评估科威特大学牙科专业本科生的口腔癌知识。

Assessing Oral Cancer Knowledge Among Undergraduate Dental Students in Kuwait University.

作者信息

Joseph Bobby K, Sundaram Devipriya B, Ellepola Arjuna N B

机构信息

Department of Diagnostic Sciences, Faculty of Dentistry, Kuwait University, P.O. Box: 24923, Safat, 13110, Kuwait,

出版信息

J Cancer Educ. 2015 Sep;30(3):415-20. doi: 10.1007/s13187-014-0734-7.

Abstract

Lack of general dental practitioner oral cancer knowledge has been shown to be a major factor to delays in referral and treatment. Dentists' competence and confidence in detecting oral cancer may be strongly influenced by their dental school training. Therefore, the aim of this study was to assess dental student's awareness and knowledge of prevention and early detection of oral cancer. Through the use of questionnaires, the students' knowledge of oral cancer risk factors, diagnostic concepts, and clinical care of patients was assessed. An excellent response rate (97.3 %) was observed in this study. Overall, the students' knowledge of diagnostic items was significantly higher (p ≤ 0.001) than their knowledge of risk factors. A high percentage of students identified tobacco (98.6 %) and alcohol (76.7 %) as the principal risk factors and would offer advice regarding modification of these habits (75.3 %). Also, their knowledge of non-risk factors was significantly lower than their knowledge of proven risk factors (p ≤ 0.001). Only one fifth of the students regarded visual inspection to be an effective screening method. Only 32.9 % stated that all suspicious lesions should be biopsied, and as low as 2.7 % had assisted in taking a biopsy. This study highlights the need for a more structured teaching program with greater emphasis on the early signs and risk factors of oral cancer, performing routine oral examination, referral for biopsy, and appropriate early management of suspicious oral lesions.

摘要

缺乏全科牙医的口腔癌知识已被证明是导致转诊和治疗延迟的主要因素。牙医在检测口腔癌方面的能力和信心可能会受到其牙科学校培训的强烈影响。因此,本研究的目的是评估牙科学生对口腔癌预防和早期检测的认识和知识。通过问卷调查,评估了学生对口腔癌危险因素、诊断概念和患者临床护理的知识。本研究观察到了很高的回复率(97.3%)。总体而言,学生对诊断项目的知识显著高于(p≤0.001)他们对危险因素的知识。高比例的学生将烟草(98.6%)和酒精(76.7%)确定为主要危险因素,并会就改变这些习惯提供建议(75.3%)。此外,他们对非危险因素的知识显著低于对已证实的危险因素的知识(p≤0.001)。只有五分之一的学生认为视诊是一种有效的筛查方法。只有32.9%的学生表示所有可疑病变都应进行活检,而协助进行活检的学生低至2.7%。本研究强调需要一个更结构化的教学计划,更加强调口腔癌的早期迹象和危险因素、进行常规口腔检查、转诊进行活检以及对可疑口腔病变进行适当的早期管理。

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