BMC Medical Education (Jun 2024)

Knowledge, attitude, and practice toward postoperative self-management among kidney transplant recipients

  • Xiqian Huang,
  • Beihua Xi,
  • Chengjie Xuan,
  • Yi Bao,
  • Lin Wang,
  • Fei Peng

DOI
https://doi.org/10.1186/s12909-024-05631-8
Journal volume & issue
Vol. 24, no. 1
pp. 1 – 15

Abstract

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Abstract Background Patient involvement is crucial to the success of kidney transplants. This study aimed to investigate the knowledge, attitude, and practice (KAP) toward postoperative self-management among kidney transplant recipients. Methods A web-based cross-sectional study was conducted in Ruijin Hospital (Shanghai, China) between March 24, 2023, and April 15, 2023 in kidney transplant recipients. A questionnaire was designed to collect data about the characteristics of the participants and their KAP toward postoperative self-management. KAP scores were calculated based on participants' responses, using predefined scoring criteria tailored to evaluate each dimension of KAP effectively. Results A total of 483 valid questionnaires were collected, including 189 (39.13%) participants aged between 46 and 60 years. The mean score of knowledge, attitude and practice were 23.44 ± 4.87 (possible range: 0–28), 43.59 ± 2.65 (possible range: 10–50), 52.52 ± 4.64 (possible range: 0–58), respectively. The multivariate analysis showed knowledge scores (OR = 1.15, 95% CI = 1.10–1.20, p < 0.001), attitude scores (OR = 1.22, 95% CI = 1.12–1.32, p < 0.001) and undergone transplantation within 1 year (OR = 3.92, 95% CI = 1.60–9.63, p = 0.003) were independently associated with good practice. Knowledge scores (OR = 1.06, 95% CI = 1.02–1.10, p = 0.003), attitude scores (OR = 1.16, 95% CI = 1.08–1.25, p < 0.001), aged 16–35 years (OR = 0.38, 95% CI = 0.18–0.78, p = 0.009), underwent a single kidney transplant surgery (OR = 3.97, 95% CI = 1.28–12.38, p = 0.017) were independently associated with medication adherence. Conclusions Kidney transplant recipients had good knowledge, positive attitude and good practice toward postoperative self-management. Implementing personalized education, psychological support, and close monitoring strategies is recommended to optimize postoperative self-management in kidney transplant recipients.

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