Kurleto Paulina, Tomaszek Lucyna, Milaniak Irena, Dębska Grażyna, Turkanik Edyta, Siekierska Barbara, Danielewicz Roman, Dębska-Ślizień Alicja
Faculty of Health Sciences, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland.
Department of Surgical and Transplant Nursing, Medical University of Warsaw, Warsaw, Poland.
Transpl Int. 2025 May 14;38:14159. doi: 10.3389/ti.2025.14159. eCollection 2025.
For patients undergoing renal replacement therapy, kidney transplantation (KTx) is the preferred therapeutic method. The aim of this study was to investigate selected factors affecting the information support provided by healthcare professional to patients in dialysis center regarding KTx. A multiple logistic regression was carried out to assess the relationship between information support, socio-demographic factors, life satisfaction (Satisfaction with Life Scale), self-esteem (Self-Esteem Scale), perceived self-efficacy (General Self-Efficacy), attitude, knowledge about organ transplantation. Of the 1,093 respondents aged 22-72 years, 501 respondents (45.8%) always informed patients about the possibility of treatment with KTx. Physicians vs. nurses (OR = 1.79; Cl 95%: 1.48-2.16), and those who supported legalization of unspecified living kidney donation in Poland (OR = 1.30; Cl 95%: 1.07-1.59) and believed that blood donation is safe (OR = 1.29; Cl 95%: 1.12-1.47) were more likely to provide informational support. Knowledge level (OR = 1.32; Cl 95%: 1.18-1.47) and self-esteem (OR = 1.06; Cl95%: 1.03-1.10) correlated positively with information support. Male participants were less likely to provide informational support than females (OR = 0.78; Cl 95%: 0.62-0.99). The results reveal inadequate information provided by healthcare professional to patients about KTx. This highlights the urgent need for comprehensive educational programs.
对于接受肾脏替代治疗的患者，肾移植（KTx）是首选的治疗方法。本研究的目的是调查影响医疗保健专业人员向透析中心患者提供有关KTx信息支持的选定因素。进行了多元逻辑回归分析，以评估信息支持、社会人口学因素、生活满意度（生活满意度量表）、自尊（自尊量表）、感知自我效能（一般自我效能）、态度、器官移植知识之间的关系。在1093名年龄在22至72岁之间的受访者中，501名受访者（45.8%）总是向患者告知KTx治疗的可能性。医生与护士相比（比值比=1.79；95%置信区间：1.48-2.16），以及那些支持波兰未指定活体肾捐赠合法化的人（比值比=1.30；95%置信区间：1.07-1.59）和认为献血安全的人（比值比=1.29；95%置信区间：1.12-1.47）更有可能提供信息支持。知识水平（比值比=1.32；95%置信区间：1.18-1.47）和自尊（比值比=1.06；95%置信区间：1.03-1.10）与信息支持呈正相关。男性参与者比女性参与者提供信息支持的可能性更小（比值比=0.78；95%置信区间：0.62-0.99）。结果显示，医疗保健专业人员向患者提供的有关KTx的信息不足。这突出了开展全面教育项目的迫切需求。
