肿瘤科医务人员对肿瘤相关急性肾损伤认识的调查-tumor.pdf

526 　　肿瘤2013 年6 月第33 卷第6 期　TUM OR Vol. 33, J une 2013 DOI: 10.3781/j .issn.1000-7431.2013.06.008 Copyright© 2013 by TUM OR Clinical Research 临床研究 · 肿瘤科医务人员对肿瘤相关急性 肾损伤认识的调查 臧　凡，张京慧，石志华 首都医科大学附属北京世纪坛医院老年医学科，北京　100038 [ 摘要 ]　目的：了解目前肿瘤科医务人员对肿瘤相关急性肾损伤 （acute kidney inj ury ，AKI ）的认知情况。方法： 于2012 年9—12 月对全国多省市多家三级及二级医院肿瘤科医务人员进行问卷调查，了解其对肿瘤相关AKI 知 识的认识情况。共收回346 份有效问卷用于研究分析。结果：被调查医务人员对易发生AKI 的肿瘤类型的认识情 况与不同类型肿瘤相关AKI 的发生率相符，30.6% 的医务人员估计肿瘤患者AKI 的发生率与国外临床研究相符； 只有11.0% 的医务人员能够了解2005 年新的AKI 定义，82 .9% 的医务人员能够做到早期请专科会诊。调整化疗 药物依据中各选项正确率波动于30.9% ～56.9% ，AKI 预防和治疗措施各选项正确率波动于43.4% ～65.3% 。对 AKI 危险因素和发生机制的认识正确率波动于19.7% ～50.9% ，对4 类易并发AKI 的化疗药物的认识率波动于 12 .1% ～69.4% ，对化疗时易加重AKI 的4 类药物认识率波动于27.7% ～46.0% 。医务人员年龄越小，其对AKI 的认识正确率越高；而综合医院肿瘤科医务人员的认识正确率普遍高于肿瘤专科医院的医务人员。结论： 目前我 国医务人员对肿瘤相关AKI 的认识尚有不足，需进行相关教育。 [ 关键词 ]　肿瘤；肾功能衰竭，急性；问卷调查；医务人员，医院；急性肾损伤 [中图分类号]　R730.6 [文献标志码] A [文章编号]　1000-7431 (2013) 06-0526-08 A survey on knowledge of acute kidney injury associated with malignancies in Chinese oncology healthcare providers ZANG Fan, ZHANG Jing-hui, SHI Zhi-hua Department of Geriatric Medicine, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China [A BSTRACT]　Objective: To survey the current recognition of AKI (acute kidney injury) associated with malignancies in Chinese oncology healthcare providers. Methods: A questionnaire survey was conducted in Chinese oncology healthcare providers from department of oncology of secondary and tertiary hospitals in different provinces and municipalities in China to investigate their knowledge about tumor- associated AKI. A total of 346 valid questionnaires having complete data were returned and analyzed. Results: The knowledge of tumor types associated