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[信息干预对基层医疗专业人员结直肠癌筛查项目的影响]

[Impact of an informative intervention on the colorectal cancer screening program in primary care professionals].

作者信息

Benito-Aracil Llúcia, Binefa-Rodriguez Gemma, Milà-Diaz Núria, Lluch-Canut M Teresa, Puig-Llobet Montse, Garcia-Martinez Montse

机构信息

Programa de Detección Precoz del Cáncer, Institut Català d'Oncologia - IDIBELL, Hospitalet de Llobregat, Barcelona, España.

Programa de Detección Precoz del Cáncer, Institut Català d'Oncologia - IDIBELL, Hospitalet de Llobregat, Barcelona, España.

出版信息

Enferm Clin. 2015 Sep-Oct;25(5):223-31. doi: 10.1016/j.enfcli.2015.05.006. Epub 2015 Jul 10.

Abstract

OBJECTIVE

To evaluate the impact of an intervention in primary care professionals on their current knowledge about colorectal cancer screening, subsequent surveillance recommendations and referral strategies.

METHODS DESIGN

Cluster randomized controlled trial.

LOCATION

Primary Care Centers in L'Hospitalet de Llobregat (Barcelona).

PARTICIPANTS

Primary Care Professionals (doctors and nurses).

INTERVENTION

Training session in six of the 12 centers (randomly selected) about the colorrectal cancer screening program, and three emails with key messages.

MAIN MEASUREMENTS

Professionals and centers characteristics and two contextual variables; involvement of professionals in the screening program; information about colorectal cancer knowledge, risk factors, screening procedures, surveillance recommendations and referral strategies.

RESULTS

The total score mean on the first questionnaire was 8.07 (1.38) and the second 8.31 (1.39). No statistically significant differences between the intervention and control groups were found, however, in 9 out of 11 questions the percentage of correct responses was increased in the intervention group, mostly related to the surveillance after the diagnostic examination.

CONCLUSIONS

The intervention improves the percentage of correct answers, especially in those in which worst score obtained in the first questionnaire. This study shows that professionals are familiar with colorectal cancer screening, but there's a need to maintain frequent communication in order to keep up to date the information related to the colorectal cancer screening.

摘要

目的

评估对基层医疗专业人员的一项干预措施对其当前关于结直肠癌筛查、后续监测建议及转诊策略的知识的影响。

方法设计

整群随机对照试验。

地点

巴塞罗那市略夫雷加特医院的基层医疗中心。

参与者

基层医疗专业人员(医生和护士)。

干预措施

在12个中心中的6个(随机选取)开展关于结直肠癌筛查项目的培训课程,并发送三封包含关键信息的电子邮件。

主要测量指标

专业人员和中心的特征以及两个背景变量;专业人员参与筛查项目的情况;关于结直肠癌知识、风险因素、筛查程序、监测建议及转诊策略的信息。

结果

第一份问卷的总分均值为8.07(标准差1.38),第二份为8.31(标准差1.39)。干预组和对照组之间未发现统计学上的显著差异,然而,在11个问题中的9个问题上,干预组正确回答的百分比有所增加,大多与诊断检查后的监测有关。

结论

该干预措施提高了正确答案的百分比,尤其是在第一份问卷中得分较低的那些问题上。本研究表明,专业人员熟悉结直肠癌筛查,但需要保持频繁沟通,以便更新与结直肠癌筛查相关的信息。

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