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黎巴嫩肿瘤学家和临床从业者对生育力保存的知识、态度和认识。

Knowledge, attitudes and awareness regarding fertility preservation among oncologists and clinical practitioners in Lebanon.

作者信息

Ghazeeri Ghina, Zebian Dina, Nassar Anwar H, Harajly Sally, Abdallah Alain, Hakimian Stephanie, Skaiff Bassem, Abbas Hussein A, Awwad Johnny

机构信息

a Department of Obstetrics and Gynecology , American University of Beirut Medical Center , Beirut , Lebanon ;

b Department of Emergency Medicine , American University of Beirut Medical Center , Beirut , Lebanon.

出版信息

Hum Fertil (Camb). 2016 Jun;19(2):127-33. doi: 10.1080/14647273.2016.1193636. Epub 2016 Jul 4.

Abstract

Fertility preservation (FP) aims to help individuals overcome the infertility associated with cancer treatments such as chemotherapy and radiation. The objective of this study was to assess the awareness, attitudes and knowledge of oncologists' and clinical practitioners' (CPs) about fertility preservation and its options in Lebanon. This was a cross-sectional study with surveys carried out between March 2012 and February 2013 on CPs at the American University of Beirut Medical Centre and Saint Jude's Children Cancer Centre as well as all registered oncologists in Lebanon. Ninety percent of CPs (n = 88) and 94% of oncologists (n = 53) agreed that fertility preservation should be discussed with patient before their cancer treatment. Our data showed a gender bias in relation to patients being informed of their FP options, as well as conflicting knowledge of FP options available in Lebanon among oncologists. The CPs were more likely to have accurate knowledge of FP options and treatment than oncologists. A proactive approach is required to: (1) increase the awareness and knowledge of FP; (2) improve attitudes towards FP; and (3) encourage its communication between CPs, oncologists and patients in Lebanon. Increased education programs, awareness campaigns and development of dedicated FP centres are needed.

摘要

生育力保存(FP)旨在帮助个体克服与化疗和放疗等癌症治疗相关的不孕问题。本研究的目的是评估黎巴嫩肿瘤学家和临床医生(CPs)对生育力保存及其相关选择的认知、态度和知识。这是一项横断面研究,于2012年3月至2013年2月期间对贝鲁特美国大学医学中心和圣裘德儿童癌症中心的临床医生以及黎巴嫩所有注册肿瘤学家进行了调查。90%的临床医生(n = 88)和94%的肿瘤学家(n = 53)同意在癌症治疗前应与患者讨论生育力保存问题。我们的数据显示,在告知患者生育力保存选择方面存在性别偏见,而且黎巴嫩肿瘤学家对可用的生育力保存选择的知识存在冲突。与肿瘤学家相比,临床医生更有可能对生育力保存选择和治疗有准确的知识。需要采取积极主动的方法来:(1)提高对生育力保存的认知和知识;(2)改善对生育力保存的态度;(3)鼓励黎巴嫩的临床医生、肿瘤学家和患者之间就生育力保存进行沟通。需要增加教育项目、开展宣传活动并建立专门的生育力保存中心。

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