Division of Nephrology, Mayo Clinic, Phoenix, AZ, United States.
Department of Nursing, Mayo Clinic, Phoenix, AZ, United States.
Front Public Health. 2023 Mar 29;11:1116823. doi: 10.3389/fpubh.2023.1116823. eCollection 2023.
We lack data on the effectiveness of education and the patient's attitude toward different deceased donor kidney types. A prospective study was performed to evaluate patient attitudes, baseline knowledge, and effectiveness of our kidney transplant education process. We also analyzed the knowledge retention of our waitlist patients.
We prospectively surveyed a patient cohort using a paired analysis pre and post education with initial evaluation visit. Knowledge retention among waitlist patients was assessed with annual waitlist visit.
One hundred four patients received paired surveys to assess the baseline knowledge and effectiveness of education. Forty-three patients received a single survey with their annual waitlist evaluation to assess knowledge retention. Paired survey showed mixed results, with no statistically significant improvement in the kidney donor profile index domain. Significant improvement was seen in the hepatitis C virus-positive donor domain and the Public Health Service (PHS) increased-risk donor domain. For the waitlist cohort, overall knowledge retention ranged from excellent to fair, with a decline in knowledge for the PHS increased-risk donor domain.
Our study suggests that the education intervention regarding different deceased donor kidney types is effective overall and transplant candidates retain the knowledge while waiting for transplant.
我们缺乏关于不同已故供体肾脏类型的教育效果和患者态度的数据。进行了一项前瞻性研究,以评估患者的态度、基线知识以及我们的肾移植教育过程的效果。我们还分析了候补患者的知识保留情况。
我们使用配对分析,在教育前后对患者队列进行前瞻性调查,以进行初始评估访问。通过每年的候补名单访问评估候补患者的知识保留情况。
104 名患者接受了配对调查,以评估基线知识和教育效果。43 名患者接受了单次调查,以评估他们的年度候补名单评估,以评估知识保留情况。配对调查结果喜忧参半,在肾脏供体概况指数领域没有统计学意义上的显著改善。在丙型肝炎病毒阳性供体领域和公共卫生服务(PHS)高危供体领域观察到显著改善。对于候补名单队列,整体知识保留情况从优秀到一般不等,PHS 高危供体领域的知识有所下降。
我们的研究表明,针对不同已故供体肾脏类型的教育干预总体上是有效的,移植候选人在等待移植时保留了知识。