article · PLoS ONE
This study investigated chronic kidney disease (CKD) knowledge and preventive practices among 184 hypertensive patients at Amana Regional Referral Hospital in Dar es Salaam, Tanzania. Researchers used an analytical cross-sectional design, collecting data in June and July 2022. The findings revealed that over half of the patients, 56.5%, demonstrated high CKD knowledge, and 60.3% exhibited good preventive practices. No sociodemographic factors were linked to CKD knowledge. Crucially, the study identified a significant association between high CKD knowledge and good preventive practices, suggesting that improving patients' understanding of CKD can lead to better self-management behaviours.
Chronic kidney disease is a major health issue, particularly in sub-Saharan Africa, with hypertension being a key cause. Understanding patients' knowledge and practices is vital for developing effective strategies to prevent the disease's progression and manage its complications, ultimately improving patient outcomes and reducing healthcare costs.
The abstract highlights the importance of educational interventions to enhance chronic kidney disease knowledge among hypertensive patients. This suggests a potential for developing and deploying targeted health education programmes or digital tools. These could be used by healthcare providers, public health organisations, or even pharmaceutical companies to support patient adherence and self-management. This research is early-stage, providing evidence for the need for such interventions rather than a specific product.
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BACKGROUND: Globally, Chronic kidney Disease (CKD) has become a significant public health concern, with sub-Saharan Africa being among the populations experiencing the highest rates. Managing CKD poses a significant challenge due to its health complications and associated high cost of care. Hypertension is one of the leading causes of CKD, responsible for the decline in kidney function in patients. Knowledge and lifestyle modifications are pivotal to the prevention and progression of CKD. In Tanzania, little is known regarding CKD knowledge and preventive practices among patients with hypertension. Therefore, this study aimed to assess context-specific factors associated with CKD knowledge and preventive practices among patients with hypertension at Amana Regional Referral Hospital in Dar es Salaam. METHODS: An analytical cross-sectional study involving 184 patients was conducted at Amana Regional Referral Hospital. Patient were recruited at the outpatient hypertension clinic using simple random sampling in June and July 2022. Data analysis was conducted using IBM-SPSS Statistics version 25. Bivariate and multiple logistic regression analyses were performed to identify factors associated with knowledge and preventive practices related to CKD, with statistical significance set at a p-value < 0.05. RESULTS: The median CKD knowledge score was 13 (IQR: 9-16). Of the 184 respondents, 104 (56.5%) demonstrated high CKD knowledge. None of the sociodemographic factors were significantly associated with CKD knowledge. The median score for CKD preventive practices was 9 (IQR: 8-9), and 111 respondents (60.3%) had good practices. High CKD knowledge was significantly associated with good CKD preventive practices (AOR: 1.98; 95% CI: 1.08, 3.62; p = 0.027). CONCLUSION: A significant proportion of hypertensive patients in this study exhibited both high CKD knowledge and good preventive practices. The positive correlation between CKD knowledge and improved preventive practices highlights the importance of educational interventions to further enhance CKD knowledge among patients with hypertension.
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DOI: 10.1371/journal.pone.0317257
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