Department of Family and Community Medicine, College of Medicine, King Faisal University, Al Hofuf P.O. Box 400, Saudi Arabia.
Int J Environ Res Public Health. 2024 Jul 6;21(7):880. doi: 10.3390/ijerph21070880.
Diabetes is a significant risk factor for chronic kidney disease (CKD) and a primary cause of global morbidity and mortality, resulting in significant costs to healthcare systems. The management of diabetic CKD in the primary care setting remains an ongoing challenge despite the current best practices in the quality of care. This study evaluated family medicine physicians' knowledge and confidence regarding managing CKD in the Eastern Province of Saudi Arabia. A self-administered online questionnaire was distributed to physicians through various social media sites and email lists. The largest number of participants reported a full confidence in knowing kidney disease stages, blood pressure targets and the importance of urine albumin-creatinine ratio testing. Overall, 71.8% of physicians reported a high confidence level, followed by 23.9% reporting average and 4.2% reporting low confidence. Being younger and working at PHC were identified as significant predictors of increased confidence. Although most of the physicians reported a high confidence in managing CKD patients, the need for improvement was evident. Age and workplace institutions were the greater contributors to physicians' confidence. Continuous education among healthcare practitioners is crucial to updating knowledge and providing optimum quality of care among this group of patients.
糖尿病是慢性肾脏病(CKD)的一个重要危险因素,也是全球发病率和死亡率的主要原因,给医疗系统带来了巨大的成本。尽管目前在医疗质量方面有了最佳实践,但在初级保健环境中管理糖尿病性 CKD 仍然是一个持续存在的挑战。本研究评估了沙特阿拉伯东部省份的家庭医生在管理 CKD 方面的知识和信心。通过各种社交媒体网站和电子邮件列表向医生发放了一份自我管理的在线问卷。报告称对了解肾脏病分期、血压目标和尿白蛋白/肌酐比值检测的重要性有充分信心的参与者人数最多。总的来说,71.8%的医生报告说他们有很高的信心水平,其次是 23.9%的医生报告说他们有平均水平的信心,4.2%的医生报告说他们的信心水平较低。研究发现,年龄较小和在 PHC 工作被认为是增加信心的显著预测因素。尽管大多数医生报告对管理 CKD 患者有很高的信心,但仍需要改进。年龄和工作场所机构是医生信心的主要贡献者。医疗保健从业者的持续教育对于更新知识和为这群患者提供最佳的护理质量至关重要。