社区慢性肾脏病患者对肾病相关知识的认知及医疗服务需求的调查

任涛; 谢建芳; 杨拥峰; 周芳; 梁艳

doi:10.16766/j.cnki.issn.1674-4152.000262

社区慢性肾脏病患者对肾病相关知识的认知及医疗服务需求的调查

doi: 10.16766/j.cnki.issn.1674-4152.000262

任涛¹,
谢建芳^2, ,,
杨拥峰³,
周芳⁴,
梁艳¹

1. 蚌埠医学院临床医学院第二分党委, 安徽蚌埠 233030;
2. 复旦大学附属中山医院青浦分院科教科, 上海 201700;
3. 上海市青浦区华新镇社区卫生服务中心, 上海 201705;
4. 上海市青浦区金泽镇社区卫生服务中心, 上海 201718

基金项目:

上海市青浦区科技发展基金项目(青科发2016-32)

详细信息

通讯作者:
谢建芳,E-mail:13817639709@163.com

中图分类号: R692;R197.61;R193
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- 被引次数: 0
出版历程
- 收稿日期: 2017-08-17
- 网络出版日期: 2022-07-29

Research on chronic kidney disease patients' knowledge of nephropathy and their demands on medical service in community

The Second Sub-Party Committee of Clinical Academy, Bengbu Medical College, Bengbu, Anhui 233030, China

摘要

摘要: 目的了解社区慢性肾脏病(CKD)患者对肾病相关知识的认知水平及对医疗服务的需求情况,为CKD社区管理提供依据。方法在2017年7月,采用问卷的调查方式,对上海市青浦区金泽、华新2家社区57村1 471例CKD患者进行调查,实际调查1 349例(占应调查人数91.71%),并采用SPSS 21.0统计软件对调查的结果进行分析,计量资料数据用 x±s的形式表示,采用t检验和方差分析;计数资料采用百分比(%)的形式表示,采用描述性统计方法;P<0.05为差异有统计学意义。结果 1 349例患者对肾病知识认知平均得分(60.05±10.83)分,最高者90分,最低者25分,合格率为59.30%。对肾病危险因素高血压知晓率最高,为76.87%,高蛋白摄入知晓率最低,为13.05%。不同性别、不同年龄、不同疾病分期、不同职业与不同婚姻状况对肾病知识得分情况差异无统计学意义(P>0.05);不同文化程度、不同确诊时间对肾病知识得分情况差异有统计学意义(P<0.05)。CKD患者对疾病治疗相关知识服务需求人数最多,为1 007人(74.65%),对网络知识宣传服务需求人数最少,为338人(25.06%)。结论社区慢性肾脏病患者对肾病知识认知整体不足,对医疗服务需求量大。医务人员后期需多加干预,加强对肾病患者的知识教育,提高整体认知,完善医疗服务体系,定期组织医务人员下社区进行义诊,对CKD患者进行病情随访,宣传肾病危险因素,预防慢性肾脏病,将肾病遏制在摇篮之中。
- 肾脏病 /
- 慢性 /
- 社区患者 /
- 肾病知识 /
- 认知 /
- 医疗需求
Abstract: Objective To learn the situation of chronic kidney disease (CKD) patients' knowledge of nephropathy and their demands on medical service in community, in order to provide basis for community management of CKD. Methods In July 2017, questionnaire was adopted to do the investigation on 1 471 CKD patients, and we actually investigated 1 349 CKD patients (occupying 91.71% of people who shall be investigated) in 57 villages in both Jinze community and Huaxin community in Qingpu District in Shanghai, and SPSS 21.0 statistical software was used to analyze the results of investigation. The measurement data was represented in the form of mean or minus standard deviation and T-test and variance analysis were used. The counting data was represented as a percentage (%) and descriptive statistics were used. When P<0.05, the difference in date is statistically significant. Results The average score of 1 349 CKD patients' knowledge of nephropathy is (60.05±10.83) and the highest score is 90 points and the lowest one is 25 points. And the percentage of pass is 59.30%. The highest rate of hypertension is 76.87%, and the lowest rate is 13.05%. Gender, age, aging, professions and marital status have no statistical significance (P>0.05); different degrees of education and date of making a definite diagnosis have statistical significance (P<0.05). The number of CKD patients who need related knowledge about treatment of disease is the most which is 1 007 (74.65%), and the number of CKD patients who require service of knowledge publicity through internet is the least which is 338(25.06%). Conclusion Chronic kidney disease (CKD) patients in community do not have complete knowledge on nephropathy and demand for medical services is high. The medical staff needs to intervene and knowledge education held for CKD patients shall be enhanced, overall cognition shall be improved and medical service system shall be perfected. We should regularly organize medical workers to visit the community and carry out follow-up visit to patients with CKD to promote the risk factors of kidney disease to prevent chronic kidney disease and nip nephropathy in the bud.
- Kidney disease /
- Chronic /
- Patients in community /
- Knowledge about nephropathy /
- Cognition /
- Medical demands