Unmet Care Needs and Influencing Factors Among Young and Middle-Aged Kidney Transplant Recipients at Home in China: A Cross-Sectional Study.
Na Hu, Tiantian Chang, Aiping Wang
PMID 41840785WHAT IT FOUND
Kidney transplant recipients at home reported moderate unmet care needs.
Higher illness uncertainty and lower social support predicted greater unmet needs. Patients with complications, those not returned to work, and those with lower education also reported significantly higher unmet needs.
Key findings
01Illness uncertainty was the strongest predictor of unmet care needs, while social support was negatively associated with them.
02Unmet needs were higher in patients with recent complications, those not returned to work, and those with lower education levels.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Cross-sectional design prevents determining causality between factors and unmet needs. Single-center study in China may limit generalizability to other healthcare systems or cultural contexts. Exclusion of patients with mental illness may introduce selection bias. Unmet needs may change dynamically over time, but this study only captured a single point in time within the first year post-transplant.
Declared interests
The authors declared no conflicts of interest. The study was funded by the key projects of China Medical University of Nursing.
The easy way to misread this
Do not assume that interventions targeting education or work status will directly reduce unmet care needs, as this study only shows associations. The cross-sectional design cannot prove that changing these factors causes a reduction in needs.