背景:结直肠癌(CRC)是一个全球性的问题,高发病率和死亡率。它是全球第三大常见死亡原因。早期诊断可以导致预防和治疗,使医疗保健专业人员掌握有关CRC筛查的适当知识至关重要。
目的:本研究旨在评估意识水平,确定知识差距,并更新医护人员的知识。
方法:这项描述性横断面研究于2023年5月至10月在开伯尔普赫图赫瓦省的多家三级保健医院进行,巴基斯坦。通过设计的形式问卷手动收集回答。
结果:共有164名参与者(137名男性和27名女性)参加了我们的研究。在参与者中,92.1%(n=151)知道结肠镜检查用于CRC筛查。他们已知的其他筛查方法包括粪便潜血测试(FOBT)(65.9%,n=108),软式乙状结肠镜检查(48.2%,n=79),粪便DNA检测(31.1%,n=51),和虚拟结肠镜(34.1%,n=56)。只有6.1%(n=10)常规建议对所有患者进行CRC筛查。22.6%(n=37)偶尔推荐,71.3%(n=117)很少或从不推荐。关于影响CRC筛查建议的因素,83.5%(n=137)认为CRC家族史是主要因素,其次是患者年龄(68.3%,n=112),筛查设施的可用性(46.3%,n=76),患者的整体健康状况(37.2%,n=61),和患者的偏好(20.7%,n=34)。
结论:本研究得出的结论是,只有一小部分医护人员定期推荐CRC筛查。此外,一小部分人熟悉CRC筛查指南,尽管大多数人都对用于筛查的各种调查了如指掌。
BACKGROUND: Colorectal carcinoma (CRC) is a rising issue worldwide, with high morbidity and mortality rates. It is the third most common cause of death globally. Early diagnosis can lead to prevention and treatment, making it crucial for healthcare professionals to have proper knowledge about CRC screening.
OBJECTIVE: This study aimed to assess the level of awareness, identify knowledge gaps, and update the knowledge of healthcare workers.
METHODS: This descriptive cross-sectional study was conducted from May to October 2023, in multiple tertiary care hospitals of Khyber Pakhtunkhwa, Pakistan. Responses were collected manually through a designed proforma of questionnaires.
RESULTS: A total of 164 participants (137 male and 27 female) took part in our study. Among the participants, 92.1% (n = 151) were aware that colonoscopy is used for CRC screening. Other screening methods known to them included a fecal occult blood test (FOBT) (65.9%, n = 108), flexible sigmoidoscopy (48.2%, n = 79), stool DNA test (31.1%, n = 51), and virtual colonoscopy (34.1%, n = 56). Only 6.1% (n = 10) routinely recommended CRC screening for all patients, 22.6% (n = 37) recommended it occasionally, and 71.3% (n = 117) rarely or never recommended it. Regarding factors influencing the recommendation of CRC screening, 83.5% (n = 137) cited family history of CRC as the major factor, followed by patient age (68.3%, n = 112), availability of screening facilities (46.3%, n = 76), patient\'s overall health status (37.2%, n = 61), and patient\'s preference (20.7%, n = 34).
CONCLUSIONS: This study concluded that only a small proportion of healthcare personnel regularly recommend CRC screening. In addition, a small proportion are familiar with CRC screening guidelines, although most are well-informed about the various investigations used for screening.