Department of Internal Medicine, University of Jeddah, Jeddah, Saudi Arabia.
Medicine (Baltimore). 2024 Jun 14;103(24):e38593. doi: 10.1097/MD.0000000000038593.
This study aimed to explore chronic kidney disease (CKD)-related knowledge and its predictors among non-dialysis patients with CKD in the Kingdom of Saudi Arabia (KSA). It was a cross-sectional survey conducted at 2 nephrology centers in KSA. Data were gathered using a survey questionnaire that included sociodemographic information and enquiries about CKD. The questionnaire used to explore CKD knowledge consisted of 24 questions with 3 multiple-choice answers for each question: "True," "False," and "I don't know." Data were obtained from 185 patients who visited a nephrology clinic. The major study population was drawn from the western region of the Kingdom of Saudi Arabia. The participants' mean (SD) total renal disease knowledge scores was 12.56 (3.55) out of a maximum of 24 points on the renal disease knowledge assessment. This suggests that the participants, on average, exhibited a moderate level of knowledge regarding renal disease. Most respondents correctly answered questions related to blood and urine tests (90.3% and 89.7%, respectively), living with a single kidney (88.1%), kidney function in blood cleansing (83.8%), risk factors like diabetes (82.7%), and hypertension (80%). Additionally, they recognized symptoms such as water retention (85.9%) and fatigue (61.6%) and the potential of certain medications to slow chronic kidney disease progression (72.4%). However, fewer respondents correctly identified nausea/vomiting (31.4%) and loss of appetite (31.4%) as signs of kidney disease, the role of kidneys in maintaining blood pressure (58.9%) and bone health (16.2%), and obesity as a risk factor (54.1%). Furthermore, there were notable differences in knowledge scores between genders, with men scoring significantly higher than women (2.05, P = .041). In general, the understanding of CKD within the CKD patient community in the KSA was at a moderate level. However, male respondents had a greater understanding of CKD than did female respondents. The findings of this study indicate an urgent need to conduct educational activities to improve CKD knowledge among patients with CKD in the KSA.
本研究旨在探讨沙特阿拉伯王国(KSA)非透析慢性肾脏病(CKD)患者的 CKD 相关知识及其预测因素。这是一项在 KSA 两家肾病中心进行的横断面调查。数据通过问卷调查收集,包括社会人口统计学信息和 CKD 询问。用于探索 CKD 知识的问卷由 24 个问题组成,每个问题有 3 个多项选择答案:“正确”、“错误”和“不知道”。数据来自于 185 名就诊于肾病诊所的患者。主要研究人群来自沙特阿拉伯王国的西部地区。参与者的肾脏疾病知识评估总分平均(SD)为 12.56(3.55)分,满分 24 分。这表明参与者平均对肾脏疾病知识有一定的了解。大多数受访者正确回答了与血液和尿液检查相关的问题(分别为 90.3%和 89.7%)、单侧肾脏生存(88.1%)、血液净化中的肾脏功能(83.8%)、糖尿病(82.7%)和高血压(80%)等风险因素,以及水潴留(85.9%)和疲劳(61.6%)等症状,以及某些药物减缓慢性肾脏病进展的潜力(72.4%)。然而,较少的受访者正确识别出恶心/呕吐(31.4%)和食欲不振(31.4%)是肾脏疾病的迹象、肾脏在维持血压(58.9%)和骨骼健康(16.2%)方面的作用以及肥胖是一个风险因素(54.1%)。此外,性别之间的知识评分存在显著差异,男性得分显著高于女性(2.05,P =.041)。总的来说,沙特阿拉伯 CKD 患者群体对 CKD 的认识处于中等水平。然而,男性受访者对 CKD 的了解程度高于女性受访者。本研究的结果表明,迫切需要在沙特阿拉伯开展教育活动,以提高 CKD 患者的 CKD 知识水平。