高血压患者对慢性肾脏病预防和早期检测的知识及相关因素：来自吉姆马镇公立综合医院慢性病门诊的研究。
Knowledge towards Prevention and Early Detection of Chronic Kidney Disease and Associated Factors among Hypertensive Patients at a Chronic Illness Clinic of Jimma Town Public Hospitals.
机构信息
Department of Nursing, School of Nursing and Midwifery, Wollo University, Dessie, Ethiopia.
Department of Nursing, Jimma University, Ethiopia.
出版信息
Biomed Res Int. 2020 Oct 21;2020:5969326. doi: 10.1155/2020/5969326. eCollection 2020.
BACKGROUND
Morbidity and mortality due to chronic kidney disease are increasing among hypertensive patients in Sub-Saharan Africa. The majority of hypertensive patients with chronic kidney disease are not diagnosed at an early stage because of poor knowledge. However, to the best of our knowledge, there is no study conducted in Ethiopia about knowledge of hypertensive patients towards prevention and early detection of chronic kidney disease. Thus, the aim of this study was to assess knowledge towards prevention and early detection of chronic kidney disease and associated factors among hypertensive patients at Jimma town public hospitals, Ethiopia.
METHODS
A hospital-based cross-sectional study was conducted among 332 hypertensive patients using an interviewer-administered questionnaire and medical record reviewing from April 5 to May 21, 2019. Study participants were selected using simple random sampling. Data were collected by using a standardized questionnaire. Data were entered into Epidata version 3.1 and analyzed by SPSS version 23. Descriptive statistics and bivariable and multivariable logistic regression were applied. To identify factors, a 95% confidence level and value of less than 0.05 were considered.
RESULTS
Over half (59.6%) were males, and the mean (±SD) age of participants was 54.92 (12.91) years. Among the total participants, more than half of them (47.9%) had good knowledge. Attending secondary education (AOR = 2.9, = 0.014), higher education (AOR = 5.4, = 0.001), working in private sectors (AOR = 4.3, = 0.001), taking three and above drugs per day (AOR = 0.55, = 0.016), and having a family history of kidney disease (AOR = 2.3, = 0.012) were significantly associated with knowledge. . Near to half of the study participants had good knowledge towards prevention and early detection of chronic kidney disease. Attending secondary education and above, working in private sectors, taking three and above drugs per day, and having a family history of kidney disease were independent predictors of knowledge. Hypertensive patients should be encouraged to be aware of risk factors of CKD, and health care providers should educate hypertensive patients about the prevention and early detection of chronic kidney disease.
背景
在撒哈拉以南非洲地区，高血压患者的慢性肾脏病发病率和死亡率正在上升。由于知识水平较差，大多数患有慢性肾脏病的高血压患者未能在早期得到诊断。然而，据我们所知，在埃塞俄比亚还没有针对高血压患者预防和早期发现慢性肾脏病的知识进行的研究。因此，本研究旨在评估吉姆马镇公立医院高血压患者对预防和早期发现慢性肾脏病的知识及其相关因素。
方法
本研究采用医院横断面研究，于 2019 年 4 月 5 日至 5 月 21 日期间，使用访谈式问卷调查和病历回顾，对 332 名高血压患者进行了调查。采用简单随机抽样选择研究对象。使用标准化问卷收集数据。数据输入 Epidata 版本 3.1 并使用 SPSS 版本 23 进行分析。采用描述性统计和单变量及多变量逻辑回归进行分析。采用 95%置信水平和 值小于 0.05 来确定因素。
结果
超过一半（59.6%）为男性，参与者的平均（±SD）年龄为 54.92（12.91）岁。在所有参与者中，超过一半（47.9%）具有良好的知识。接受中等教育（AOR = 2.9， = 0.014）、高等教育（AOR = 5.4， = 0.001）、在私营部门工作（AOR = 4.3， = 0.001）、每天服用三种或以上药物（AOR = 0.55， = 0.016）和有肾脏疾病家族史（AOR = 2.3， = 0.012）与知识呈显著相关。近一半的研究参与者对预防和早期发现慢性肾脏病具有良好的认识。接受中等教育及以上、在私营部门工作、每天服用三种或以上药物以及有肾脏疾病家族史是知识的独立预测因素。应鼓励高血压患者了解慢性肾脏病的危险因素，卫生保健提供者应教育高血压患者预防和早期发现慢性肾脏病。
Zotero 插件