{"title":"Knowledge, attitude, and practice of kidney transplant patients regarding post-transplant complications: a cross-sectional study.","authors":"Jie Shen, Pengfeng Gong, Yangyang Sun, Dong Xue","doi":"10.21037/tau-2024-683","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The management of complications following kidney transplantation involves self-management, which requires adequate knowledge and favorable attitudes. This study explored the knowledge, attitude, and practice (KAP) of post-transplant complications among kidney transplant patients.</p><p><strong>Methods: </strong>This cross-sectional study included (convenience sampling) kidney transplant patients from our hospital. A self-designed online KAP questionnaire was used for data collection.</p><p><strong>Results: </strong>A total of 499 (89.7%) valid questionnaires were included; 327 were filled out by men and 172 by women, aged 44.41±10.54 years. The mean knowledge, attitude, and practice scores were 6.00±1.99 (possible range, 0-10), 22.29±1.96 (possible range, 6-30), and 29.28±3.78 (possible range, 8-40), respectively. Pearson's correlation analysis revealed a positive correlation between attitude and knowledge (r=0.129, P=0.004), attitude and practice (r=0.334, P<0.001), and practice and attitude (r=0.416, P<0.001). Structural equation modeling showed that post-transplant complications and education were associated with knowledge while drinking alcohol, age, and duration since kidney transplant were negatively associated with knowledge. Knowledge and education were associated with attitude, while post-transplant complications were negatively associated with attitude. Attitude, knowledge, duration since kidney transplant and education were associated with the practice, while age was negatively associated with the practice.</p><p><strong>Conclusions: </strong>Kidney transplant patients showed insufficient knowledge, positive attitude, and proactive practice regarding post-transplant complications. Age, education, drinking alcohol, post-transplant complications, and duration since kidney transplant might affect their KAP. Educational interventions targeting specific KAP items with poor scores should be designed and tested to improve the self-management of patients with kidney transplants.</p>","PeriodicalId":23270,"journal":{"name":"Translational andrology and urology","volume":"14 5","pages":"1230-1237"},"PeriodicalIF":1.9000,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174652/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Translational andrology and urology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.21037/tau-2024-683","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/27 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"ANDROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The management of complications following kidney transplantation involves self-management, which requires adequate knowledge and favorable attitudes. This study explored the knowledge, attitude, and practice (KAP) of post-transplant complications among kidney transplant patients.
Methods: This cross-sectional study included (convenience sampling) kidney transplant patients from our hospital. A self-designed online KAP questionnaire was used for data collection.
Results: A total of 499 (89.7%) valid questionnaires were included; 327 were filled out by men and 172 by women, aged 44.41±10.54 years. The mean knowledge, attitude, and practice scores were 6.00±1.99 (possible range, 0-10), 22.29±1.96 (possible range, 6-30), and 29.28±3.78 (possible range, 8-40), respectively. Pearson's correlation analysis revealed a positive correlation between attitude and knowledge (r=0.129, P=0.004), attitude and practice (r=0.334, P<0.001), and practice and attitude (r=0.416, P<0.001). Structural equation modeling showed that post-transplant complications and education were associated with knowledge while drinking alcohol, age, and duration since kidney transplant were negatively associated with knowledge. Knowledge and education were associated with attitude, while post-transplant complications were negatively associated with attitude. Attitude, knowledge, duration since kidney transplant and education were associated with the practice, while age was negatively associated with the practice.
Conclusions: Kidney transplant patients showed insufficient knowledge, positive attitude, and proactive practice regarding post-transplant complications. Age, education, drinking alcohol, post-transplant complications, and duration since kidney transplant might affect their KAP. Educational interventions targeting specific KAP items with poor scores should be designed and tested to improve the self-management of patients with kidney transplants.
期刊介绍：
ranslational Andrology and Urology (Print ISSN 2223-4683; Online ISSN 2223-4691; Transl Androl Urol; TAU) is an open access, peer-reviewed, bi-monthly journal (quarterly published from Mar.2012 - Dec. 2014). The main focus of the journal is to describe new findings in the field of translational research of Andrology and Urology, provides current and practical information on basic research and clinical investigations of Andrology and Urology. Specific areas of interest include, but not limited to, molecular study, pathology, biology and technical advances related to andrology and urology. Topics cover range from evaluation, prevention, diagnosis, therapy, prognosis, rehabilitation and future challenges to urology and andrology. Contributions pertinent to urology and andrology are also included from related fields such as public health, basic sciences, education, sociology, and nursing.
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