge that is independent of patients' perspective, usually using knowledge tests. 25 For patients with CKD, knowledge tests exist on the function of the kidneys, [27][28][29] kidney disease, 27,30 its treatment, [27][28][29] kidney transplantation, [30][31][32] and treatment adherence. 33 Higher knowledge levels seem to be associated with male gender 27,29 and higher educational level.…”

Section: Introductionmentioning

confidence: 99%

“…33 Higher knowledge levels seem to be associated with male gender 27,29 and higher educational level. 27,29,30 Patient education can improve knowledge level, 33,34 but the sufficiency of knowledge varies based on forms of care and treatment. 32 The emphasis of patient empowerment in the care of patients with CKD has highlighted the importance of evaluating patient-reported outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Sufficiency of Knowledge Processed in Patient Education in Dialysis Care

Inkeroinen

Koskinen

Karlsson

et al. 2021

PPA

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Purpose: Patient education improves health and treatment adherence of patients with chronic kidney disease. However, evidence about the sufficiency of patients' knowledge processed in patient education is limited. The purpose of this study was to evaluate subjective and objective sufficiency of knowledge processed in patient education in dialysis care and treatment. Patients and Methods: A cross-sectional study design was used. The sample (n=162) comprised patients in predialysis or home dialysis. All eligible patients during the data collection timeframe (2016)(2017) in two university hospital districts in Finland were invited to participate. Subjective sufficiency was evaluated with a structured questionnaire having 34 items divided into six dimensions of empowering knowledge (bio-physiological, functional, social, experiential, ethical, and financial) on a Likert scale (1=not sufficient at all, 4=very sufficient). Objective sufficiency was evaluated with a structured knowledge test with 10 items (score range 0-10, correct=1, wrong/no knowledge=0) based on the multidimensional content of patient education emphasizing bio-physiological dimension. Results: In subjective sufficiency of knowledge, the mean was 3.27 (SD 0.54). The biophysiological dimension of empowering knowledge was the most sufficient (mean 3.52, SD 0.49) and the experiential the least (mean 2.8, SD 0.88). In objective sufficiency, the means ranged 5.15-5.97 (SD 2.37-2.68) among patients in different modalities of dialysis care and treatment. The least sufficient objective scores were bio-physiological and functional knowledge. The subjective and objective sufficiency did not correlate with each other. Conclusion: Patients' knowledge, either subjective or objective, does not seem to be sufficient. Hence, attention should be paid to supporting patients with more personalized knowledge. Furthermore, the relationship between subjective and objective sufficiency needs future consideration, as their non-correspondence was a new discovery.

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“…Literature studies reported that as the education level increased, the organ donation willingness increased 5,19,[22][23][24][25] . In the literature, the relationship between education level and organ donation has been supported by our data.…”

Section: Discussionmentioning

confidence: 99%

Attitudes and related factors toward organ donation among relatives of chronic kidney disease patients and healthy individuals

Yakar¹,

Batbaş²,

Önalan³

et al. 2020

Cukurova Medical Journal

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The current study firstly aimed at investigating organ donation and related factors. Another aim of the study is to compare the knowledge and attitude levels of organ donation between the risky population with organ failure and healthy participants. Materials and Methods: This cross-sectional survey was conducted in the tertiary university hospital between March-October 2019. A total of 88 healthy participants (group 1) and 56 participants with chronic kidney disease ((CKD) (group 2)) were included in the study. Organ donation attitudes of participants were measured with Organ Donation Attitudes Scales Turkish Version questionnaire. Result: A total of 144 participants (56 were CKD patients and 88 healthy participants) were included in the study. The scores of all participants from the sub-dimensions of the scale were humanity and moral conviction / beliefs (HMC): 90.70±20.36, fears of medical neglect (FMN): 27.38±11.52 and fears of bodily mutilation (FBM): 32.03±10.67, respectively. Group 2 participants' humanity and moral conviction/beliefs (HMC) dimension scores were higher than group 1. Group 2 participants' fears of medical neglect (FMN) score was higher than group 1. Factors affecting organ donation attitudes were gender and education level. Conclusion: Organ donation positive attitude scores were higher in women and those with higher education levels. Our results may suggest developing empathy and education programs on organ transplantation, as a means for increasing the number of potential organ donors. Amaç: Bu çalışma öncelikle bireylerin organ bağışına yönelik tutumları ve ilgili faktörleri araştırmayı amaçlamıştır. Çalışmanın bir diğer amacı, organ yetmezliği olan riskli grup ile sağlıklı katılımcılar arasındaki organ bağışı bilgi ve tutum düzeylerini karşılaştırmaktır Gereç ve Yöntem: Bu kesitsel çalışma bir üniversite hastanesinde Mart-Ekim 2019 tarihleri arasında yürütüldü. Çalışmaya 88 sağlıklı (grup 1) ve 56 kronik böbrek hastalığı (KBH) olan (grup 2) bireyler dahil edildi. Katılımcıların organ bağışına yönelik tutumları Organ Bağışı Tutum Ölçeğinin Türkçe versiyonu ile elde edildi. Bulgular: Çalışmaya toplam 144 katılımcı (56 KBH birey, 88 sağlıklı birey) dahil edildi. Ölçeğin alt boyutlarından tüm katılımcıların puanları sırasıyla humanity and moral conviction / beliefs (HMC): 90.70 ± 20.36, fears of medical neglect (FMN): 27.38 ± 11.52 ve fears of bodily mutilation (FBM): 32.03 ± 10.67 idi. Grup 2'de ki katılımcıların insanlık ve ahlaki inanç / inançlar (HMC) boyut puanları ve tıbbi ihmal korkusu (FMN) skorları grup 1'den yüksekti. Organ bağışı tutumlarını etkileyen faktörler cinsiyet ve eğitim düzeyidir. Sonuç: Elde ettiğimiz veriler katılımcıların organ bağışı konusundaki istekliliklerinin ve farkındalıklarının düşük olduğunu göstermiştir. Organ bağışı pozitif tutum puanları kadınlarda ve eğitim düzeyi yüksek olanlarda daha yüksek saptandı. Elde ettiğimiz verilere dayanarak potansiyel organ bağışçılarının sayısını artırmak için organ nakli konusunda empati ve bilgi düzeyini arttıracak eğitim ...

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Knowledge, Attitude, and Perception About Renal Transplantation of CKD Patients, Caregivers, and General Population

Cited by 9 publications

References 10 publications

Knowledge, Perception and Attitude of Indian Maintenance Hemodialysis Patients toward Renal Transplantation

Knowledge, Perception and Attitude of Indian Maintenance Hemodialysis Patients toward Renal Transplantation

Sufficiency of Knowledge Processed in Patient Education in Dialysis Care

Attitudes and related factors toward organ donation among relatives of chronic kidney disease patients and healthy individuals

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