Willingness of Patients With End-Stage Renal Disease to Accept a Kidney Transplant and Related Factors.

Yin Cheng, Hsiang-Ru Lai, I-Hui Chen, Yen-Ling Chiu, Pei-I Lee, Kath Peters, Pi-Hsia Lee
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Abstract

Background: The prevalence of end-stage renal disease (ESRD) in Taiwan is among the highest in the world. Although kidney transplant is the most effective treatment for ESRD, the willingness of patients with ESRD to undergo kidney transplantation is low in Taiwan. The factors associated with willingness to accept kidney transplantation remain unclear, and studies on kidney transplant willingness and associated factors among Taiwanese patients with ESRD are scarce.

Purpose: The aim of this study was to assess willingness to undergo a kidney transplant and related factors among patients with ESRD in Taiwan.

Methods: A cross-sectional design was employed. Two hundred fourteen participants from a single medical center in Taiwan were recruited, and 209 valid questionnaires were collected (valid response rate: 97.7%). The study instruments included a kidney transplant knowledge scale, a kidney transplant attitude scale, and a kidney transplant willingness scale. Data were analyzed using Pearson's product-moment correlations, t tests, one-way analyses of variance, and multiple regressions.

Results: The mean kidney transplant willingness in the sample was 13.23 (out of 20). Being male, younger, married, or employed; having a college education or above; and having a shorter dialysis duration were all associated with higher kidney transplant willingness. Sociodemographics, dialysis duration, knowledge, and attitudes explained 45.4% of the variance in kidney transplant willingness, with two of these, kidney transplant attitudes (β = .61, p < .001) and dialysis duration (β = -.11, p = .041), identified as significant.

Conclusions/implications for practice: The findings support the important role of cultivating positive attitudes in patients with ESRD to increasing willingness to undergo kidney transplantation interventions.

终末期肾病患者接受肾移植的意愿及相关因素。
背景:台湾的终末期肾病(ESRD)发病率居世界前列。虽然肾移植是治疗终末期肾病最有效的方法,但在台湾,终末期肾病患者接受肾移植的意愿却很低。目的:本研究旨在评估台湾 ESRD 患者接受肾移植的意愿及相关因素:方法:采用横断面设计。方法:采用横断面设计,从台湾的一家医疗中心招募了 214 名参与者,并收集了 209 份有效问卷(有效回收率:97.7%)。研究工具包括肾移植知识量表、肾移植态度量表和肾移植意愿量表。数据分析采用了皮尔逊积矩相关、t 检验、单因素方差分析和多元回归等方法:结果:样本中肾移植意愿的平均值为 13.23(满分 20 分)。男性、年轻、已婚或有工作、大专或以上学历、透析时间较短都与较高的肾移植意愿有关。社会人口统计学、透析持续时间、知识和态度解释了肾移植意愿中 45.4% 的变异,其中肾移植态度(β = .61,p < .001)和透析持续时间(β = -.11,p = .041)这两项被认为具有显著性:研究结果表明,培养 ESRD 患者的积极态度对提高接受肾移植干预的意愿具有重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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