Knowledge, attitude, and practice of patients receiving maintenance hemodialysis regarding hemodialysis and its complications: a single-center, cross-sectional study in Nanjing

Abstract

Background Good knowledge of and attitudes toward hemodialysis and its complications might be expected to promote good practices and improve adherence. This study investigated, the knowledge, attitude, and practice of patients receiving hemodialysis regarding hemodialysis and its complications. Methods This cross-sectional study enrolled patients with uremia who were receiving hemodialysis at the Second Affiliated Hospital of Nanjing Medical University (China) between January 9, 2023, and January 16, 2023. A questionnaire was designed that included the following dimensions: demographic/clinical information, knowledge, attitude, and practice. Correlations between knowledge, attitude, and practice scores were evaluated by Pearson correlation analysis. Results The analysis included 493 patients (305 males, 61.87%). The average knowledge, attitude, and practice score was 19.33 ± 7.07 (possible range, 0–31), 28.77 ± 3.58 (possible range, 8–40), and 43.57 ± 6.53 (possible range, 11–55) points, respectively. A higher knowledge score was associated with younger age (P < 0.001), a higher education level (P < 0.001), and not living alone (P < 0.001), while a higher practice score was associated with a shorter history of hemodialysis (P < 0.001). There were positive correlations between the knowledge and practice scores (r = 0.220, P < 0.001) and between the attitude and practice scores (r = 0.453, P < 0.001), although the knowledge and attitude scores were not significantly correlated. Conclusions The results provide important insights into the knowledge, attitudes, and practices of patients with uremia in Nanjing (China) regarding hemodialysis and its complications. These findings may facilitate education programs to improve self-care practices in patients receiving maintenance hemodialysis in Nanjing (China).

Assessment of Knowledge on Dietary Management of Chronic Kidney Disease Among Patients Undergoing Hemodialysis at a Tertiary Care Hospital in South India: A Cross-Sectional Analytical Study

“…It shows that 60.3% possessed excellent knowledge, and there was statistical significance with income and education on renal diet with a p-value <0.001. However, in our study, these variables were not statistically significant [19].…”

Effects of self-care intervention using a mobile instant messenger on hemodialysis patient’s knowledge, self-efficacy, self-care behavior and physiological index

“…Previous studies have shown that self-care in hemodialysis patients is significantly correlated with knowledge and self-efficacy [10], and that knowledge of hemodialysis and self-care behaviorare positively correlated [11]. Topics related to hemodialysis include kidney function, blood vessel management, medication management, dialysis, exercise, and daily routines [12]. Improving treatment knowledge is important to ensure effective disease management [13].…”

“…Improving treatment knowledge is important to ensure effective disease management [13]. Prior research has shown that self-care behavior improves in hemodialysis patients when they acquire accurate knowledge about dialysis and disease managementand build self-efficacy [12]. A study on older hemodialysis patients found that increased self-efficacy encourages them to stay on life support and prevents further deterioration in their health [14].…”

“…With the recent advances in science and technology, mobile applications have become widely used in healthcare [12]. Interventions using mobile applications are increasing healthcare access and providing access to readily available information as well as convenient and recipient-centered services [17].…”

Dietary knowledge-attitude-practice status in hemodialysis patients: a latent profile analysis

“…Investigating the dietary KAP status of HD patients could help health professionals identify weaknesses in dietary management and develop corresponding interventions to improve patients’ dietary practice. Although a previous single-center survey investigated the KAP regarding hemodialysis and its complications in HD patients, it did not include dietary-related questions [ 18 ]. Therefore, more studies are needed to investigate the dietary KAP status of HD patients.…”