Liew Ian Tatt, Wang Yeli, Kee Terence, Tee Ping Sing, Shirore Rupesh Madhukar, Thangaraju Sobhana, Ho Quan Yao, Lu York Moi, Yong Jin Hua, Foo Fiona, Ng Eleanor, He Xia, Lee Constance, Baey Shannon, Foo Marjorie, Jafar Tazeen Hasan
SingHealth Duke-NUS Transplant Centre, Singapore.
Department of Renal Medicine, Singapore General Hospital, Singapore.
Singapore Med J. 2025 Feb 1;66(2):81-90. doi: 10.4103/singaporemedj.SMJ-2021-386. Epub 2023 May 30.
Effective interventions during the coronavirus disease 2019 (COVID-19) pandemic require an understanding of patients' knowledge and perceptions that influence their behaviour. Our study assessed knowledge of COVID-19 among kidney transplant recipients and donors, hitherto unevaluated.
We conducted a cross-sectional survey among 325 kidney transplant recipients and 172 donors between 1 May 2020 and 30 June 2020. The survey questionnaire assessed knowledge levels of COVID-19, sociodemographic data, health status, psychosocial impact of COVID-19 and precautionary behaviours during the pandemic.
The mean COVID-19 knowledge score of the study population was 7.5 (standard deviation: 2.2) out of 10. The mean score was significantly higher among kidney recipients compared to kidney donors (7.9 [1.9] vs. 6.7 [2.6]; P <0.001). Younger age (21-49 vs. ≥50 years) and higher education (diploma and higher vs. secondary and lower) were associated with significantly higher knowledge scores in donors, but not among recipients ( P -interactions ≤0.01). In both kidney recipients and donors, financial concerns and/or social isolation were associated with lower knowledge levels.
Concerted efforts are needed to improve COVID-19 knowledge in kidney transplant recipients and donors, particularly older donors, donors with lower education and patients with financial concerns or feelings of social isolation. Intensive patient education may mitigate the impact of education levels on COVID-19 knowledge levels.
在2019年冠状病毒病（COVID-19）大流行期间，有效的干预措施需要了解影响患者行为的知识和认知。我们的研究评估了肾移植受者和供者对COVID-19的了解情况，此前尚未对此进行评估。
我们在2020年5月1日至2020年6月30日期间对325名肾移植受者和172名供者进行了横断面调查。调查问卷评估了COVID-19的知识水平、社会人口统计学数据、健康状况、COVID-19的心理社会影响以及大流行期间的预防行为。
研究人群的COVID-19知识平均得分为7.5分（标准差：2.2分）（满分10分）。肾移植受者的平均得分显著高于肾供者（7.9 [1.9] 分对6.7 [2.6] 分；P<0.001）。在供者中，较年轻的年龄（21 - 49岁对≥50岁）和较高的教育水平（文凭及以上对中学及以下）与显著更高的知识得分相关，但在受者中并非如此（P交互作用≤0.01）。在肾移植受者和供者中，经济担忧和/或社会隔离与较低的知识水平相关。
需要共同努力提高肾移植受者和供者对COVID-19的认识，特别是老年供者、教育程度较低的供者以及有经济担忧或社会隔离感的患者。强化患者教育可能会减轻教育水平对COVID-19知识水平的影响。
