Objective To investigate the awareness rate of chronic kidney disease( CKD ) of Shiyan residents and provide basic information for Shiyan residents to prevent and treat CKD.Methods A questionnaire concerning awareness and basic knowledge of CKD was used in this study and applied to Shiyan residents.A cluster stratified sample of 5230 residents aged over 18 years from 70 factories and mines,government offices , schools , communities and town were questinnnaired by cross-sectional methods.The results were than statistically analyzed.Results 5219 returned lists for investigation were valid.The awareness rate of CKD in 5219 subjects was 20.71%( 1081 persons ),those who could correctly understand CKD was 4.58% ( 239 persons ),73.81% ( 3852 persons ) had no information about uremia and hemodialysis, 72.27%( 3772 persons )of subjects had never taken physical examination for kidney.Upon the occurrence of CKD, the awareness rates of characteristic symptoms and complications of CKD, the right department to look for treatment and diagnosis methods were 34.13% ( 1781 persons ), 58.15% ( 3035 persons ), and 33.34%( 1740 persons ).And the number of people who knewT risk factors and treatment of CKD was 17.09 %( 892 persons ), 11.61 %( 606 persons )respectively.Multivariate analysis indicated that the awareness rate of CKD in Shiyan residents was positively correlated with all education degree and society occupation ( x2 = 115.021 ,92.552,P<0.01 ),presenting negative correlation with age( X2=42.383, P <0.01 ).Conclusion Shiyan residents in Hubei know little about CKD, therefore, it is necessary for medical workers to increase the level of the knowledge by extended propaganda, to attain the purposes of early prevention ,diagnosis and treatment of CKD.%目的 对十堰市居民进行慢性肾脏病(CKD)知识知晓程度的调查,为十堰市居民CKD防治提供基础资料.方法 于2010年5月至2011年10月对十堰市居民进行问卷调查,采用横断面调查,从十堰市分层整群抽取70个厂矿、机关、学校、社区及乡镇18岁以上常住居民5230人,采用自行设计的CKD知识知晓程度调查表,并对调查结果进行统计分析.结果 共发放调查表5230份,收回有效调查表5219份,总体知晓率为20.71%(1081人),4.58%(239人)能正确了解CKD,73.81%(3852人)不了解尿毒症及血液透析,72.27%(3772人)从未行肾脏相关检查;对CKD的发病症状、发病后的就诊科室、检查手段知晓率分别为34.13%(1781人)、58.15%(3035人)、33.34%(1740人);对CKD危险因素、治疗措施知晓率更低,分别为17.09%(892人)、11.61%(606人).多因素分析结果显示,CKD的知晓率与文化程度及职业呈正相关(χ2=115.021、92.552,P＜0.01),与年龄呈负相关(χ2=42.383,P＜0.01).结论 十堰地区居民对CKD相关知识缺乏了解,需要医务工作者加大对CKD相关知识的宣教力度,以提高十堰市居民对CKD的知晓水平,达到对CKD早预防、早诊断、早治疗的目的.
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