{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T18:28:59Z","timestamp":1793644139041,"version":"4.5.1"},"reference-count":26,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004735","name":"Natural Science Foundation of Hunan Province","doi-asserted-by":"publisher","award":["2023JJ30844"],"award-info":[{"award-number":["2023JJ30844"]}],"id":[{"id":"10.13039\/501100004735","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Some women of child\u2010bearing age with a kidney transplant have a strong fertility desire, but they face a significantly higher risk of pregnancy than healthy women. Pre\u2010pregnancy risk management can help patients achieve planned pregnancies and reduce the risk factors for adverse pregnancy outcomes. Therefore, knowledge, attitudes, and practices (KAP) about pre\u2010pregnancy risk management are clinically important.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore the current status and influencing factors of the KAP status of pre\u2010pregnancy risk management among Chinese women of child\u2010bearing age with a kidney transplant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study used convenience sampling to recruit 247 women of child\u2010bearing age with a kidney transplant from 5 hospitals in Hunan Province from May to October 2024, using a 37\u2010item questionnaire developed and validated by multidisciplinary experts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean KAP questionnaire was 135.04\u2009\u00b1\u200921.60, and the score rate was 72.99%. The scoring rates of knowledge, attitude and practices are 64.63%, 89.77% and 78.50%, respectively. Multiple linear regression analysis identified age, marital status, occupation, permanent residence and length of time after kidney transplantation as independent factors associated with pre\u2010pregnancy risk management KAP levels (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women of child\u2010bearing age with a kidney transplant showed generally positive attitudes towards pre\u2010pregnancy risk management. However, their knowledge and practice levels need improvement. Healthcare providers should provide targeted health education to help them reduce pregnancy\u2010related risks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>It is anticipated that this study will help nursing staff identify specific areas of inadequate knowledge for kidney transplant recipients before pregnancy and provide targeted health education to guide patients to reduce adverse outcomes for both mother and baby.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70660","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T04:16:18Z","timestamp":1783916178000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, Attitudes and Practices of Pre\u2010Pregnancy Risk Management Among Childbearing\u2010Age Women With a Kidney Transplant: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9070-6119","authenticated-orcid":false,"given":"Hangxia","family":"Ma","sequence":"first","affiliation":[{"name":"Nursing Department The Third Xiangya Hospital of Central South University  Changsha Hunan China"},{"name":"Nursing Department The First Affiliated Hospital of Zhengzhou University  Zhengzhou Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weitong","family":"Lin","sequence":"additional","affiliation":[{"name":"Xiangya College of nursing Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meirong","family":"Wu","sequence":"additional","affiliation":[{"name":"Nursing Department The Third Xiangya Hospital of Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingjing","family":"Wan","sequence":"additional","affiliation":[{"name":"Nursing Department The Third Xiangya Hospital of Central South University  Changsha Hunan China"},{"name":"Outpatient and Emergency Operating Room The Third Xiangya Hospital of Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Transplantation The Third Xiangya Hospital of Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maosen","family":"Hu","sequence":"additional","affiliation":[{"name":"Xiangya College of nursing Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,12]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Construction of Preconception Pregnancy Risk Management Scheme for Patients With Lupus Nephritis","author":"Du P.","year":"2020"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182a5eda9"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2022.06.006"},{"issue":"5","key":"e_1_2_12_5_1","first-page":"408","article-title":"Investigation on Fertility Needs of Young Breast Cancer Patients","volume":"42","author":"Jv J.","year":"2020","journal-title":"Chinese Journal of Cancer"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12041545"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semnephrol.2022.04.011"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.14100820"},{"issue":"19","key":"e_1_2_12_9_1","first-page":"3506","article-title":"Analysis of Influencing Factors of Reproductive Health Education for Mobile Women of Childbearing Age Based on Multi\u2010Level Model","volume":"50","author":"Li Z.","year":"2023","journal-title":"Modern Preventive Medicine"},{"issue":"8","key":"e_1_2_12_10_1","first-page":"1018","article-title":"Research Progress of Pregnancy and Reproductive Health Education for Kidney Transplant Patients","volume":"53","author":"Liu J.","year":"2018","journal-title":"Chinese Journal of Nursing"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/ti.2022.10565"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2022.08.015"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/ti.2023.11220"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1590\/1980\u2010220X\u2010REEUSP\u20102022\u20100463en"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010014\u20100752\u20102"},{"issue":"18","key":"e_1_2_12_16_1","first-page":"2216","article-title":"Research Progress of Return\u2010To\u2010Work Assessment Tools for Organ Transplant Patients","volume":"58","author":"Rao Y. 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