上海医药
上海醫藥
상해의약
SHANGHAI MEDICAL & PHARMACEUTICAL JOURNAL
2014年
24期
43-45
,共3页
王俊琪%陶海琦%赵新平%杨芬红%桑久华
王俊琪%陶海琦%趙新平%楊芬紅%桑久華
왕준기%도해기%조신평%양분홍%상구화
慢性肾病%高危人群%基线调查
慢性腎病%高危人群%基線調查
만성신병%고위인군%기선조사
chronic nephropathy%high risk population%baseline survey
目的：对社区慢性肾病高危人群现状进行分析。方法：选择彭浦镇和彭浦新村2家社区卫生服务中心符合诊断标准的尿微量蛋白增高的慢性肾病高危患者197例，采用病例报告表进行基线问卷调查；以《社区慢性肾病防治知识问卷调查》测量患者对慢性肾病防治知识知晓率；以家庭支持量表测量患者家庭生态学环境情况。结果：197例中伴有高血压、糖尿病、肥胖症以及高脂血症等基础疾病者较为普遍，尿微量白蛋白增高平均年限为2.54年。患者对慢性肾病防治知识知晓率低，测试正确率仅为27.49%；家庭生态学环境欠佳，情感表达与矛盾性得分较低，分别为（3.59±1.12）分和（3.35±2.19）分。结论：对社区人群进行尿微量蛋白筛查，可早期发现慢性肾病高危人群，并及时进行健康管理，可延缓慢性肾病的发生和发展。
目的：對社區慢性腎病高危人群現狀進行分析。方法：選擇彭浦鎮和彭浦新村2傢社區衛生服務中心符閤診斷標準的尿微量蛋白增高的慢性腎病高危患者197例，採用病例報告錶進行基線問捲調查；以《社區慢性腎病防治知識問捲調查》測量患者對慢性腎病防治知識知曉率；以傢庭支持量錶測量患者傢庭生態學環境情況。結果：197例中伴有高血壓、糖尿病、肥胖癥以及高脂血癥等基礎疾病者較為普遍，尿微量白蛋白增高平均年限為2.54年。患者對慢性腎病防治知識知曉率低，測試正確率僅為27.49%；傢庭生態學環境欠佳，情感錶達與矛盾性得分較低，分彆為（3.59±1.12）分和（3.35±2.19）分。結論：對社區人群進行尿微量蛋白篩查，可早期髮現慢性腎病高危人群，併及時進行健康管理，可延緩慢性腎病的髮生和髮展。
목적：대사구만성신병고위인군현상진행분석。방법：선택팽포진화팽포신촌2가사구위생복무중심부합진단표준적뇨미량단백증고적만성신병고위환자197례，채용병례보고표진행기선문권조사；이《사구만성신병방치지식문권조사》측량환자대만성신병방치지식지효솔；이가정지지량표측량환자가정생태학배경정황。결과：197례중반유고혈압、당뇨병、비반증이급고지혈증등기출질병자교위보편，뇨미량백단백증고평균년한위2.54년。환자대만성신병방치지식지효솔저，측시정학솔부위27.49%；가정생태학배경흠가，정감표체여모순성득분교저，분별위（3.59±1.12）분화（3.35±2.19）분。결론：대사구인군진행뇨미량단백사사，가조기발현만성신병고위인군，병급시진행건강관리，가연완만성신병적발생화발전。
Objective: To analyze the current situation of the high-risk population with chronic nephropathy. Methods:One hundred and ninty-seven patients with chronic nephropathy who met the diagnostic criteria of microalbuminuria increase in tow communities of Pengpu and Pengpuxincun were selected. The case report table was used to investigate the baseline. The“questionnaire of the community chronic nephropathy prevention and control knowledge” was used to measure the knowledge awareness rate of the prevention and control of the patients with chronic nephropathy and the family support scale measured the family ecology environmental condition. Results: In 197 cases, the population suffering from hypertension, diabetes, obesity, hyperlipidemia and other underlying diseases were more common. The increasing average year of microalbuminuria was 2.54 years. The awareness rate of the prevention knowledge of the patients with chronic nephropathy was low, and the testing correct rate was 27.49%. The family ecology environment was poor, and the scores of the emotional expression and contradiction were low, which were (3.59 ± 1.12) and (3.35 ± 2.19). Conclusion: For the community population, the microalbuminuria screening can early find the high-risk population with chronic nephropathy, to whom the health management can be timely implemented so as to delay the occurrence and development of chronic nephropathy.
