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Patient Knowledge of Sunscreen Guidelines and Frequency of Physician Counseling

机译:病人对防晒霜指导原则和医师咨询频率的了解

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摘要

>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. Participants: 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.
机译:>背景:皮肤癌和光损伤是皮肤科医生通常要解决的问题。尽管可以使用广谱防晒霜进行化学预防,但很少有研究调查患者对正确防晒霜准则的了解或对医生咨询的感知。 >目的:作者试图确定患者对美国皮肤科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:我们使用了12个问题的多项选择的匿名调查来收集数据。 >设置:该研究设置是密歇根州底特律附近的一家私人皮肤病诊所。参与者:参加常规办公室就诊的294名成年患者被纳入研究。 >结果:大约59%的受试者选择了推荐的适当防晒霜使用频率,而60%的受试者选择了推荐的最低防晒系数。覆盖人​​体的最小量防晒霜,暴露于阳光之前的涂抹时间以及两次涂抹防晒霜之间的时间没有得到大多数的响应。性别和皮肤类型之间存在知识差异。百分之四十四的患者以前接受过防晒咨询。 40岁以上的患者(39.3%vs. 18.4%,p = 0.04),皮肤白皙的患者(62.5%vs. 23.8%),成年患者(40.7%vs. 8.3%,p <0.0001)和皮肤癌患者(58.3%对28%,p <0.0001)更有可能报告以前的咨询意见。 >结论:大多数研究对象从未接受过咨询,也没有足够的防晒指导知识。为了获得足够的皮肤癌一级预防,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。

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