Educating Prospective Kidney Transplant Recipients and Living Donors about Living Donation: Practical and Theoretical Recommendations for Increasing Living Donation Rates.
Educating Prospective Kidney Transplant Recipients and Living Donors about Living Donation: Practical and Theoretical Recommendations for Increasing Living Donation Rates.
复制标题
对潜在肾移植受者和活体捐赠者进行活体捐赠教育：提高活体捐赠率的实践和理论建议。
DOI：
10.1007/s40472-016-0090-0
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发表时间：
2016
影响因子：
2.1
通讯作者：
Peipert,JohnD
中科院分区：
文献类型：
--
作者：
Waterman,AmyD;Robbins,MarkL;Peipert,JohnD
提高活体肾移植（LDKT）率的一个有希望的策略是提高对潜在肾移植受者和活体供者的活体捐赠教育，以帮助克服LDKT的成熟知识、心理和社会经济障碍。最近一次关于活体肾脏捐献最佳实践的共识会议建议，对所有阶段的慢性肾脏疾病（CKD）患者进行全面的LDKT教育。然而，在考虑如何在不同的医疗保健学习环境中实现这一建议时，值得注意的是，目前缺乏关于如何设计、交付和衡量LDKT教育计划有效性的可用指导。在本文中，我们概述了一种行为改变理论，即行为改变的跨理论模型，如何指导CKD不同阶段患者的LDKT教育和LDKT准备。我们还讨论了为潜在的肾移植受者和活体供者创建教育计划的重要性，并确定了教育研究的关键优先事项，以减少LDKT的种族差异，提高LDKT率。
A promising strategy for increasing living donor kidney transplant (LDKT) rates is improving education about living donation for both prospective kidney transplant recipients and living donors to help overcome the proven knowledge, psychological, and socioeconomic barriers to LDKT. A recent Consensus Conference on Best Practices in Live Kidney Donation recommended that comprehensive LDKT education be made available to patients at all stages of chronic kidney disease (CKD). However, in considering how to implement this recommendation across different healthcare learning environments, the current lack of available guidance regarding how to design, deliver, and measure the efficacy of LDKT education programs is notable. In the current article, we provide an overview of how one behavior change theory, the Transtheoretical Model of Behavior Change, can guide the delivery of LDKT education for patients at various stages of CKD and readiness for LDKT. We also discuss the importance of creating educational programs for both potential kidney transplant recipients and living donors, and identify key priorities for educational research to reduce racial disparities in LDKT and increase LDKT rates.