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通过视频教育提高西班牙语患者对皮肤癌的认识和识别能力。

Video Education to Promote Skin Cancer Awareness and Identification in Spanish-speaking Patients.

作者信息

Garcia Dante, Jefferson Itisha S, Ramirez Pablo, Palomino Angelina, Adams William, Vera Jessica, De La Torre Ruby, Lee Kristin, Elsensohn Ashley, Kazbour Hana, Tung Rebecca

机构信息

Dr. Garcia is with the Department of Internal Medicine at Loma Linda University in Loma Linda, California.

Mr. Ramirez is with San Juan Bautista School of Medicine in Caguas, Puerto Rico.

出版信息

J Clin Aesthet Dermatol. 2020 Jan;13(1):41-43. Epub 2020 Jan 1.

Abstract

We sought to evaluate the efficacy of a Spanish-language educational video in teaching primary Spanish speaking patients to recognize benign and malignant lesions and to increase their awareness about skin cancer. Thirty-seven subjects were enrolled in study. An instructional video was developed to increase knowledge of benign and malignant lesions, skin cancer awareness, and prevention among Spanish-speaking patients. Two examples each of six common skin lesions (e.g., malignant melanoma, cherry angioma, seborrheic keratosis, benign melanocytic nevus, basal cell carcinoma, and squamous cell carcinoma) were presented as high-quality images to the participants before and after watching the two-minute educational video. A pre- and postvideo survey was used to assess competency. The prevideo baseline median score was six points (interquartile range [IQR]: 5-6 points); postviewing median score improved to 11 points (IQR: 11-12 points), which was statistically significant (Median=5 points, IQR: 4-6 points; <.001). The ability of the participants to identify nonmelanoma skin cancers improved from 74 percent to 98 percent and from 35 percent to 99 percent for squamous cell carcinoma and basal cell carcinoma. Initially, only 30 percent of participants could identify melanoma prior to viewing the video. Afterwards, 97 percent of participants could identify this malignancy. However, the video format preferences were not statistically significant: 67.6 percent of the participants preferred the video format. These results suggest that this educational video is an effective and valuable method to enhance knowledge about skin health and improve identification of skin cancer among Spanish-speaking patients.

摘要

我们试图评估一段西班牙语教育视频在教导以西班牙语为母语的初级患者识别良性和恶性病变以及提高他们对皮肤癌的认识方面的效果。37名受试者参与了该研究。制作了一个教学视频,以增加讲西班牙语患者对良性和恶性病变的了解、皮肤癌意识及预防知识。在观看两分钟的教育视频之前和之后,向参与者展示六种常见皮肤病变(例如,恶性黑色素瘤、樱桃状血管瘤、脂溢性角化病、良性黑素细胞痣、基底细胞癌和鳞状细胞癌)各两个示例的高质量图像。通过视频前后的调查来评估能力。视频前基线中位数得分是6分(四分位间距[IQR]:5 - 6分);观看视频后中位数得分提高到11分(IQR:11 - 12分),具有统计学意义(中位数 = 5分,IQR:4 - 6分;<.001)。参与者识别非黑色素瘤皮肤癌的能力从74%提高到98%,鳞状细胞癌和基底细胞癌的识别能力分别从35%提高到99%。最初,只有30%的参与者在观看视频之前能够识别黑色素瘤。之后,97%的参与者能够识别这种恶性肿瘤。然而,视频格式偏好没有统计学意义:67.6%的参与者更喜欢视频格式。这些结果表明,这个教育视频是一种有效且有价值的方法,可以增强讲西班牙语患者对皮肤健康的了解并改善皮肤癌的识别能力。

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