利雅得第二健康集群基层医疗医生对结直肠癌筛查的知识、态度和实践
Knowledge, Attitude, and Practice of Colorectal Cancer Screening Among Primary Healthcare Physicians in Riyadh Second Health Cluster.
作者信息
Alghamdi Ahmed A, Almutairi Abdulelah H, Aldosari Faisal S, Al-Owayed Abdullah M, AlOtaibi Hamza K, Alghamdi Talal A, Aldossary Alhanouf S
机构信息
Family Medicine Consultant, Second Health Cluster, Riyadh, SAU.
Family Medicine Academy, King Fahad Medical City, Riyadh, SAU.
出版信息
Cureus. 2022 Nov 30;14(11):e32069. doi: 10.7759/cureus.32069. eCollection 2022 Nov.
BACKGROUND
Colorectal cancer is the third common cancer, and the second common cause of cancer death in the world. According to the 2014 Cancer Incidence Report of the Kingdom of Saudi Arabia, colorectal cancer account for 11.5% from all cancers reported among Saudi nationals. By the year 2030, the incidence of colorectal cancer could increase fourfold among both genders.
AIM
The study aimed to conduct to understand the knowledge, attitude, and practice of primary healthcare physicians regarding colorectal cancer screening in Riyadh Second Health Cluster in the city of Riyadh, Saudi Arabia.
MATERIALS AND METHODS
A cross-sectional study design, probability proportional to size sampling at the cluster zones level and convenient sampling for the physicians, were used among physicians working in the primary healthcare centers in the city of Riyadh between October 2022 and November 2022.
RESULT
Of the 213 respondents, the mean age of the physician was 35, the majority were males (59%), Saudi Arabian nationality (60%), Resident Physicians (54%) and ≤ five years' work experience (45%). Sixty-four percent of the study participants believe that the majority of asymptomatic average-risk patients have to start the screening at the age of 45 years old. Ninety-seven percent believe that colorectal cancer screening for asymptomatic average-risk patients aged 45 years and older is effective. Ninety-two percent of the physicians perform colorectal cancer screening for asymptomatic average-risk patients aged 45 years. The mean knowledge score is 4.65 (SD=2.33) with a range of 0 to 10. The mean attitude score is 4.19 (SD=1.28) with a range of 0 to 6.
CONCLUSION
The study found that the physicians had higher attitude and practice towards colorectal cancer screening and adequate knowledge towards colorectal cancer screening. The knowledge and attitude scores are associated with practicing colorectal cancer screening.
背景
结直肠癌是全球第三大常见癌症，也是第二大常见癌症死亡原因。根据沙特阿拉伯王国2014年癌症发病率报告，结直肠癌占沙特国民报告的所有癌症的11.5%。到2030年，结直肠癌的发病率在男女中可能会增加四倍。
目的
本研究旨在了解沙特阿拉伯利雅得市利雅得第二健康集群的初级保健医生对结直肠癌筛查的知识、态度和实践情况。
材料与方法
采用横断面研究设计，在集群区域层面采用规模比例概率抽样，对医生采用方便抽样，于2022年10月至2022年11月期间在利雅得市的初级保健中心工作的医生中进行研究。
结果
在213名受访者中，医生的平均年龄为35岁，大多数为男性（59%），沙特阿拉伯国籍（60%），住院医师（54%）且工作经验≤5年（45%）。64%的研究参与者认为大多数无症状平均风险患者应在45岁开始筛查。97%的人认为对45岁及以上无症状平均风险患者进行结直肠癌筛查是有效的。92%的医生对45岁的无症状平均风险患者进行结直肠癌筛查。知识平均得分为4.65（标准差=2.33），范围为0至10分。态度平均得分为4.19（标准差=1.28），范围为0至6分。
结论
研究发现，医生对结直肠癌筛查的态度和实践较高，对结直肠癌筛查有足够的知识。知识和态度得分与进行结直肠癌筛查有关。
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