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Knowledge, attitudes and practices of hypertensive patients towards prevention and early detection of chronic kidney disease: a cross sectional study from Palestine

机译:高血压患者对预防和早期发现慢性肾脏病的知识,态度和做法:来自巴勒斯坦的横断面研究

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Background Hypertension is the second most common cause of chronic kidney disease (CKD). Therefore, the aims of the study were to assess the knowledge, attitudes and practices (KAP) of hypertensive patients towards prevention and early detection of CKD, and to determine the clinical and socio-demographic factors, which affect the KAP regarding prevention of CKD. Methods A cross-sectional study was held using the CKD screening Index to assess the KAP of 374 hypertensive patients who were selected from multiple primary healthcare centers in Nablus, Palestine. The CKD Screening Index is formed of three scales. First, the knowledge scale was a dichotomous scale of 30 items, while the attitude scale used 5-point Likert-type scale for 18 items and finally the practice scale was measured using 4-point Likert-type scale for 12 items. Multiple linear regression analysis was used to determine the association between clinical and socio-demographic factors and practices. Results In total, 374 hypertensive patients participated in the study. The mean age of participants was 59.14?±?10.4?years, (range 26–85). The median (interquartile range) of the knowledge, attitude, and practice scores of hypertensive patients towards prevention and early detection of CKD were 20 (16–23), 69 (65–72), and 39 (36–42), respectively. In multiple linear regression analysis, patients age?
机译:背景技术高血压是慢性肾脏病(CKD)的第二大最常见原因。因此,本研究的目的是评估高血压患者对CKD预防和早期发现的知识,态度和实践(KAP),并确定影响KAP预防CKD的临床和社会人口统计学因素。方法采用CKD筛查指数进行横断面研究,评估从巴勒斯坦纳布卢斯市多个基层医疗中心选出的374名高血压患者的KAP。 CKD筛查指数由三个等级组成。首先,知识量表是30项的二分法量表,而态度量表使用18项的5点李克特式量表,最后使用12项的4点李克特型量表来测量练习量表。多元线性回归分析用于确定临床和社会人口统计学因素与实践之间的关联。结果总共374名高血压患者参加了该研究。参与者的平均年龄为59.14?±?10.4?岁(范围26-85)。高血压患者对CKD的预防和早期发现的知识,态度和实践得分的中位数(四分位数范围)分别为20(16-23),69(65-72)和39(36-42)。在多元线性回归分析中,年龄≥65岁(p <0.001)和文化程度较高(p = 0.009)的患者是与知识得分较高显着相关的唯一因素。此外,年龄?65?岁的患者(p =?0.007),高收入患者(p =?0.005)和知识得分高的患者(p <?0.001)是与态度得分更高显着相关的唯一因素。此外,回归分析显示,对CKD预防的总体知识水平较高的患者(p = 0.001),对CKD预防的总体态度得分较高(p <0.001),男性性别的患者p = 0.048,以及体重指数正常的患者(BMI)(p =?0.026)与更高的CKD预防实践得分显着相关。结论在高血压患者中,对预防,男性性别和正常BMI的总体知识和态度得分较高与在预防实践中得分较高有关。最后,这些发现可能会鼓励医护人员提供更好的咨询以提高知识水平。

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