Centre for Health Services Research, Singapore Health Services, 168 Jalan Bukit Merah, #06-08 Tower 3, Singapore, 150169, Singapore.
BMC Nephrol. 2012 Jul 2;13:54. doi: 10.1186/1471-2369-13-54.
Kidney disease is the 9th leading cause of death in Singapore. While preventive effects have focused on early detection and education, little is known about the knowledge level of chronic kidney disease (CKD) locally. We seek to evaluate the knowledge of CKD among primary care patients.
We conducted a cross-sectional survey of a convenience sample of 1520 patients from 3 primary care centers. Those with existing CKD or on dialysis were excluded. Knowledge was assessed based on 7 questions on CKD in the self-administered questionnaire. One point was given for each correct answer with a maximum of 7 points.
1435 completed all 7 questions on CKD. Mean age was 48.9 ± 5.0 (SD) years. 50.9% were male. 62.3% had a secondary and below education and 52.4% had a monthly household income of ≤ $2000. 43.7% had chronic diseases. Mean score was 3.44 ± 1.53 (out of a maximum of 7). Median score was 4. In multivariate logistic regression, being older {>60 years [Odds Ratio (OR) 0.50, 95% Confidence Interval (CI) 0.32-0.79]; 40-60 years (OR 0.62, 95% CI 0.43,0.89)}, less educated [up to primary education (OR 0.33, 95% CI 0.22-0.49)], having a lower monthly household income [<S$2000 (OR 0.41, 95% CI 0.26-0.66); S$2000-4999 (OR 0.53, 95%CI, 0.33-0.83)], and being non-professionals [OR 0.66, 95% CI 0.43-0.99] (all p < 0.05)] were likely to score less.
This suggests that CKD education should be targeted at older patients with lower education and lower socioeconomic status.
肾脏疾病是新加坡第 9 大死亡原因。虽然预防措施侧重于早期发现和教育，但对当地慢性肾脏病 (CKD) 的知识水平知之甚少。我们旨在评估初级保健患者对 CKD 的了解程度。
我们对来自 3 家初级保健中心的 1520 名患者进行了横断面调查。排除了已有 CKD 或正在接受透析的患者。知识评估基于自我管理问卷中关于 CKD 的 7 个问题。每个正确答案得 1 分，最高得 7 分。
1435 名患者完成了所有关于 CKD 的 7 个问题。平均年龄为 48.9 ± 5.0（SD）岁。50.9%为男性。62.3%接受过中学及以下教育，52.4%家庭月收入≤2000 新元。43.7%患有慢性疾病。平均得分为 3.44 ± 1.53（满分 7 分）。中位数得分为 4 分。在多变量逻辑回归中，年龄较大（>60 岁 [优势比 (OR) 0.50，95%置信区间 (CI) 0.32-0.79]；40-60 岁 [OR 0.62，95%CI 0.43,0.89]）、教育程度较低（最高接受过小学教育 [OR 0.33，95%CI 0.22-0.49]）、家庭月收入较低（<2000 新元 [OR 0.41，95%CI 0.26-0.66]；2000-4999 新元 [OR 0.53，95%CI 0.33-0.83]）和非专业人员 [OR 0.66，95%CI 0.43-0.99]（均 p<0.05））的患者更有可能得分较低。
这表明 CKD 教育应针对教育程度较低和社会经济地位较低的老年患者。
