Faculty of Nursing, Oslo University College, Oslo, Norway.
Clin Transplant. 2011 Jul-Aug;25(4):646-52. doi: 10.1111/j.1399-0012.2010.01355.x. Epub 2010 Nov 16.
Kidney recipients' knowledge is important in terms of coping with short-term problems posed by transplantation and the long-term outcome. Little attention has been given to the development of instruments for measuring patient's knowledge in this field.
The purpose of this study was to describe the development of a knowledge questionnaire for kidney recipients and to explore possible factors related to the knowledge level.
The sample consisted of 159 kidney recipients at a Norwegian transplant center, answering the questionnaire five d post-transplantation.
The questionnaire was generated on the basis of literature review and clinical experience - and was pilot tested. Mean score of the questionnaire was 11, of 19 obtainable points. Longer duration of kidney disease was significantly correlated with an increased knowledge level, whereas the longer the time on dialysis prior to transplantation and post-operative complications were found to have significantly negative impact on total knowledge score.
The positive impact of disease duration may suggest that insight gained over time makes patients better prepared for the transplantation itself and for life post-transplant. However, the negative impact of dialysis duration could be attributed to impaired cognitive function imposed by chronic dialysis treatment. Further research is needed regarding the questionnaire's responsiveness to educational interventions.
肾脏受者的知识对于应对移植带来的短期问题和长期结果非常重要。但人们很少关注开发衡量该领域患者知识的工具。
本研究旨在描述一种针对肾脏受者的知识问卷的开发，并探讨可能与知识水平相关的因素。
该样本由挪威移植中心的 159 名肾脏受者组成，他们在移植后 5 天回答了问卷。
该问卷是基于文献回顾和临床经验制定的，并进行了预测试。问卷的平均得分为 11 分（满分为 19 分）。患病时间越长，知识水平越高，而透析时间和术后并发症与总体知识得分呈显著负相关。
患病时间的积极影响可能表明，随着时间的推移，患者对移植本身和移植后的生活有了更好的准备。然而，透析时间的负面影响可能归因于慢性透析治疗对认知功能的损害。需要进一步研究该问卷对教育干预的反应能力。
