{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:01:17Z","timestamp":1785456077379,"version":"3.56.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100004735","name":"Natural Science Foundation of Hunan Province","doi-asserted-by":"publisher","award":["2024JJ9214"],"award-info":[{"award-number":["2024JJ9214"]}],"id":[{"id":"10.13039\/501100004735","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Changsha City Natural Science Foundation Project","award":["kq2403072"],"award-info":[{"award-number":["kq2403072"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study aimed to examine the knowledge, attitude, and practice toward arteriovenous fistula (AVF) self-care among diabetic kidney disease (DKD) patients who received maintenance hemodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study was carried out from 1st January to 31st March, 2024 among patients with DKD who received maintenance hemodialysis. A self-administered questionnaire was utilized to collect demographic information and evaluate knowledge, attitude, and practice related to AVF self-care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 757 valid surveys were collected for this study; average age of participants was 59.70 \u00b1 10.7\u2005years. The scores for knowledge, attitude, and practice were 29.59 \u00b1 7.96 (ranging from 0 to 38), 41.89 \u00b1 4.02 (ranging from 9 to 45), and 67.57 \u00b1 7.44 (ranging from 15 to 75), respectively. Multivariate logistic regression revealed that knowledge (odds ratio [OR] = 5.044, 95% confidence interval [CI]: [3.052\u20138.335], P &amp;lt; .001) and attitude (OR = 14.17, 95% CI: [8.328\u201324.12], P &amp;lt; .001) were independently associated with proactive practice. The Structural Equation Model showed that knowledge had a direct and positive impact on attitude (\u03b2 = 0.527, P &amp;lt; .001) and practice (\u03b2 = 0.243, P &amp;lt; .001). Attitude also had a direct and positive influence on practice (\u03b2 = 0.692, P &amp;lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with DKD who received maintenance hemodialysis showed positive attitude and proactive practice towards AVF self-care, even if their level of knowledge was inadequate. Targeted education was recommended to improve patients\u2019 knowledge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/joneph\/aajag026","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T12:25:05Z","timestamp":1768911905000},"page":"564-574","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitude, and practice toward arteriovenous fistula self-care among maintenance hemodialysis patients with diabetic kidney disease"],"prefix":"10.1093","volume":"39","author":[{"given":"Wen","family":"Zhou","sequence":"first","affiliation":[{"name":"Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University , Changsha, Hunan 410011 ,","place":["China"]},{"name":"Department of Nephrology, The Second Xiangya Hospital of Central South University, Hunan Key Laboratory of Kidney Disease and Blood Purification , Changsha, Hunan 410011 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