SP795RESULTS OF SELFCARE BEHAVIOR SCORE AND PERCEIVED KIDNEY KNOWLEDGE SURVEY IN KIDNEY TRANSPLANTS RECIPIENTS

Abstract

INTRODUCTION AND AIMS: Successful kidney transplantation saves live and increases the quality of life. After surgery, patient should have high awareness regarding knowledge related to types and timing of immunosuppressive agents prescribed, and increased participation in self-care behaviors. Educating patient about self-care and drugs compliance is a vital component in post-transplantation care. Education intervention can improve patient self-care and disease knowledge which is important in improving graft and patient survival. Studies that descriptively examine post-transplantation care knowledge are important because they identify areas of inadequate knowledge and informeducational intervention. In this study we survey the relationships between objective and perceived knowledge in kidney transplant recipient using the Kidney disease knowledge survey. METHODS: We enrolled 134 kidney transplant recipients in nephrology clinic from a medical center in Taiwan from July to August 2017. Inclusion criteria included those with following up time of more than 3 months. Survey questions about kidney disease knowledge and self-care behavior developed by expert were distributed to patients during their routine clinic appointment. RESULTS: Demographically, the patient median age was 53.59611.46 years-old, 53% were women, with mean body mass index of 23.5264.19kg/m2. The mean transplant age was 46.6±10.8 years-old with 85% of then were cadaveric transplantation. The mean transplant time was 7.0265.78 years. 75% of our patient were high school graduate, mostly financially independence (64%). The overall median score of the perceived knowledge survey was 40.0268.5(range 14-56) while the score of self-care behavior was 39.468.5(range 16-80). Bivariate analysis shows that scores are associated with age (b, 0.320 per ten years; 95% CI, 0.109-0.340; p<0.001), awareness of one's own disease status knowledge (b, 0.305; 95% CI, 0.15-0.465; p<0.001). CONCLUSIONS: From this analysis, we discovered that, with increased in age, kidney transplant recipient has better self-care behavior. This phenomenon might be related to the experience in management of chronic disease care since they received dialysis treatment before transplantation. Communicating disease specific concepts with patients is complex. From this study, we have a better understanding of the particular areas of low patient knowledge and personalized specific education to our kidney transplant recipients.