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慢性肾脏病人群心血管健康知识掌握度现状及影响因素OACSTPCD

Research on current status and influencing factors of cardiovascular health knowledge in patients with chronic kidney disease

中文摘要英文摘要

目的 调查慢性肾脏病(CKD)人群心血管健康知识掌握度现状并分析影响因素.方法 采用便利抽样法,选取2023 年 4-6 月在北京市某三甲医院肾内科就诊的 225 例患者为调查对象,使用一般资料调查表、疾病资料调查表和CKD人群心血管健康知识掌握度量表进行调查,采用单因素分析和多元线性回归分析影响因素.结果 回收有效问卷 219 份,有效问卷回收率 97.3%.CKD人群心血管健康知识掌握度得分为(80.3±24.3)分.多元线性回归分析显示,吸烟史(标准化回归系数r=-0.122)、是否知晓CKD会影响心血管健康(r=0.327)、过去一年有无主动观看或阅读关于心血管病的信息(r= 0.212)、卒中/短暂脑缺血发作家族史(r=0.144)、CKD病程(r=0.146)、住院次数(r=0.139)、复查频率(r=-0.105)是CKD人群心血管健康知识掌握度的影响因素,可解释总变异的 51.7%.结论 CKD人群心血管健康知识掌握度处于中等偏下水平,医护人员应当关注CKD人群对心血管健康知识的掌握程度,在早期实施有效干预,提高知识水平,以促进CKD人群心血管健康的一级预防.

Objective To investigate the current status of cardiovascular health knowledge in patients with chronic kidney dis-ease(CKD)and analyze its influencing factors.Methods Convenient sampling method was used to select 225 patients treated in the department of nephrology of a third-class hospital in Beijing from April to June 2023 as the investigation objects.General data question-naire,disease data questionnaire and the scale of cardiovascular health knowledge for people with CKD were used for investigation.Un-ivariate analysis and multiple linear regression analysis were used to analyze the influencing factors.Results A total of 219 valid ques-tionnaires were collected,with an effective rate 97.3%.The score of cardiovascular health knowledge mastery in CKD population was(80.3±24.3).Multiple linear regression analysis showed that smoking history[standardized regression coefficient r=-0.122],knowl-edge of the impact of CKD on cardiovascular health[r=0.327],active viewing or reading of information about cardiovascular disease in the past year[r=0.212],family history of stroke/transient ischemic attack[r=0.144],course of CKD[r=0.146],number of hospi-talizations[r=0.139]and frequency of reexamination[r=-0.105]were the influencing factors of mastery of cardiovascular health knowledge in people with CKD,which could explain 51.7%of the total variation.Conclusions The mastery of cardiovascular health knowledge in CKD population is at a lower than medium level.Medical staff should pay attention to the mastery of cardiovascular health knowledge in CKD population,and implement effective prevention at an early stage to improve the knowledge level so as to promote the primary prevention of cardiovascular health in CKD population.

赵雪桐;段锦斌;黄静;胡鑫;白圆圆;王玉玲

100853 北京,解放军总医院第一医学中心肾脏病医学部||816000 格尔木,陆军第952医院门诊部100089 北京,武警部队后勤部直属保障大队服务保障中心100853 北京,解放军总医院第一医学中心肾脏病医学部100853 北京,解放军总医院第一医学中心心内科第一监护室100853 北京,解放军总医院卫勤训练中心

临床医学

慢性肾脏病心血管健康知识横断面研究

chronic kidney diseasecardiovascular healthknowledgecross-sectional study

《武警医学》 2024 (004)

302-306,311 / 6

国家重点研发计划(2018YFC0114503)

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