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 complicati...

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Main Authors: Fangfang Xu, Bing Zhuang, Zhongxia Wang, Hao Wu, Xin Hui, Hongyan Peng, Xueqin Bian, Hong Ye
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Nephrology
Subjects:
Online Access:https://doi.org/10.1186/s12882-023-03320-0
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author Fangfang Xu
Bing Zhuang
Zhongxia Wang
Hao Wu
Xin Hui
Hongyan Peng
Xueqin Bian
Hong Ye
author_facet Fangfang Xu
Bing Zhuang
Zhongxia Wang
Hao Wu
Xin Hui
Hongyan Peng
Xueqin Bian
Hong Ye
author_sort Fangfang Xu
collection DOAJ
description 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).
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spelling doaj.art-ecd5ff2231cd46bdab8520f2bb20d70d2023-11-19T12:39:11ZengBMCBMC Nephrology1471-23692023-09-0124111010.1186/s12882-023-03320-0Knowledge, attitude, and practice of patients receiving maintenance hemodialysis regarding hemodialysis and its complications: a single-center, cross-sectional study in NanjingFangfang Xu0Bing Zhuang1Zhongxia Wang2Hao Wu3Xin Hui4Hongyan Peng5Xueqin Bian6Hong Ye7Center for Kidney Disease, The Second Affiliated Hospital of Nanjing Medical UniversityCenter for Kidney Disease, The Second Affiliated Hospital of Nanjing Medical UniversityCenter for Kidney Disease, The Second Affiliated Hospital of Nanjing Medical UniversityCenter for Kidney Disease, The Second Affiliated Hospital of Nanjing Medical UniversityCenter for Kidney Disease, The Second Affiliated Hospital of Nanjing Medical UniversityCenter for Kidney Disease, The Second Affiliated Hospital of Nanjing Medical UniversityCenter for Kidney Disease, The Second Affiliated Hospital of Nanjing Medical UniversityCenter for Kidney Disease, The Second Affiliated Hospital of Nanjing Medical UniversityAbstract 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).https://doi.org/10.1186/s12882-023-03320-0UremiaEnd-stage renal diseaseHemodialysis, surveys and questionnairesHealth Knowledge, Attitudes, Practice
spellingShingle Fangfang Xu
Bing Zhuang
Zhongxia Wang
Hao Wu
Xin Hui
Hongyan Peng
Xueqin Bian
Hong Ye
Knowledge, attitude, and practice of patients receiving maintenance hemodialysis regarding hemodialysis and its complications: a single-center, cross-sectional study in Nanjing
BMC Nephrology
Uremia
End-stage renal disease
Hemodialysis, surveys and questionnaires
Health Knowledge, Attitudes, Practice
title Knowledge, attitude, and practice of patients receiving maintenance hemodialysis regarding hemodialysis and its complications: a single-center, cross-sectional study in Nanjing
title_full Knowledge, attitude, and practice of patients receiving maintenance hemodialysis regarding hemodialysis and its complications: a single-center, cross-sectional study in Nanjing
title_fullStr Knowledge, attitude, and practice of patients receiving maintenance hemodialysis regarding hemodialysis and its complications: a single-center, cross-sectional study in Nanjing
title_full_unstemmed Knowledge, attitude, and practice of patients receiving maintenance hemodialysis regarding hemodialysis and its complications: a single-center, cross-sectional study in Nanjing
title_short Knowledge, attitude, and practice of patients receiving maintenance hemodialysis regarding hemodialysis and its complications: a single-center, cross-sectional study in Nanjing
title_sort knowledge attitude and practice of patients receiving maintenance hemodialysis regarding hemodialysis and its complications a single center cross sectional study in nanjing
topic Uremia
End-stage renal disease
Hemodialysis, surveys and questionnaires
Health Knowledge, Attitudes, Practice
url https://doi.org/10.1186/s12882-023-03320-0
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