دورية أكاديمية

Patient kidney disease knowledge remains inadequate with standard nephrology outpatient care.

التفاصيل البيبلوغرافية
العنوان: Patient kidney disease knowledge remains inadequate with standard nephrology outpatient care.
المؤلفون: Gray NA; Department of Nephrology, Nambour General Hospital, Nambour, QLD, Australia; The University of Queensland, Sunshine Coast Clinical School, Nambour General Hospital, Nambour, QLD, Australia., Kapojos JJ; Department of Nephrology , Alice Springs Hospital , Alice Springs, NT , Australia., Burke MT; Department of Nephrology, Princess Alexandra Hospital, Brisbane, QLD, Australia; The University of Queensland, School of Medicine, Brisbane, QLD, Australia., Sammartino C; Department of Nephrology , Nambour General Hospital , Nambour, QLD , Australia., Clark CJ; Department of Nephrology, Nambour General Hospital, Nambour, QLD, Australia; The University of Queensland, Sunshine Coast Clinical School, Nambour General Hospital, Nambour, QLD, Australia.
المصدر: Clinical kidney journal [Clin Kidney J] 2016 Feb; Vol. 9 (1), pp. 113-8. Date of Electronic Publication: 2015 Oct 22.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: England NLM ID: 101579321 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2048-8505 (Print) Linking ISSN: 20488505 NLM ISO Abbreviation: Clin Kidney J Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Oxford University Press
مستخلص: Background: Chronic kidney disease (CKD) knowledge among patients newly referred to a nephrology clinic is limited. This study aimed to determine if CKD knowledge 1 year after initial consultation in a nephrology clinic improves with standard care.
Methods: Patients newly referred to a nephrology outpatient clinic received standard care from nephrologists, and had access to educational pamphlets, relevant internet sites and patient support groups. Those with estimated glomerular filtration rate <20 mL/min/1.73 m(2) received individual education from a multi-disciplinary team. Knowledge was assessed by questionnaire at first visit and after 12 months.
Results: Of 210 patients at baseline, follow-up data were available at 12.7 (±1.7) months for 95. Median age was 70 [interquartile range (IQR) 60-76] years and 54% were male. Baseline median creatinine of the follow-up cohort was 137 (IQR 99-179) µmol/L. Eighty per cent had seen a nephrologist at least three times, 8% saw a CKD nurse, 50% reported collecting pamphlets and 16% reported searching the internet. At 12 months, fewer patients reported being uncertain why they had been referred (5 versus 20%, P = 0.002) and fewer reported being unsure of the meaning of CKD (37 versus 57%, P = 0.005). Unknown (44%) and alcohol (23%) remained the most common causes of CKD identified. Fewer patients responded 'unsure' regarding the treatment of CKD (38 versus 57%, P = 0.004).
Conclusions: After a year of standard care at nephrology outpatient clinics there were some minor improvements in patient knowledge; however, patient understanding of CKD remained poor.
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فهرسة مساهمة: Keywords: chronic kidney disease; education; kidney; knowledge; survey
تواريخ الأحداث: Date Created: 20160123 Date Completed: 20160122 Latest Revision: 20201001
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC4720188
DOI: 10.1093/ckj/sfv108
PMID: 26798471
قاعدة البيانات: MEDLINE
الوصف
تدمد:2048-8505
DOI:10.1093/ckj/sfv108