Kumar Shiyam, Imam Ayesha Mallick, Manzoor Nauman Fazal, Masood Nehal
Section of Hematology/Oncology, Department of Medicine, The Aga Khan University, Karachi.
J Pak Med Assoc. 2009 Jul;59(7):474-8.
To assess the knowledge and practice of risk factors, symptoms and screening for breast cancer among health care professionals.
A cross sectional study was carried out at The Aga Khan University Hospital from January 2008 to March 2008. A total of 336 health care workers including consultants (48), fellows (17), residents (76), medical officers (14), interns (37), nurses (94) and fourth and final year medical students (50) were requested to fill a questionnaire designed to assess the knowledge about the risk factors, signs and symptoms, screening tools, breast self examination (BSE) and treatment.
More than two third participants had good knowledge about the risk factors and signs of breast cancer except some dissociation regarding association of menarche status and smoking. Majority was aware of the benefits of mammography. More than 80% had the consensus that breast cancer is curable if detected early and more than 50% thought that a surgeon should be consulted first if lump is palpable.
This study reveals that health care professionals have fairly good awareness regarding the risk factors, symptoms and role of mammography. But some are still deficient in their knowledge regarding screening modalities and BSE method and time and role of chemotherapy. And this can be improved with further education.
评估医疗保健专业人员对乳腺癌风险因素、症状及筛查的知识掌握情况和实践水平。
2008年1月至2008年3月在阿迦汗大学医院开展了一项横断面研究。共邀请了336名医护人员填写一份问卷,这些人员包括顾问医生(48名)、研究员(17名)、住院医师(76名)、医务人员(14名)、实习生(37名)、护士(94名)以及医学专业大四和大五学生(50名),该问卷旨在评估他们对风险因素、体征和症状、筛查工具、乳房自我检查(BSE)及治疗的知识掌握情况。
除了在月经初潮状态与吸烟的关联方面存在一些分歧外,超过三分之二的参与者对乳腺癌的风险因素和体征有较好的了解。大多数人知晓乳腺钼靶检查的益处。超过80%的人一致认为乳腺癌若早期发现是可治愈的,超过50%的人认为如果摸到肿块应首先咨询外科医生。
本研究表明,医疗保健专业人员对风险因素、症状及乳腺钼靶检查的作用有相当不错的认知。但在筛查方式、乳房自我检查方法以及化疗的时机和作用方面,一些人仍存在知识欠缺。通过进一步教育,这种情况可以得到改善。