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[初级保健卫生专业人员在《欧洲抗癌守则》出台前的知识、行为和态度]

[Knowledge, conduct and attitude before the European Code against Cancer by health professionals of primary care].

作者信息

Pérula de Torres Luis Angel, Moscosio Cuevas Jose Ignacio, Bartolomé Moreno Cruz, Martín-Carrillo Pilar, Martín-Rabadán María, Jiménez García Celia

机构信息

Unidad Docente de Medicina Familiar y Comunitaria de Córdoba, Distrito Sanitario Córdoba y Guadalquivir, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)/Hospital Universitario Reina Sofía/Universidad de Córdoba, Grupo de Evaluación y mejora del PAPPS (semFYC), Córdoba, España.

Unidad Docente de Medicina Familiar y Comunitaria de Córdoba, Distrito Sanitario Córdoba y Guadalquivir, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)/Hospital Universitario Reina Sofía/Universidad de Córdoba, Grupo de Evaluación y mejora del PAPPS (semFYC), Córdoba, España.

出版信息

Aten Primaria. 2020 Feb;52(2):67-76. doi: 10.1016/j.aprim.2018.11.002. Epub 2019 Jan 7.

Abstract

OBJECTIVE

To decide if Primary Care (PC) professionals know the European Code against Cancer (CECC) and if this relates to practice the recommendations with themselves and with their patients.

DESIGN

descriptive, observational study.

SETTING

Spanish Health Centers.

PARTICIPANTS

Health professionals.

INTERVENTIONS

self-administered questionnaire.

MAIN MEASUREMENTS

cancer protective and risk factors, screening for colorectal, breast, cervix and prostate cancer, level of knowledge of the ECAC.

RESULTS

1734 participants (10.5%), mean age 47.4 years (SD: 8.6), 71.5% female. 50.0% do not know the CECC; tutors (OR=1.61), assigned to the PAPPS (OR=1.51) and who have been working in AP for more time (OR=2.62) are the ones who know it most. 7.2% smoke and 79.1% drink alcohol. 64.1% presented normal weight and 19% performed physical activity. They avoid exposing themselves to the sun 52.7% and use protectors 53.8%. 85.2% have never had a colorectal screening, 11% never had a cytology, and 12% had a mammogram. There is a relationship between knowing the CECC and smoking (P<.001), overweight/obesity (P=.024), physical activity (P=.003), meat intake (P<.001), mammography (P<.001), cytology (P=.022), PSA (P=.045), as well as the promotion of their advice among patients.

CONCLUSIONS

The CECC is unknown by half of the AP professionals. The practice of its recommendations is uneven, with the prevalence of low smoking, and sun protection a little extended behavior. Those who know him are the ones who most practice his recommendations.

摘要

目的

确定初级保健(PC)专业人员是否了解《欧洲抗癌法典》(CECC),以及这是否与他们自身及患者遵循其中的建议有关。

设计

描述性观察性研究。

地点

西班牙健康中心。

参与者

卫生专业人员。

干预措施

自行填写问卷。

主要测量指标

癌症保护和风险因素、结直肠癌、乳腺癌、宫颈癌和前列腺癌筛查、对欧洲抗癌法典(ECAC)的了解程度。

结果

1734名参与者(10.5%),平均年龄47.4岁(标准差:8.6),71.5%为女性。50.0%的人不了解CECC;导师(比值比=1.61)、被分配到PAPPS的人(比值比=1.51)以及在初级保健领域工作时间更长的人(比值比=2.62)最了解该法典。7.2%的人吸烟,79.1%的人饮酒。64.1%的人体重正常,19%的人进行体育锻炼。52.7%的人避免晒太阳,53.8%的人使用防晒用品。85.2%的人从未进行过结直肠癌筛查,11%的人从未做过细胞学检查,12%的人做过乳房X光检查。了解CECC与吸烟(P<0.001)、超重/肥胖(P=0.024)、体育锻炼(P=0.003)、肉类摄入(P<0.001)、乳房X光检查(P<0.001)、细胞学检查(P=0.022)、前列腺特异性抗原(PSA)检查(P=0.045)以及在患者中推广相关建议之间存在关联。

结论

一半的初级保健专业人员不了解CECC。其建议的执行情况参差不齐,吸烟率较低,防晒行为略有增加。了解该法典的人最常遵循其建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e563/7025965/254bca689729/fx1.jpg

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