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慢性肾病患者的肾病知识及其决定因素

Kidney Disease Knowledge and Its Determinants Among Patients With Chronic Kidney Disease.

作者信息

Okoro Roland Nnaemeka, Ummate Ibrahim, Ohieku John David, Yakubu Sani Ibn, Adibe Maxwell Ogochukwu, Okonta Mathew Jegbefume

机构信息

Department of Clinical Pharmacy and Pharmacy Administration, University of Maiduguri, Maiduguri, Nigeria.

Department of Medicine, Nephrology Unit, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.

出版信息

J Patient Exp. 2020 Dec;7(6):1303-1309. doi: 10.1177/2374373520967800. Epub 2020 Oct 21.

Abstract

The alarming rise in the incidence of end-stage renal disease in Nigeria is likely to continue if patients with chronic kidney disease (CKD) lack knowledge of this disease, its management, and practices to support effective self-management. The study aimed to assess CKD knowledge and to investigate its predictors. A cross-sectional survey was conducted using a paper-based questionnaire at the medical and nephrology outpatients' clinics of a secondary and tertiary hospital in Maiduguri. The study enrolled 220 patients with CKD stages 1 to 4. Sixty-five percent of the participants had poor CKD knowledge. The patients who had a tertiary level of education were significantly more likely to have higher CKD knowledge compared to those with no formal education (adjusted odds ratio: 2.62, 95% CI: 1.20-5.72). The study shows that the majority of the participants had poor CKD knowledge. Tertiary educational level was the only significant independent predictor of higher CKD knowledge. Therefore, targeted educational interventions are needed among patients with no or low formal education to be able to support them with self-management behaviors.

摘要

如果慢性肾脏病(CKD)患者对该疾病、其管理方法以及支持有效自我管理的实践缺乏了解,那么尼日利亚终末期肾病发病率令人担忧的上升趋势可能会持续下去。该研究旨在评估慢性肾脏病知识并调查其预测因素。在迈杜古里一家二级和三级医院的内科和肾病门诊,使用纸质问卷进行了一项横断面调查。该研究纳入了220例1至4期慢性肾脏病患者。65%的参与者对慢性肾脏病的了解较差。与未接受正规教育的患者相比,受过高等教育的患者更有可能对慢性肾脏病有较高的了解(调整后的优势比:2.62,95%置信区间:1.20 - 5.72)。研究表明,大多数参与者对慢性肾脏病的了解较差。高等教育水平是较高慢性肾脏病知识的唯一显著独立预测因素。因此,需要对未接受正规教育或接受正规教育程度较低的患者进行有针对性的教育干预,以便能够在自我管理行为方面为他们提供支持。

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