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目的为改善重庆市万州区慢性肾衰竭(CRF)患者的就医状况提供证据。方法采用问卷调查法、实验室检查法、体测量法等方法收集资料,进行专题小组讨论及数据分析。结果目前万州区慢性肾衰竭患者对慢性肾脏病的认识不足,知晓率低,就诊费用较高,报销比例较低,就诊不规律,依从性较差,治疗达标率低,社会对CRF防治知识的宣传教育不够。结论 CRF的防治存在较大问题。提高CRF患者,特别是农村患者的医保报账比例,加强对慢性肾衰竭防治的宣传教育工作,提高CRF患者治疗达标率,延缓肾功能进展,延长从非透析阶段到ESRD阶段的时间,是目前CRF防治的最为关键的问题。
Objective To provide evidence for improving the medical condition of patients with chronic renal failure (CRF) in Wanzhou District of Chongqing. Methods The methods of questionnaire, laboratory test and body measurement were used to collect data and conduct discussion and data analysis. Results Currently, chronic renal failure patients in Wanzhou District lack of awareness of chronic kidney disease, low awareness, high cost of treatment, a lower reimbursement rate, irregular treatment, compliance, treatment compliance rate is low, the community knowledge of CRF prevention and treatment Education is not enough. Conclusion There are major problems in the prevention and treatment of CRF. Improve CRF patients, especially in rural areas, the proportion of medical insurance reimbursement to strengthen the prevention and treatment of chronic renal failure to promote education, improve treatment compliance rate CRF patients, delay the progression of renal function, extended from non-dialysis stage to ESRD stage is the current CRF Prevention is the most crucial issue.