Experiences of a patient education program related to kidney transplantation in the Eastern Hungary region / A vesetranszplantációval kapcsolatos betegedukációs program tapasztalatai a kelet-magyarországi régióban.

Összefoglaló. Bevezetés: A tudás mint potenciálisan módosítható faktor a megfelelo döntéshozatal elofeltétele. Célkituzés: Kutatásunk során a krónikus vesebetegek körében vizsgáltuk az egyes vesepótló kezelési módokkal kapcsolatos ismereteket, elemeztük a tudást befolyásoló tényezoket, annak érdekében, hogy feltérképezzük a betegismeretek e területen megfigyelheto hiányosságait. Egyúttal tájékoztatást és ismeretterjesztést adtunk a vesetranszplantációval kapcsolatosan. Módszer: A betegek ismereteit befolyásoló tényezoket tíz magyarázó változóra korrigált többváltozós lineáris regresszióval értékeltük, melynél a függo változó a tudáspontszám volt. Követéses vizsgálatunk elso adatfelvétele során az Eurotransplant-várólistán szereplo, vesetranszplantáció irányában kivizsgálás alatt álló, valamint a veseátültetést elutasító, 18 és 75 év közötti betegeket kerestük fel. Az elso körös (alaptudásszintet rögzíto) adatfelvétel összesen 254, az ismeretátadás utáni második pedig 115 vesebeteg bevonásával valósult meg. Eredmények: Eredményeink alapján elmondható, hogy a felsofokú (ß = 1,502, p<0,001) és a középfokú (ß = 2,346, p<0,001) iskolai végzettséggel rendelkezo betegek egyaránt magasabb tudáspontszámot értek el az alacsonyabb iskolai végzettséggel rendelkezokhöz képest. A korábban veseátültetésen már átesett betegek 2 ponttal magasabb pontszámot értek el a veseátültetésben még nem részesültekhez viszonyítva (ß = 2,024, p<0,001). Szignifikánsan magasabb pontszámot értek el azok a betegek is, akik megfelelo egészségmuveltségi szinttel rendelkeztek (ß = 1,344, p<0,001). Eredményeink bizonyítják programunk hatékonyságát, mert a részt vevo vesebetegek szignifikánsan magasabb pontszámot értek el a tudásszintfelméro teszten, több hónappal a betegedukációt követoen is (p<0,001). Következtetés: Az általunk azonosított hiányosságok segíthetnek az egészségügyi szakemberek számára abban, hogy melyek azok a területek, amelyekre a betegoktatási és önmegvalósító programok során hangsúlyt kell fektetni a beteg-együttmuködés és az eredmények javítása érdekében. Orv Hetil. 2021; 162(26): 1012-1021. INTRODUCTION: Knowledge as a potentially modifiable factor is a prerequisite for appropriate decision making. OBJECTIVE: In our study, we examined the knowledge level related to renal replacement therapies and its influencing factors among chronic kidney disease patients, in order to identify the patients' knowledge gaps. At the same time, we provided information, education on kidney transplantation. METHOD: Factors influencing the patients' knowledge were evaluated using a multivariate linear regression adjusted for ten factors, where the dependent variable was the knowledge score. During the first data collection of our follow-up study, we contacted patients on the Eurotransplant waiting list, patients undergoing medical evaluation, and patients who refuse a kidney transplant, between 18 and 75 years old. A total of 254 patients were involved in the first round of data collection (recording the basic level of knowledge), and 115 in the second one (after the education). RESULTS: Our results show that patients with both tertiary (ß = 1.502, p<0.001) and secondary (ß = 2.346, p<0.001) educational attainment achieved higher knowledge scores. Patients with previous kidney transplantation scored 2 points higher than those without (ß = 2.024, p<0.001). Moreover, patients with adequate health literacy level achieved significantly higher knowledge scores (ß = 1.344, p<0.001). Our results prove the effectiveness of our program since the participants achieved significantly higher scores on the knowledge test, even several months after the education (p<0.001). CONCLUSION: The gaps we have identified can help the healthcare professionals which areas need to be focused in patient education and self-management programs in order to improve patient collaboration and outcomes. Orv Hetil. 2021; 162(26): 1012-1021.

Factors Affecting Access to the Kidney Transplant Waiting List in Eastern Hungary.

Kidney transplantation is the best available treatment choice for patients suffering from end-stage renal disease; however, not all patients with end-stage renal disease have equal access to it. The aim of the study was to measure the factors that may influence access to the kidney transplant waiting list in eastern Hungary. A total of 254 patients with renal failure between 18 and 75 years old from 8 dialysis centers participated in the study. The factors associated with access to the waiting list were identified by univariate descriptive analysis and multivariate logistic regression analysis where the outcome variable was placement on the kidney transplant waiting list. Our findings demonstrates that patients registered on the waiting list were younger (odds ratio [OR] = 0.96; 95% confidence interval [CI], 0.94-0.98), were male (OR = 0.54; 95% CI, 0.30-0.98), were economically active (OR = 0.53; 95% CI, 0.29-0.98), and had greater knowledge in the field (OR = 1.17; 95% CI, 1.03-1.33). Disparity in access to the kidney transplant waiting list in Hungary does exist.

Measuring Patients' Level of Knowledge Regarding Kidney Transplantation in Eastern Hungary.

Adequate knowledge is needed to make the correct decision regarding kidney transplantation. The purpose of this study was to measure the demographic, sociologic, economic, and cultural factors that may influence patients' decision-making regarding kidney transplantation and to explore patients' knowledge of renal replacement therapies. A total of 254 end-stage renal disease patients (predialysis, peritoneal dialysis, and hemodialysis) from 8 dialysis centers in eastern Hungary participated in our study. We developed a questionnaire that measures patients' knowledge of renal replacement therapies and the role of sociodemographic, economic, and cultural factors that may influence their knowledge. Factors influencing the knowledge scores were evaluated using a multivariate linear regression adjusted for 8 factors. We found a significant correlation between education level and knowledge score, where patients with greater education (greater than high school: ß = 3.003; P < .001; high school: ß = 1.906; P < .001) achieved higher knowledge scores than those without. Moreover, patients with a previous kidney transplant (ß = -2.111; P < .001) had greater knowledge in the field. Our study identified a risk group where targeted, personalized patient education is essential.

Patient safety culture in Hungarian hospitals.

PURPOSE: The Hospital Survey on Patient Safety Culture (HSOPSC) is a rigorously designed tool for measuring inpatient safety culture. The purpose of this paper is to develop a cross-cultural HSOPSC for Hungary and determine its strengths and weaknesses. DESIGN/METHODOLOGY/APPROACH: The original US version was translated and adapted using existing guidelines. Healthcare workers (n=371) including nurses, physicians and other healthcare staff from six Hungarian hospitals participated. Answers were analyzed using exploratory factor analyses and reliability tests. FINDINGS: Positive responses in all dimensions were lower in Hungary than in the USA. Half the participants considered their work area "acceptable" regarding patient safety. Healthcare staff worked in "crisis mode," trying to accomplish too much and too quickly. The authors note that a "blame culture" does not facilitate patient safety improvements in Hungary. PRACTICAL IMPLICATIONS: The results provide valuable information for promoting a more positive patient safety culture in Hungary and for evaluating future strategies to improve patient safety. ORIGINALITY/VALUE: Introducing a validated scale to measure patient safety culture in Hungary improves healthcare quality.