title: A Study on the Attitude Toward Kidney Transplantation and Factors Among Hemodialysis Patients in China.
abstract: BACKGROUND
  Kidney transplantation (KT) is the most effective treatment for patients with end-stage renal disease. However, objective data regarding the willingness of patients with end-stage renal disease to undergo transplantation are lacking in China. The purpose of this study was to examine the attitudes and impact factors regarding KT among patients with end-stage renal disease undergoing hemodialysis.
  
  
  METHODS
  This study used a cross-sectional approach. Between June and July 2015, a total of 326 hemodialysis outpatients completed a self-designed questionnaire to assess their attitudes toward KT and satisfaction with dialysis.
  
  
  RESULTS
  Patients' mean age was 49.47 years, and the mean duration of hemodialysis was 52 months. Among these patients, 34.9% would like to undergo transplantation, and 4.23% of patients have a potential related living donor. Among the patients wishing to undergo transplantation, 43.93% had started a procedure to be grafted. The minority of patients (45.93%) stated that KT offers a better quality of life; 78.5% believe that it is more expensive than hemodialysis. Overall, 13.36% of patients are willing to become organ donors after death. The main motivating factor for KT was because of study or work difficulties (56.1%). The effects of the following 7 independent variables on attitude were assessed: age, education level, monthly income, sex, duration of hemodialysis, dialysis satisfaction, and reimbursement level.
  
  
  CONCLUSIONS
  To improve hemodialysis patients' accessibility to KT, better information must be provided to patients, their families, and other support providers. Transplantation is the best treatment for patients undergoing hemodialysis, which should be given more attention and political support economically and publicly by the government and some closely related agencies.
authors: The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
authors: B
authors: B
authors: Qiao
authors: Third Xiangya Hospital, Central South University, Changsha, People's Republic of China.
authors: L
authors: L
authors: Liu
authors: Third Xiangya Hospital, Central South University, Changsha, People's Republic of China; Xiangya Nursing School, Central South University, Changsha, People's Republic of China.
authors: J
authors: J
authors: Liu
authors: Third Xiangya Hospital, Central South University, Changsha, People's Republic of China; Xiangya Nursing School, Central South University, Changsha, People's Republic of China. Electronic address: xiejianfei007@163.com.
authors: J
authors: J
authors: Xie
mesh_terms: D000328:Adult; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000628:therapy; D016030:Kidney Transplantation / Q000523:psychology*; D019520:Living Donors / Q000523:psychology; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D006435:Renal Dialysis / Q000523:psychology*; D011795:Surveys and Questionnaires