上海市郊区某镇糖尿病患者慢性肾脏病知信行状况及影响因素  

Knowledge-attitude-practice of chronic kidney disease among type 2 diabetic patients in a township of Shanghai suburb

作　　者：刘帅[1] 崔恒清 陈霞[2] 贺海东[2] 顾卫英[1] 齐郑[1] Liu Shuai;Cui Hengqing;Chen Xia;He Haidong;Gu Weiying;Qi Zheng(Huacao Community Health Service Center of Minhang District,Shanghai 201107,China;Department of Geriatrics Minhang District Central Hospital,Shanghai 201100,China)

机构地区：[1]上海市闵行区华漕社区卫生服务中心,201107 [2]上海复旦大学附属闵行医院肾内科,201100

出　　处：《中华全科医师杂志》2018年第12期1042-1044,共3页Chinese Journal of General Practitioners

基　　金：上海市闵行区卫生计生委科技项目(2016MW46)。

摘　　要：采用整群随机抽样于2018年5-7月,从上海郊区华漕镇抽取510例2型糖尿病患者为研究对象,采用自制问卷调查患者的慢性肾脏病防治知信行状况,行logistic回归分析。510例患者的知识知晓率、态度积极率、行为执行率分别为44.1%(225/510)、49.0%(250/510)、16.5%(84/510);知、信、行得分分别为(16.8±4.8)、(18.3±3.6)和(13.1±4.1)分。对CKD的防治态度与文化程度、糖化血红蛋白水平、收缩压、肥胖、健康教育史、CKD的认知水平相关;防治行为与其文化程度、收缩压、肥胖、健康教育史、CKD防治态度相关(均P<0.05)。A total of 510 patients with type 2 diabetics mellitus (T2DM)from Huacao Township ofShanghai suburb were enrolled in the study. The gender, age, duration for diabetes, HbA1c level, bloodpressure level, obesity status and health education of chronic kidney disease (CKD) were recorded. Theknowledge, attitude and practice (AKP) of the subjects regarding prevention and treatment of CKD wereassessed by using a self - restraint questionnaire. The data were analyzed with logistic regression. Theknowledge awareness rate, attitude positive rate and behavior execution rate were 44.1%(225/510), 49.0%(250 / 510) and 16.5%(84 / 510), respectively. Scores of knowledge,attitude,behavior and medicationcompliance of the subjects were 16.8±4.8, 18.3±3.6 and 13.1±4.1, respectively. The attitudes were closelyrelated to educational level, HbA1c level, systolic blood pressure, obesity, health education history, andawareness level of CKD;behaviors were closely related to education level, systolic blood pressure, obesity,health education history and CKD prevention and treatment(P<0.05).

关 键 词：糖尿病 2型 肾疾病 慢性 健康知识 态度、实践 疾病影响状态调查 

分 类 号：R587.2[医药卫生—内分泌] R692.9[医药卫生—内科学]