Knowledge, Attitude, and Practice of Nurses in Preventing Complications in Patients with Nephrotic Syndrome: A Cross-Sectional Study.

IF 2.8 3区医学 Q1 Pharmacology, Toxicology and Pharmaceutics

Therapeutics and Clinical Risk Management Pub Date : 2025-08-27 eCollection Date: 2025-01-01 DOI:10.2147/TCRM.S538455

Nannan Wang, Xueqin Deng, Ting Zhang, Yonglin Tao, Qing Feng

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引用次数: 0

Abstract

Background and aim: Nephrotic syndrome (NS) is frequently accompanied by serious complications such as edema-related infections, thromboembolism, and acute kidney injury, which can significantly impact prognosis. Nurses are essential in early identification, patient education, and implementation of preventive measures. This study explores the knowledge, attitude, and practice (KAP) levels of nurses concerning complication prevention in nephrotic syndrome and identifies relevant influencing factors.

Methods: A cross-sectional survey was conducted from January to December 2023 across Ruijin Hospital affiliated with Shanghai Jiao Tong University School of Medicine and Shanghai Baoshan Medical Emergency Center in China, targeting nurses working in nephrology-related units. A total of 246 valid responses were obtained using a structured and pre-validated KAP questionnaire. The instrument included domains assessing factual understanding, behavioral attitudes, and routine clinical practices. Data were analyzed using descriptive statistics, Pearson's correlation, and logistic regression to determine relationships between demographic variables and KAP outcomes.

Results: The mean knowledge score among respondents was 5.12±2.67, attitude score was 18.76±5.02, and practice score was 30.45±11.07. Correlational analysis revealed significant positive associations between knowledge and practice (r = 0.421, p < 0.001), and between attitude and practice (r = 0.336, p = 0.015). Regression analysis identified prior nephrology education, years of clinical experience, and academic qualifications as independent predictors of higher practice scores.

Conclusion: While nurses generally hold positive attitudes towards complication prevention in nephrotic syndrome (NS), there are significant gaps in their knowledge and inconsistencies in the application of preventive practices. These findings emphasize the need for targeted training programs to enhance nurses' practical competencies in managing NS complications. By improving nurses' knowledge and clinical practices, especially in early detection and prevention, patient outcomes can be significantly improved, leading to more effective management of NS-related complications.

查看原文本刊更多论文

护士预防肾病综合征患者并发症的知识、态度和实践：一项横断面研究。

背景与目的：肾病综合征（Nephrotic syndrome， NS）常伴有严重的并发症，如水肿相关感染、血栓栓塞、急性肾损伤等，严重影响预后。护士在早期识别、患者教育和实施预防措施方面至关重要。本研究旨在探讨护士对肾病综合征并发症预防的知识、态度和实践（KAP）水平，并找出相关影响因素。方法：采用横断面调查方法，于2023年1 - 12月在上海交通大学医学院附属瑞金医院和上海宝山医疗急救中心开展调查，调查对象为肾内科相关科室的护士。使用结构化和预验证的KAP问卷共获得246份有效回复。该工具包括评估事实理解、行为态度和常规临床实践的领域。使用描述性统计、Pearson相关和逻辑回归分析数据，以确定人口统计学变量与KAP结果之间的关系。结果：被调查者平均知识分（5.12±2.67）分，态度分（18.76±5.02）分，实践分（30.45±11.07）分。相关分析显示，知识与实践显著正相关（r = 0.421, p < 0.001），态度与实践显著正相关（r = 0.336, p = 0.015）。回归分析发现，先前的肾脏学教育、多年的临床经验和学术资格是较高实践分数的独立预测因素。结论：护士对肾病综合征（NS）并发症预防总体持积极态度，但在预防措施的应用上存在明显的知识差距和不一致性。这些发现强调需要有针对性的培训计划，以提高护士管理NS并发症的实际能力。通过提高护士的知识和临床实践，特别是在早期发现和预防方面，可以显著改善患者的预后，从而更有效地管理ns相关并发症。

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来源期刊

Therapeutics and Clinical Risk Management HEALTH CARE SCIENCES & SERVICES-

CiteScore

5.30

自引率

3.60%

发文量

139

审稿时长

16 weeks

期刊介绍： Therapeutics and Clinical Risk Management is an international, peer-reviewed journal of clinical therapeutics and risk management, focusing on concise rapid reporting of clinical studies in all therapeutic areas, outcomes, safety, and programs for the effective, safe, and sustained use of medicines, therapeutic and surgical interventions in all clinical areas. The journal welcomes submissions covering original research, clinical and epidemiological studies, reviews, guidelines, expert opinion and commentary. The journal will consider case reports but only if they make a valuable and original contribution to the literature. As of 18th March 2019, Therapeutics and Clinical Risk Management will no longer consider meta-analyses for publication. The journal does not accept study protocols, animal-based or cell line-based studies.