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Knowledge, attitude, and practice regarding Sarcopenia in maintenance hemodialysis patients in Northeastern China

Tianyang Lv1, Yanan Dong1, Hongrui Zhang1

  • 1Department of Nephrology, The First Hospital of Jilin University, Changchun, 130061, China.

Scientific Reports
|October 21, 2024
PubMed

Insights

Sarcopenia knowledge among hemodialysis patients is inadequate, but attitudes and practices are positive. Higher education and longer dialysis duration correlate with better practices, highlighting the need for targeted patient education.

Area of Science:

  • Nephrology
  • Geriatrics
  • Public Health

Background:

  • Sarcopenia is a significant complication for patients undergoing long-term hemodialysis (HD).
  • Understanding patient knowledge, attitudes, and practices (KAP) regarding sarcopenia is crucial for developing effective interventions.
  • Maintenance HD patients face unique challenges that may influence sarcopenia development and management.

Purpose of the Study:

  • To assess the knowledge, attitude, and practice (KAP) towards sarcopenia in maintenance hemodialysis (HD) patients.
  • To identify factors associated with proactive practice in managing sarcopenia among HD patients.
  • To explore the relationships between knowledge, attitude, and practice concerning sarcopenia in this population.

Main Methods:

  • A cross-sectional study was conducted among 752 maintenance HD patients in Northeastern China.
  • Data were collected using questionnaires between December 13, 2023, and January 13, 2024.
  • Multivariate logistic regression and structural equation modeling (SEM) were employed for data analysis.

Main Results:

  • Maintenance HD patients demonstrated inadequate knowledge but a positive attitude and proactive practice towards sarcopenia.
  • Higher educational attainment (high school, vocational secondary, college, or bachelor's degree) and longer HD duration (≥11 years) were independently associated with proactive practice.
  • SEM revealed that patient knowledge directly influenced both attitude and practice, while attitude directly impacted practice.

Conclusions:

  • Despite positive attitudes and practices, maintenance HD patients exhibit insufficient knowledge about sarcopenia.
  • Educational interventions should be prioritized to enhance patient awareness of sarcopenia, its risk factors, and preventive strategies.
  • Healthcare providers play a vital role in improving sarcopenia management through targeted educational campaigns.

Keywords:
AttitudeKnowledgeMaintenance hemodialysis patientsPracticeSarcopenia

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