非肾内科医生慢性肾脏病知晓率调查

Investigation on the rate of awareness of chronic kidney disease among non-urology physicians

目的对上海市部分3级、2级和社区医院非肾内科医生进行慢性肾脏病(chronic kidney disease,CKD)知晓情况的调查,以探索早期防治CKD的途径。方法对上海市5所3级、4所2级及25所社区医院94名非肾内科医生进行微信问卷调查,内容包括CKD的高危人群、肾外系统首发表现、加重因素等,并进行统计分析。结果非肾内科医生对CKD高危人群全部知晓率为57.45%;对CKD肾外系统首发表现全部知晓率为21.28%,社区医院所占比例最低(19.74%);对CKD加重因素全部知晓率为51.06%,社区医院所占比例最低(46.05%);对CKD可逆因素全部知晓率51.06%,社区医院所占比例最低(44.74%);对CKD常用检查方法的知晓率为68.09%,CKD分期的知晓率为35.11%,CKD早期干预措施的知晓率为81.91%,常用评估患者肾功能方法的知晓率为38.30%;94名非肾内科医生参加过慢性肾脏病相关知识培训的比率为36%。结论我国对慢性肾脏病防治认识不足具有一定的普遍性,应加强培训,使各科医生充分了解CKD相关知识,以提高对CKD的知晓率、早期诊断率、治疗率及控制率,减少患者及社会负担。

To investigate the rate of awareness of chronic kidney disease(CKD)among non-urology physicians from certain tertiary hospitals,second-level hospitals and community hospitals,so as to explore ways of early identification and prevention of CKD.A questionnaire survey with the help of Wechart platform was performed in 94 non-urology physicians from 5 tertiary hospitals,4 second-level hospitals and 25 community hospitals.Topics of the survey included CKD high-risk population,CKD initial manifestations,CKD deterioration factors and other indicators,and then,analyses of the obtained results were made in the study.Full awareness rate of CKD high risk population by physicians was 57.45%,and the full awareness rate of initial manifestations by physicians was 21.28%,with the physicians from community hospitals having the lowest rate,accounting for 19.74%.The full awareness rate of CKD deterioration factors by physicians was 51.06%,with the physicians from community hospitals having the lowest rate,accounting for 46.05%.The full awareness rate of CKD reversible factors by physicians was 51.06%,with the physicians from community hospitals also having the lowest rate,accounting for 44.74%.The full knowledge rate of CKD detection methods by physicians was 68.09%,the knowledge rate of CKD stage classification by physicians was 35.11%,that of CKD early intervention measures by physicians was 81.91%,and that of CKD routine detection methods for renal function was only 38.30%.In 94 non-urology physicians,only 36%of the physicians received training on related knowledge of CKD,and 64%of the physicians never received any training in this respect.Deficiency in the awareness or knowledge about CKD prevention and treatment among non-urology physicians is quite popular in the country.For this reason,efforts should be made on the training,so that physicians will have better knowledge about CKD,and consequently the rate of awareness and knowledge about CKD,the rate of early diagnosis,as well as the cure and control rate of CKD could be greatly enhanced.