Demyati Eyad
Department of Family Medicine and Primary Health Care, King Abdulaziz Medical City, National Guard Health Affairs, P.O. Box 22490, Riyadh 11426, Saudi Arabia.
Int J Family Med. 2014;2014:457354. doi: 10.1155/2014/457354. Epub 2014 Sep 28.
Objectives. The objective of this study is to explore the current knowledge, attitude, and practice of family physicians working in family medicine clinics in National Guard Health Affairs (NGHA), Riyadh, toward colorectal cancer (CRC) screening and to identify the barriers of the screening. Methods. Data were collected using a validated self-administered questionnaire adopted from the National Cancer Institute in USA, customized by adding and eliminating questions to be in line with the institution (NGHA) characteristics. Results. Of the 130 physicians, 56.2% of the physicians were not practicing CRC screening although 94.6% considered CRC screening effective. Board certified physicians had higher knowledge score and were practicing CRC screening more when compared to other physicians. Physicians who reported practicing CRC screening scored more on the knowledge score than those not practicing. Male physicians scored better on attitude score than female physicians. The study found that barriers were cited in higher rates among physicians not practicing CRC screening compared with practicing physicians. Lack of patients' awareness was the most cited barrier. Conclusion. Large percentage of family physicians in this study do not practice CRC screening, despite the knowledge level and the positive attitude.
目的。本研究的目的是探讨利雅得国民警卫队卫生事务部（NGHA）家庭医学诊所的家庭医生对结直肠癌（CRC）筛查的现有知识、态度和实践情况，并确定筛查的障碍。方法。使用一份经过验证的自填式问卷收集数据，该问卷采用了美国国立癌症研究所的问卷，并根据机构（NGHA）的特点进行了增减问题的定制。结果。在130名医生中，56.2%的医生未开展CRC筛查，尽管94.6%的医生认为CRC筛查有效。与其他医生相比，获得委员会认证的医生知识得分更高，开展CRC筛查的比例也更高。报告开展CRC筛查的医生在知识得分上高于未开展筛查的医生。男性医生在态度得分上高于女性医生。研究发现，与开展筛查的医生相比，未开展CRC筛查的医生提及障碍的比例更高。患者缺乏意识是最常被提及的障碍。结论。尽管本研究中的家庭医生有知识水平和积极态度，但仍有很大比例的医生未开展CRC筛查。
