Faculty of Medicine
Library of the School of Health Sciences

2022-09-21

2022

Vasilikopoulos Theodoros

Ειρήνη Γράψα, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Αθηνά Καλοκαιρινού, Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Σοφία Ζυγά, Καθηγήτρια, Τμήμα Νοσηλευτικής, Πανεπιστήμιο Πελοποννήσου
Σερένα Βαλσάμη, Επίκουρη Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Σοφία Βελονάκη, Επίκουρη Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Γεωργία Κουρλαμπά, Επίκουρη Καθηγήτρια, Τμήμα Νοσηλευτικής, Πανεπιστήμιο Πελοποννήσου
Σοφία Λιονάκη, Επίκουρη Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ

Αγωγή υγείας και εκπαίδευση του πληθυσμού στον επιπολασμό της νεφρικής νόσου

Greek

Health education and training of the population in the prevalence of chronic kidney disease

Introduction: Chronic Kidney Disease (CKD) is an internationally significant public health problem. In Greece, research on the assessment of CKD prevalence as well as on the population's knowledge of renal function and the protection of kidney health is limited.
The purpose of the study was to assess the prevalence of kidney disease in the population and to identify individuals who are at an early stage as well as to assess the public knowledge of CKD.
Material and Method: The study was performed in the outpatient clinics of the Hospitals-Health Centers of the Nursing Unit of the Prefecture of Ilia. The population sample consisted of patients who came to the outpatient clinics. A laboratory record of laboratory values related to the assessment of renal function was used as a measurement tool. A valid and reliable questionnaire developed by Gheewala et al was used to assess the public's knowledge. A triptych was also designed and drafted to inform the population about the protection of kidney health.
Results: The study involved a total of 1071 people who were examined for other causes in outpatient clinics. The average age of those individuals was 55 years, 37.5% of them were over 65 years old and 55.5% were women. In terms of potential diseases, 21.2% had diabetes and 56% had high blood pressure. In addition, 36.1% were smokers and 52.8% were obese. The history showed that 31.7% had nocturia. From the laboratory test, the mean value of urea was 33.2 mg/dl and creatinine 0.9 mg/dl, proteinuria was 3.4% and hematuria was 2.5%. Albumin/Creatinine Ratio (ACR) records were available for only 42 participants, half of whom had ACR>300 mg/g. 71.9% had an eGFR ≥90 ml/min.1,73 m2. Based on the eGFR, the distribution of the sample revealed that 28.1% of the people examined for other causes in the outpatient clinics, were in one of the stages of CKD (S2, S3A-S3B, S4).
The analysis was performed with the statistical package SPSS v25. A statistically significant correlation was observed between eGFR and age, the presence of obesity, diabetes and hypertension, as well as the reported nocturia. Multiple logistic regressions were also performed to estimate the effect of factors on low eGFR values (<90 ml/min.1,73 m2). Therefore, after some corrections had been made to all the statistically significant factors, it was observed that the main factors affecting the low eGFR values are nocturia, hypertension and proteinuria.
Regarding the total knowledge score derived from the completion of the questionnaires, it was calculated as the number of the questions to which the participants had answered correctly (possible range of the score 0-24). The mean value of the total score was 10.8 (with a standard deviation of 4.3) while the mean was 12. The internal consistency of the questionnaire was found to be satisfactory (Cronbach alpha: 0.751). A lower percentage of correct answers was observed in the questions related to the risk factors for CKD as well as the questions related to the symptoms of CKD. Finally, 95.5% of the participants consider the information and education of the citizens important in the prevention of CKD.
Conclusion: The present study highlighted the high prevalence of CKD in the examined population and the need for information in order to diagnose and treat the problem early. Nurses working in the primary health care sector and in schools can contribute through health education programs to both CKD prevention and the promotion citizen’s education on it.

Health Sciences

Health Education, Public Health, Prevention, Prevalence, Chronic Kidney Disease

No

0

Yes

474

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https://pergamos.lib.uoa.gr/uoa/dl/object/3232312