中国全科医学2017，Vol.20Issue(10)：1267-1270,4.DOI:10.3969/j.issn.1007-9572.2017.10.025
北京市基层全科医生对慢性肾脏病的认知调查
Cognition of Grass - roots General Practitioners on Chronic Kidney Disease in Beijing
摘要
Abstract
Objective To investigate the cognition of grass - roots general practitioners on chronic kidney disease (CKD)in Beijing and to provide basis for community management of CKD. Methods A total of 293 general practitioners were selected from 7 community health service centers and their subordinate community health service stations in Beijing in January 2016 by sampling method. The subjects were investigated with a self - designed questionnaire. The contents of the questionnaire included basic information of general practitioners and CKD - related knowledge,including the basic knowledge of CKD〔definition,diagnostic criteria,glomerular filtration rate (GFR)staging,high risk factors,etiology,clinical manifestations, concurrent symptoms of CKD〕,and knowledge of CKD management (screening method,level of blood pressure control,drug therapy,non - drug treatment,referral criteria). A total of 293 questionnaires were sent out,and 282 valid questionnaires were collected. The effective response rate was 96. 2% . Results The overall awareness rate of CKD knowledge among general practitioners was 24. 9% (843 / 3384),of which the overall awareness rate of basic knowledge of CKD was 24. 9% (492/ 1974),and the overall awareness rate of CKD - management knowledge was 24. 9% (351 / 1410). There were no significant differences in the awareness rate of CKD definition,diagnostic criteria,risk factors,complications,screening methods,non -drug treatment and referral criteria among general practitioners with different educational backgrounds (P > 0. 05),while there were significant differences in the awareness rate of GFR staging,etiology,clinical manifestation,level of blood pressure control and drug treatment (P < 0. 05). There were significant differences in the awareness rate of CKD definition,diagnostic criteria, etiology,clinical manifestation,level of blood pressure control,drug treatment and referral standard among general practitioners with different professional titles (P < 0. 05),while there was no significant difference in their awareness rate of GFR staging, high risk factors,complications,screening methods and non - drug treatment (P > 0. 05). There was no significant difference in the awareness rate of CKD definition,diagnostic criteria,GFR staging,high risk factors,etiology,complications,non - drug treatment and referral standard among general practitioners with different years of working (P > 0. 05 ),while there was significant difference in their awareness rate of clinical manifestations,screening methods,level of blood pressure control and drug treatment (P < 0. 05). Conclusion There are serious deficiencies in the mastery of CKD - related knowledge among general practitioners in Beijing. In order to facilitate the community management of CKD,the community management suggestion should be proposed as soon as possible and the training of general practitioners should be strengthened.关键词
全科医生/肾病/认知/北京Key words
General practitioners/Nephrosis/Cognition/Beijing分类
医药卫生引用本文复制引用
牛娜,董建琴,杜雪平..北京市基层全科医生对慢性肾脏病的认知调查[J].中国全科医学,2017,20(10):1267-1270,4.基金项目
西城区可持续发展项目 (SD2014 - 06 - 1) （SD2014 - 06 - 1）
