上海远郊家庭医生制团队对慢性肾脏病知识知晓情况及对策研究

Study on knowledge and understanding of chronic kidney disease in Shanghai suburban family doctor team

目的了解上海远郊地区社区卫生服务中心家庭医生制团队对慢性肾脏病(CKD)知识的知晓情况,为开展家庭医生制团队CKD知识的培训,提升社区团队服务能力提供依据。方法采用手机微信问卷调查法于2016年10月对青浦区10家社区卫生服务中心参与家庭医生制团队服务694名医务人员进行调查,问卷内容包括纳入对象的基本情况及慢性肾脏病相关知识,共完成问卷递交694名,有效回收率100%。计量资料用±s的形式表示,组间采用t检验与方差分析,计数资料用百分比/率(%)表示,采用描述性统计方式。结果 694名被调查人员中对CKD知识平均得分(52.31±15.48)分,合格率为32.71%。在不同性别、不同医(护)龄家庭医生制团队中,对CKD知识得分情况比较,差异无统计学意义(均P>0.05);在不同年龄、不同职业与不同职称的团队成员中,对CKD知识得分情况差异有统计学意义(均P<0.05),其中低于30岁年龄段的得分较低,全科医生的得分明显高于其他类别医务人员,中级以上职称团队成员得分高于初级职称者。结论 CKD知识在社区家庭制团队中知晓率较低,应加强对CKD知识宣传力度,提高社区家庭制团队对CKD知识的认识,使CKD防治工作重心前移,有效控制疾病进展,减轻疾病对健康的危害,降低CKD患者医疗费用。

Objective To understand the situation to the family doctors＇ knowledge of chronic kidney disease （CKD） in the outer suburbs of Shanghai, and to provide basis for carrying out the CKD training in family doctor system and promoting the service ability of community team. Methods A questionnaire survey through the mobile WeChat was used to investi- gate 694 medical staff in family doctor team from ten community health service centers in Qingpu District. The survey in- cluded the basic situation of the research objects and the questions about CKD, 694 valid questionnaires were finished with the effective rate of 100%. The quantitative data were shown as x ± s, and t-test and ANOVA were used among the two groups, and the quantitative data were expressed as percentage or rate （ % ） in a descriptive statistical way. Results The average score of CKD knowledge among the 694 objects was 52.31 ± 15.83, with a pass rate of 32.71%. As a result, the CKD scores didn＇ t show any significant difference （ P 〉 0.05 ） in members with different gender and different working years. Among others with different age, occupation and titles, however, the CKD scores were significantly different （P 〈 0.01 ）. Interestingly, the scores were lower in staff less than 30 years old, and the scores of GP were significantly higher compared with other types of medical staff, and the scores from intermediate title and above were also higher than junior ti- tles. Conclusion The CKD knowledge is very poor and need to be further improved in community family team. We should improve the propaganda of CKD basic knowledge, and move forward the disease prevention and control, and decrease the disease harm to human health, and also cut down the medical cost in CKD patients at the same time.