Knowledge, attitudes and practices of hypertensive patients towards prevention and early detection of chronic kidney disease: a cross sectional study from Palestine

Abstract

BackgroundHypertension is the second most common cause of chronic kidney disease (CKD). Therefore, the aims of the study were to assess the knowledge, attitudes and practices (KAP) of hypertensive patients towards prevention and early detection of CKD, and to determine the clinical and socio-demographic factors, which affect the KAP regarding prevention of CKD.MethodsA cross-sectional study was held using the CKD screening Index to assess the KAP of 374 hypertensive patients who were selected from multiple primary healthcare centers in Nablus, Palestine. The CKD Screening Index is formed of three scales. First, the knowledge scale was a dichotomous scale of 30 items, while the attitude scale used 5-point Likert-type scale for 18 items and finally the practice scale was measured using 4-point Likert-type scale for 12 items. Multiple linear regression analysis was used to determine the association between clinical and socio-demographic factors and practices.ResultsIn total, 374 hypertensive patients participated in the study. The mean age of participants was 59.14 ± 10.4 years, (range 26–85). The median (interquartile range) of the knowledge, attitude, and practice scores of hypertensive patients towards prevention and early detection of CKD were 20 (16–23), 69 (65–72), and 39 (36–42), respectively. In multiple linear regression analysis, patients age < 65 years (p < 0.001) and patients with high education level (p = 0.009) were the only factors significantly associated with higher knowledge scores. Additionally, patients age < 65 years (p = 0.007), patients with high income (p = 0.005), and patients with high knowledge score (p < 0.001) were the only factors significantly associated with higher attitude scores. Furthermore, regression analysis showed that patients with higher total knowledge (p = 0.001) as well as higher total attitudes scores towards CKD prevention (p < 0.001), male gender (p = 0.048), and patients with normal body mass index (BMI) (p = 0.026) were statistically significantly associated with higher practice score towards CKD prevention.ConclusionsAmong hypertensive patients, higher scores for total knowledge and attitudes toward prevention, male sex, and normal BMI were associated with modestly higher scores for prevention practices. Finally the findings may encourage healthcare workers to give better counseling to improve knowledge.

Knowledge and Practices towards Prevention and Early Detection of Chronic Kidney Disease and Associated Factors among Hypertensive Patients in Gondar Town, North West Ethiopia

“…In multivariate logistic regression, educational status and duration of hypertension were statistically significantly associated with a higher practice score in multivariate logistic regression. This finding was consistent with the study done in Palestine [ 14 ]. This may be due to the fact that participants with higher education levels have access to information from different journals and information sources.…”

“…e study instrument was an adaptation of the measures developed in a study done in Palestine and the relevant CKD related scientific literature was reviewed, and, finally, 25 questions were generated to assess knowledge and practice towards CKD [14]. e reliability of the questionnaire was assessed by conducting a pilot study.…”

Patient Awareness, Prevalence, and Risk Factors of Chronic Kidney Disease among Diabetes Mellitus and Hypertensive Patients at Jimma University Medical Center, Ethiopia

“…Patient knowledge was independently associated (AOR; 3.69, 95% CI 1.48-9.20) with chronic kidney disease. This was similar with report from Palestine which showed higher total knowledge score was associated with CKD prevention (p < 0.001) [32].…”

Determinants of knowledge, attitude and practice in patients with both type 2 diabetes and chronic kidney disease in Fiji

“…This result makes sense since the higher the level of education, the more knowledge a person will have. However, high education levels do not necessarily equate to high levels of attitude and practice ( Sa’adeh et al ., 2018). White et al .…”