背景:皮肤癌和光损伤是皮肤科医生通常解决的问题。尽管有广谱防晒霜进行化学预防的机会,很少有研究调查患者对正确防晒霜指南的了解,或患者对医生咨询的看法。目标:作者试图确定患者对美国皮肤病学会正确使用防晒霜指南的了解,并获得患者报告的有关防晒霜的医生咨询率。设计:我们用了12个问题,多项选择,匿名调查收集数据。地点:研究地点是底特律附近的一家私人皮肤科诊所,密歇根。
方法:本研究纳入了两百九十四名接受常规就诊的成年患者。结果:大约59%的受试者选择了推荐的正确使用防晒霜的频率,而60%的受试者选择了推荐的最低防晒系数。覆盖身体的防晒霜的最小量,阳光照射前的应用时间,重新涂抹防晒霜的时间间隔没有得到多数响应。性别和皮肤类型之间存在知识差异。44%的患者以前接受过防晒霜咨询。40岁以上的患者(39.3%vs.18.4%,p=0.04),皮肤白皙的人(62.5%vs.23.8%),已确诊患者(40.7%vs.8.3%,p<0.0001),和皮肤癌患者(58.3%vs.28%,p<0.0001)更有可能报告以前的咨询。结论:大多数研究对象从未接受过咨询,也缺乏足够的防晒霜指南知识。为了获得足够的初级预防皮肤癌,必须为患者提供有关正确使用防晒霜的进一步咨询和教育。
Background: Skin cancer and photodamage are problems commonly addressed by dermatologists. Despite the opportunities for chemoprevention with broad-spectrum sunscreen, there is little research investigating patient knowledge of proper sunscreen
guidelines, or patient perception of physician counseling. Objective: The author sought to determine patient knowledge of the American Academy of Dermatology
guidelines for proper sunscreen use and to obtain patient-reported rates of physician counseling regarding sunscreen. Design: We used a 12-question, multiple choice, anonymous survey to collect data. Setting: The study setting was a private dermatology clinic near Detroit, Michigan.
METHODS: Two hundred ninety- four adult patients presenting for routine office visits were included in the study. Results: About 59 percent of the subjects selected the recommended frequency of proper sunscreen use and 60 percent selected the recommended minimum sun protection factor. The minimum amount of sunscreen to cover the body, time of application before sun exposure, and time between reapplications of sunscreen did not receive a majority response. Differences in knowledge were seen between the sexes and skin types. Forty-four percent of patients previously received sunscreen counseling. Patients older than 40 years of age (39.3% vs. 18.4%, p=0.04), those who were fair skinned (62.5% vs. 23.8%), established patients (40.7% vs. 8.3%, p <0.0001), and those with a skin cancer (58.3% vs. 28%, p<0.0001) were more likely to report previous counseling. Conclusions: The majority of the study subjects never received counseling and lacked adequate knowledge of sunscreen
guidelines. In order to obtain adequate primary prevention of skin cancer, it is essential to provide patients with further counseling and education on proper sunscreen use.