国内医务人员大肠癌筛查认识现状分析及建议

目的了解我国医务人员对大肠癌筛查的认识现状,分析影响筛查的因素并提出建议。方法随机对300名来自不同地方、不同等级医疗机构的医务人员进行问卷调查并分析结果。结果147名医务人员填写调查表,应答率49.00%;55%～80%的被调查者不了解普通人群大肠癌筛查方式、起始年龄及频率;大肠肿瘤筛查的了解程度与被调查医务人员的专业、学历、工作年限、医院等级无明显关系;76.87%的被调查者推荐高危人群定期行大肠癌筛查并能指出正确的筛查方法。结论我国医务人员对大肠癌筛查的相关知识不甚清楚且重视程度不够;对高危人群大肠癌筛查有一定认识但对普通人群筛查知识了解较少。

Colorectal cancer screening:a survey of Chinese medical staff

Objectives To understand the attitudes, beliefs and knowledge of medical staff regarding colorectal cancer （CRC） screening in China, and to analyze factors affecting the CRC screening as well as to give recommendation for improving the current situation of CRC screening in China. Methods Three hundred medical staff from different districts and various degrees of hospital was recruited by means of self-reported questionnaires. Both CRC screening knowledge and its association with participants＇ characteristics were analyzed. Results Only 147 medical stuff responded （49.00%）. According to 2008 U.S. Preventive Services Task Force Recommendation on CRC screening and 2003 American Gastroenterological Association＇s recommendations for screening people at increased risk, only 31.29% recommended the correct screening tests for average-risk adults, 20.41% recommended beginning at 50 years old, and 41.50% knew the right screening intervals, while in sharp contrast, 91.84% suggested that people with a first-degree relative diagnosed with CRC go through screening procedure, and 76.87% chose the right tests for them. Age, professional title and weekly outpatient visits were associated with the knowledge of staff about screening frequency for average-risk adults. Conclusions The low response rate reveals the lack of interest in CRC screening. Furthermore, awareness of CRC screening for average-risk adults among medical staff in China is low, and knowledge gaps about screening for average-risk adults and increased-risk adults were evident. Therefore, continued monitoring of medical staff＇s screening knowledge and practice, clear clinical guidelines and screening policies in China and new screening technologies are imperative.