中国医学创新Issue(15)：89-91,3.DOI:10.3969/j.issn.1674-4985.2014.15.032
慢性肾脏病知晓率在社区医生中的调查与推广
Investigation and Promotion of Awareness Rate of Chronic Kidney Disease in Community Doctors
摘要
Abstract
Objective:To explore the effect of preventing and controlling early of chronic kidney disease(CKD), how to decrease the harm of disease and reduce medical costs by community doctors.Method:90 doctors in Community Health Centre of Zhoujiaqiao,Huayang and Xinhua in Changning district were randomly selected.The knowledge of CKD was popularized and trained in community in changing district by them and the second questionnaire surveys were conducted after 1 year.Result:(1)Promote awareness:the average score after promotion was(80.44±8.74)score,it was significantly higher than(64.04±12.89)score before promotion,and the number of each grade score after promotion were significantly more than before promotion,the differences were statistically significant(P<0.01).(2)The disposal measures in patients with suspected renal damage:before promotion,20 patients(22.22%)with urine analysis,21 patients(23.33%)with renal function tests,25 patients(27.78%)with specialist diagnostic and 24(26.67%)other patients.After promotion,45 patients(50.00%)with urine analysis,36 patients(40.00%)with renal function tests, 4 patients(4.44%)with specialist diagnostic and 5(5.56%)other patients.After promotion,the number of patients with urine analysis,renal function tests,specialist diagnostic and other were significantly more than before promotion, the differences were statistically significant(P<0.01).(3)Estimation of renal function index:before promotion, 77 patients(85.56%)with serum creatinine,8 patients(8.89%)with urea,3 patients(3.33%)with endogenous creatinine clearance and 2 patients(2.22%)with estimation of glomerular filtration rate.After promotion,60 patients (66.67%)with serum creatinine,1 patient(1.11%)with urea,10 patients(11.11%)with endogenous creatinine clearance,19 patients(21.11%)with estimation of glomerular filtration rate.After promotion,the number of selection of serum creatinine,urea,endogenous creatinine clearance,estimation of glomerular filtration rate were significantly more than before promotion,the differences were statistically significant(P<0.01).Conclusion:The promotion can improve the knowledge of the chronic kidney disease in community doctors,provide mutual exchange of learning opportunities with community doctors.关键词
慢性肾脏病/社区/推广Key words
Chronic kidney disease/Community/Promotion引用本文复制引用
王琦,段玉香,徐文,刘立..慢性肾脏病知晓率在社区医生中的调查与推广[J].中国医学创新,2014,(15):89-91,3.基金项目
上海长宁区局级课题 （）
