槟城初级卫生诊所随访的2型糖尿病患者CKD知识及其相关因素

S. Isa, A. Norliana JA, Ismaliza I, A. Yusof, R. Hami
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摘要

目的:了解高危患者对慢性肾脏疾病(CKD)的知识水平及其相关因素,对制定CKD预防策略至关重要。本研究旨在确定最近在槟城一家初级保健诊所接受随访的糖尿病(DM)患者的CKD知识水平及其相关因素。材料和方法:这项横断面研究对在Kepala Batas健康诊所接受糖尿病随访的100名最近诊断的糖尿病患者(5年内)进行了连续采样。CKD知识水平采用自我管理的有效问卷进行评估。使用频率、百分比、平均值和标准差描述人口统计学特征。使用多元逻辑回归分析确定CKD知识的相关因素。统计学显著性水平设定为p值<0.05。结果:高达81.0%的参与者在CKD知识方面的得分低于七分之四。平均得分为2.61,而中位得分为3.0。在研究参与者中,教育水平被确定为CKD知识的单一决定因素。结论:在本研究中,最近被诊断为糖尿病的患者在初级保健随访中表现出CKD知识水平低。为了确保CKD预防计划在高危人群中取得成功,医疗保健提供者必须在糖尿病诊断后的早期阶段为所有糖尿病患者提供相关和有效的教育;尤其是那些教育背景较低的人。
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CKD Knowledge and Its Associated Factors Among Patients with Type 2 Diabetes Mellitus Attending Follow-up in a Penang Primary Health Clinic
Objective: Information regarding the level of chronic kidney disease (CKD) knowledge and its associated factors among high-risk patients is crucial for the planning of CKD prevention strategies. This study aimed to determine the level of CKD knowledge and its associated factors among patients with a recent diagnosis of diabetes mellitus (DM) attending follow-ups at a primary healthcare clinic in Penang. Material and Methods: This cross-sectional study involved the consecutive sampling of 100 recently diagnosed DM patients (within 5 years) attending diabetic follow-up at the Kepala Batas Health Clinic. The level of CKD knowledge was assessed using a self-administered validated questionnaire. Demographic characteristics were described using frequencies, percentages, means and standard deviations. Associated factors of CKD knowledge were determined using multiple logistic regression analysis. The level of statistical significance was set at p-value<0.05. Results: As high as 81.0% of the participants scored less than four out of seven marks for CKD knowledge. The mean score was 2.61, while the median score was 3.0. Educational level was identified as the single determinant of CKD knowledge among the study participants.Conclusion: In this study, patients with a recent diagnosis of DM attending follow-up in primary healthcare showed a poor level of CKD knowledge. To ensure the success of the CKD prevention programme among high-risk groups, healthcare providers must provide relevant and effective education to all diabetic patients in the early phase after DM diagnosis; particularly among those with a lower education background. 
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