Knowledge, attitudes, beliefs, and personal practices regarding colorectal cancer screening among health care professionals in rural Colorado: a pilot survey.

Knowledge, attitudes, beliefs, and personal practices regarding colorectal cancer screening among health care professionals in rural Colorado: a pilot survey.
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科罗拉多州农村地区卫生保健专业人员关于结直肠癌筛查的知识、态度、信仰和个人实践:一项试点调查。

DOI:
10.1111/j.1748-0361.2009.00234.x
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发表时间:
2009
期刊:
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子:
--
通讯作者:
Coughlin,StevenS
Coughlin,StevenS
中科院分区:
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文献类型:
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作者:
Rim,SunHee;Zittleman,Linda;Westfall,JohnM;Overholser,Linda;Froshaug,Desiree;Coughlin,StevenS

文献摘要

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目的本研究报告了在社区教育干预之前,科罗拉多农村高平原研究网络(HPRN)中卫生保健专业人员对结直肠癌(CRC)筛查的基线知识、态度、信念和个人实践。它还探讨了卫生保健工作人员的知识,态度,信仰,和个人的做法CRC筛查和患者的筛查水平的practice.MethodsSurveys邮寄给卫生保健专业人员在HPRN之间的关联。2006年,参与调查的21家诊所对年龄≥50岁的患者进行为期2周的CRC筛查问卷调查。结果调查应答率:医疗服务提供者为81%(n = 46),护理人员为90%(n = 63)。只有54%的医疗保健专业人员知道CRC是癌症死亡的主要原因。当调查他们对结肠癌的态度时,92%的人“强烈同意”或“同意”结肠癌是可以预防的。大约99%(n = 107)的供应商和护士“强烈同意”或“同意”,测试可以在结肠癌开始之前发现问题。大多数年龄≥50岁的医疗保健专业人员(61%)既往接受过检测,并接受了最新筛选(52%)。提供者的知识与较高的患者筛查显着相关(P = 0.02),但提供者的态度和信念没有。此外,个人筛选的医疗保健专业人员的做法并没有与更多的患者screened.ConclusionBackground CRC的知识HPRN医疗保健专业人员之间的相关性可以提高。这项试点研究的结果可能有助于集中有效的方法,如增加供应商的知识,以加强相关人群的CRC筛查。
PurposeThis study reports the baseline knowledge, attitudes, beliefs, and personal practices of health care professionals regarding colorectal cancer (CRC) screening in the High Plains Research Network (HPRN) of rural Colorado prior to a community‐based educational intervention. It also examines the association between health care staff members’ knowledge, attitudes, beliefs, and personal practices for CRC screening and patient screening levels by practice.MethodsSurveys were mailed to health care professionals in the HPRN. Participating clinics (n = 21) distributed patient surveys on CRC screening to persons aged ≥50 for a 2‐week period in 2006.ResultsThe survey response rate was 81% for providers (n = 46) and 90% for nursing staff (n = 63). Only 54% of health care professionals knew CRC is a leading cause of cancer deaths. When surveyed on their attitudes toward colon cancer, 92%“strongly agreed” or “agreed” that colon cancer is preventable. About 99% (n = 107) of providers and nurses “strongly agreed” or “agreed” that testing could identify problems before colon cancer starts. Most health care professionals (61%) aged ≥50 years had previously been tested and were up‐to‐date (52%) with screening. Provider knowledge was significantly associated with higher patient screening (P = .02), but provider attitudes and beliefs were not. Moreover, personal screening practices of health care professionals did not correlate with more patients screened.ConclusionBackground knowledge of CRC among HPRN health care professionals could be improved. The results of this pilot study may help focus effective approaches such as increasing provider knowledge to enhance CRC screening in the relevant population.