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家庭医生对结直肠癌筛查的知识、态度和实践

Family Physicians' Knowledge, Attitudes, and Practices Toward Colorectal Cancer Screening.

作者信息

Şahin Mustafa Kürşat, Aker Servet

机构信息

Samsun Public Health Directorate, Canik Community Health Center, Gaziosmanpaşa Mah. Alaca Sok. No: 31, Canik, Samsun, Turkey.

出版信息

J Cancer Educ. 2017 Dec;32(4):908-913. doi: 10.1007/s13187-016-1047-9.

Abstract

The purpose of this study was to assess family physicians' knowledge, attitudes, and practices toward colorectal cancer (CRC) screening. The population in this cross-sectional study consisted of 290 family physicians working in Samsun, Turkey, contacted between 15 June and 15 July 2015 and agreeing to participate. A questionnaire prepared by the authors on the basis of the relevant literature was applied at face-to-face interviews. The first part of the questionnaire inquired into sociodemographic information, while the second contained questions evaluating family physicians' knowledge, attitudes, and practices toward CRC screening. Physicians completed the questionnaire in approximately 10 min. 65.9 % of the family physicians in the study were men. Mean age of the participants was 43.40 ± 6.54 years, and mean number of years in service was 18.43 ± 6.42. The average number of patients seen by physicians on a daily basis was 51-99. CRC screening was performed by 83.1 % of physicians. The fecal occult blood test (FOBT) was recommended at the correct frequency by 30.7 % of physicians and colonoscopy by 11.7 %. A further 68.6 % of physicians followed no CRC guideline. Only 3.8 % of those reporting using a guideline were able to name it. The great majority of physicians in this study apply CRC screening. However, family physicians lack sufficient information concerning the ages at which screening tests should be started and concluded and how frequently they should be performed. They also do not attach sufficient importance to CRC guidelines. This results in excessive demand for screening tests.

摘要

本研究的目的是评估家庭医生对结直肠癌(CRC)筛查的知识、态度和实践。这项横断面研究的对象为2015年6月15日至7月15日期间联系到的、工作在土耳其萨姆松的290名家庭医生,他们均同意参与研究。作者根据相关文献编制的问卷在面对面访谈中使用。问卷的第一部分询问社会人口学信息,第二部分包含评估家庭医生对CRC筛查的知识、态度和实践的问题。医生们大约用10分钟完成问卷。研究中65.9%的家庭医生为男性。参与者的平均年龄为43.40±6.54岁,平均服务年限为18.43±6.42年。医生每天平均看诊的患者数量为51 - 99人。83.1%的医生进行CRC筛查。30.7%的医生以正确频率推荐粪便潜血试验(FOBT),11.7%的医生推荐结肠镜检查。另有68.6%的医生未遵循任何CRC指南。在报告使用指南的医生中,只有3.8%能够说出指南名称。本研究中的绝大多数医生进行CRC筛查。然而,家庭医生缺乏关于筛查测试应开始和结束的年龄以及应进行的频率的充分信息。他们也没有充分重视CRC指南。这导致对筛查测试的需求过度。

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