Determination of knowledge, attitude, and practice on chronic kidney disease (CKD) prevention among early-stage CKD patients

Abstract

This thesis investigates the knowledge, attitude, and practice (KAP) regarding chronic kidney disease (CKD) prevention among early-stage CKD patients. The cross-sectional study involved 200 patients from the Kidney Foundation in Mirpur, Dhaka, employing a structured questionnaire administered through face-to-face interviews. The results reveal varied KAP levels: 26.1% of patients displayed poor knowledge, 56.3% average, and 17.6% adequate; attitude scores were predominantly high with 99% adequacy; and practice scores were encouraging with 82% demonstrating adequate CKD prevention behaviors. Notable associations were found between higher education levels and better knowledge, between employment and knowledge levels, and between urban residency and more adequate attitudes and practices. Comorbidities like hypertension (96.5%) and diabetes (67%) were prevalent, underscoring the necessity for targeted healthcare strategies. The thesis concludes that while attitudes and practices towards CKD prevention are commendable, there is a crucial need for enhanced educational programs to elevate knowledge levels. Future recommendations include developing targeted educational interventions that cater specifically to varying educational backgrounds and improving access to information across different residency statuses. Based on the results, it is recommended to intensify educational efforts tailored to the patient's educational and residential background, enhance the accessibility of CKD-related information, especially in rural areas, and focus on the aggressive management of prevalent comorbidities like hypertension and diabetes to improve overall health outcomes in early-stage CKD patients.