住院医师肿瘤预防和筛查知识认知情况调查与分析

Investigation and analysis on cognizance of cancer prevention and screening knowledge by the trainees from standardized resident training program

目的分析住院医师对肿瘤预防和筛查知识的认知情况,为促进肿瘤预防和筛查规范化培训提供参考。方法采用问卷调查方法。选取2021年2月在兰州大学第一医院参加住院医师规范化培训的320名住院医师为研究对象,采用自行设计的问卷调查住院医师的肿瘤预防和筛查知识认知情况及其培训现状和需求,采用Fisher确切概率法分析相关数据。结果分别有72.2%(231/320)、66.6%(213/320)、64.4%(206/320)的住院医师认为吸烟、感染性因素、饮酒与肿瘤相关性高,分别有26.6%(85/320)、25.0%(80/320)、23.4%(75/320)的住院医师认为体重超标、水果膳食纤维摄入不足、缺乏锻炼与肿瘤相关性高。肿瘤筛查问题回答正确率最低的是一般风险女性乳腺癌规律性筛查起始年龄[23.1%(74/320)];回答正确率最高的是肝癌的主要筛查方法[93.1%(298/320)]。71.3%(228/320)的住院医师认为肿瘤预防和筛查的知识储备不足,95.3%(305/320)的住院医师认为需要肿瘤预防和筛查的规范化培训。结论住院医师对肿瘤预防部分知识点和筛查的作用认知存在不足,有待进一步提高。住院医师规范化培训基地应当合理安排相关课程,促进肿瘤预防和筛查的规范化培训。

Objective To investigate the current state and the needs of knowledge learning about cancer prevention and screening methodology among the trainees of standardized resident training program,so as to provide the basis for improving the level of training.Methods A web-based survey by an anonymous questionnaire was conducted to evaluate the knowledge about cancer prevention and screening in February 2021.A total of 320 residents were investigated.The knowledge level about cancer prevention and screening was analyzed with Fisher's exact test.Results The top three risk factors which are closely related to cancer are smoking[72.2%(231/320)],infection-related factors[66.6%(213/320)],alcohol drinking[64.4%(206/320)].However,only a few understand that excess bodyweight[26.6%(85/320)],less fruit and dietary fiber intake[25.0%(80/320)],physical inactivity[23.4%(75/320)]are closely related to cancer.The percentage of correct answer on cancer screening ranges from 23.1%(74/320)to 93.1%(298/320),the lowest percentage is found on the age of beginning to screen for breast cancer in female population with average risk and the highest percentage of correct answer is found in methodology for liver cancer screening.It is found that 71.3%(228/320)residents recognized their weakness in cancer prevention and screening knowledge and 95.3%(305/320)of them claim they need the standardized training for cancer prevention and screening methodology.Conclusions Current situation of cancer prevention and screening education shows the weakness in the field of cancer prevention and screening among the trainees of standardized resident training program.There was a high training demand for cancer prevention and screening from trainees of standardized resident training program.