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Saudi J Kidney Dis Transpl. 2020 Jan-Feb;31(1):118-128. doi: 10.4103/1319-2442.279931.

Educational needs of chronic kidney disease patients who presented to tengku ampuan afzan hospital: Preliminary findings.

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Department of Professional Nursing Studies, Kulliyyah of Nursing, International Islamic University Malaysia, Bandar Indera Mahkota Campus, Kuantan, Pahang, Malaysia.
Dietetics Program, School of Nutrition and Dietetics, Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Terengganu, Terengganu, Malaysia.
Department of Medicine, Kuantan Medical Centre, Kuantan, Pahang, Malaysia.
Subang Jaya Medical Centre, Subang Jaya, Selangor, Malaysia.
Nursing Programme, School of Health Sciences, Health Campus Universiti Sains Malaysia, Kelantan, Malaysia.
Department of Internal Medicine, Kulliyyah of Medicine, International Islamic University Malaysia, Bandar Indera Mahkota Campus, Kuantan, Pahang, Malaysia.
Petronas Gas Berhad, Kertih, Kemaman, Terengganu, Malaysia.


Knowledge limitation is a major cause of the increasing number of chronic kidney disease (CKD) patients in Malaysia and the world. Nurses are responsible for identifying the patients' needs to come up with appropriate discharge plans which might include educational activities. The objective of this study was to determine the baseline information (socio- demographic background, as well as medical and lifestyle histories), along with educational needs of CKD patients. A total of 116 CKD patients who attended the Nephrology Clinic of Hospital Tengku Ampuan Afzan were recruited. Patients who fulfilled the inclusion criteria were selected between April and May 2017. Data were obtained via semi-guided questionnaires; the patients were given enough time to complete the required items. The CKD educational needs' assessment consisted of seven domains: general information, chronic illness management, complications, self-management, medications, treatment, and financial status. Majority of the patients were men (53.4%), aged 54.65 ± 16.49 years, secondary school-finishers (49.1%), and jobless (48.3%). In terms of medical and life-style histories, most patients were diagnosed with end-stage renal disease (51.7%), hypertension (96.6%), diabetes (51.7%), and anemia (25.9%). The patients were interested to know the complications of kidney disease (57.8%), management of diseases like hypertension (58.6%), complications like edema (55.2%), indications for medication (73.3%), self-management or fluid control (37.9%), hemodialysis (37.1%), and financial status (21.6%). Thus, strengthening patient education strategies in the clinics, hospitals, and community settings should be given due attention by relevant healthcare professionals.

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