| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 5729194 | Transplantation Proceedings | 2016 | 7 Pages |
â¢In our study, 326 hemodialysis outpatients in 4 dialysis units completed a self-designed questionnaire for assessing their attitude toward kidney transplantation and satisfaction regarding dialysis. Among these patients, 34.9% would like to undergo transplantation. Approximately 4% of patients have a potential related living donorâ¢Among the subjects wishing to undergo transplantation, 43.93% patients had started a procedure to be grafted. The minority of patients (45.93%) stated that kidney transplantation offers a better quality of life, and 78.5% believe that it is more expensive than hemodialysis. Overall, 13.36% of patients are willing to become organ donors after deathâ¢The 7 independent variables that had effects on attitude toward kidney transplantation were age, education level, monthly income, sex, duration of hemodialysis, dialysis satisfaction, and reimbursement level
BackgroundKidney transplantation (KT) is the most effective treatment for patients with end-stage renal disease. However, objective data regarding the willingness of patients with end-stage renal disease to undergo transplantation are lacking in China. The purpose of this study was to examine the attitudes and impact factors regarding KT among patients with end-stage renal disease undergoing hemodialysis.MethodsThis study used a cross-sectional approach. Between June and July 2015, a total of 326 hemodialysis outpatients completed a self-designed questionnaire to assess their attitudes toward KT and satisfaction with dialysis.ResultsPatients' mean age was 49.47 years, and the mean duration of hemodialysis was 52 months. Among these patients, 34.9% would like to undergo transplantation, and 4.23% of patients have a potential related living donor. Among the patients wishing to undergo transplantation, 43.93% had started a procedure to be grafted. The minority of patients (45.93%) stated that KT offers a better quality of life; 78.5% believe that it is more expensive than hemodialysis. Overall, 13.36% of patients are willing to become organ donors after death. The main motivating factor for KT was because of study or work difficulties (56.1%). The effects of the following 7 independent variables on attitude were assessed: age, education level, monthly income, sex, duration of hemodialysis, dialysis satisfaction, and reimbursement level.ConclusionsTo improve hemodialysis patients' accessibility to KT, better information must be provided to patients, their families, and other support providers. Transplantation is the best treatment for patients undergoing hemodialysis, which should be given more attention and political support economically and publicly by the government and some closely related agencies.
