Gul Pari, Mansoor Mahwash, Gul Palwasha, Arshad Zara
Department of Radiology, Bolan Medical Complex Hospital, Quetta, Pakistan.
Final Year MBBS Student, Bolan Medical College, Quetta, Pakistan.
J Pak Med Assoc. 2020 Dec;70(12(B)):2432-2436. doi: 10.47391/JPMA.323.
To assess knowledge and perception about different aspects of Breast Cancer among health care professionals at Bolan Medical Complex Hospital Quetta, Pakistan.
This cross-sectional study was carried out at Bolan Medical Complex Hospital Quetta from October to December 2017. A total of 312 health care workers including consultants (42), residents (85), medical officers (52), interns (45), nurses (48) and final year medical students (40) took part in the study. The study tool was a self-designed questionnaire with separate sections to assess the knowledge about risk factors, signs and symptoms, screening tools, breast self-examination (BSE), treatment and barriers in seeking medical advice.
Participants had satisfactory knowledge about risk factors and signs of breast cancer but poor knowledge about association of breast cancer with menarche status, oral contraceptive pills and smoking. Majority was aware of mammography benefits and believed that breast cancer is curable with therapy. All perceived that cultural and socioeconomic barriers are the cause of late stage presentation. The nurses particularly were having misconceptions in knowledge about breast cancer risk factors and screening tools.
The current study demonstrated that knowledge related to breast cancer was average and highlighted the need for provision of continuing medical education programmes to improve health practitioners' practice on cancer screening tools. Knowledge was particularly deficient regarding screening modalities and BSE method and timing. Special emphasis is needed to train nurses, so they could play an expanded role in breast cancer care.
评估巴基斯坦奎达市博拉恩综合医院医护人员对乳腺癌不同方面的知识和认知。
本横断面研究于2017年10月至12月在奎达市博拉恩综合医院开展。共有312名医护人员参与了研究,包括顾问(42名)、住院医师(85名)、医务人员(52名)、实习生(45名)、护士(48名)和医学专业最后一年的学生(40名)。研究工具是一份自行设计的问卷,问卷分为不同部分,用于评估对危险因素、体征和症状、筛查工具、乳房自我检查(BSE)、治疗以及寻求医疗建议的障碍等方面的知识。
参与者对乳腺癌的危险因素和体征有一定了解,但对乳腺癌与初潮状态、口服避孕药和吸烟之间的关联了解不足。大多数人了解乳腺钼靶检查的益处,并认为乳腺癌可通过治疗治愈。所有人都认为文化和社会经济障碍是晚期就诊的原因。特别是护士在乳腺癌危险因素和筛查工具方面存在误解。
当前研究表明,与乳腺癌相关的知识水平一般,并强调需要提供继续医学教育项目,以改善医护人员在癌症筛查工具方面的实践。在筛查方式以及乳房自我检查方法和时机方面的知识尤其欠缺。需要特别重视培训护士,以便她们能在乳腺癌护理中发挥更大作用。