ADNAN MENDERES ÜNİVERSİTESİ HEKİMLERİNİN DERİ KANSERLERİ VE GÜNEŞİN ETKİLERİ KONUSUNDAKİ BİLGİ DÜZEYLERİ İLE GÜNEŞTEN KORUNMA DAVRANIŞLARININ DEĞERLENDİRİLMESİ

Year 2006, Volume: 7 Issue: 1, 5 - 10, 01.04.2006

Meltem Uslu Göksun Karaman Ekin Şavk Neslihan Şendur

Abstract

Amaç:Tüm dünyada deri kanseri insidansındaki artış, güneşe maruziyetteki artış ile paralel seyretmektedir. Buçalışmanın amacı Adnan Menderes Üniversitesi Hastanesinde çalışan hekimlerin güneşten korunmadavranışlarını, güneşin derideki zararlı etkileri ve deri kanseri etyopatogenezi konusunda bilgi düzeyleriniaraştırmaktır.Yöntem:Kesitsel tipteki çalışma için 26 soru içeren bir anket formu hazırlandı ve 158'si uzman hekim ve 172'siuzmanlık öğrencisi olmak üzere toplam 330 hekimden anketleri yanıtlamaları istendi.Bulgular:Anketler 196 hekim tarafından yanıtlandı. Çalışma popülasyonunun yaş ortalaması 34.1±7.1'di,%51.5'i kadın, %48.5'i erkekti. Gölgede kalma, öğle saatlerinde dışarı çıkmama, gözlük kullanımı hekimlerin ensık kullandığı ilk 3 güneşten korunma yöntemiydi. “Genellikle” ya da “her zaman” güneşten koruyucu ürünkullanımı ise 4. sırada yer alan bir yöntemdi (%56). Kadınlar erkeklere göre daha sıklıkla güneşten koruyucu ürünkullanmaktaydı. Güneşin etkileri ve deri kanserleri konusunda 9 soruya verilen doğru yanıtların ortalaması5.4±1.4 idi. Güneşin immünsupresif etkisi %8.7 hekim tarafından, koyu renk giysilerin açık renklilere göregüneşten daha iyi koruyucu olduğu ise %15.3'ü tarafından bilinmişti. Güneşe duyarlı deri tipine sahip ve güneşinderideki etkileri, deri kanserleri ve korunma yollarına ilişkin bilgi seviyesi yüksek hekimler daha sıklıklagüneşten korunma yöntemlerine başvurduklarını belirtmişlerdi (p<0.05).Sonuç:Araştırmanın yapıldığı hastanede çalışan hekimlerin deri kanserleri konusundaki bilgi düzeyleri vegüneşten korunma davranışları yeterli değildir. Güneşin derideki zararlı etkileri ve deri kanserlerininengellenmesi konusunda halkı eğitmek temel olarak dermatologların görevi olsa da, tüm hekimlerin bu görevekatkıda bulunması gerekmektedir. Bu nedenle hekimlerin güneşin derideki etkileri, deri kanserleri ve korunmayolları konusunda bilgi düzeylerinin geliştirilmesine ihtiyaç vardır

Keywords

Hekim, güneşten korunma, deri kanserleri

Investigation of Knowledge About Sun Effects, Skin Cancer and Sun Protection Behaviour Among Doctors in Adnan Menderes Hospital

Abstract

Objective: The increase of skin cancer incidence all over the world on recent years is in parallel with the increase in sun exposure. The purpose of this study was to investigate sun protection behaviour and knowledge about harmful effects of the sun on skin and skin cancer ethiopathogenesis among doctors working in Adnan Menderes University Hospital. Methods: Aquestionnaire containing 26 questions was prepared for the cross-sectional designed study and given to 330 doctors to be answered (158 specialists and 172 residents). Results: 196 doctors answered the questionnaire. Mean age was 34.1±7.1, 51.5% of the study population were women and 48.5% were men. Staying under the shade, not going out in midday, use of sunglasses were among the first three methods of sun protection practiced by the doctors. Use of sun protection product most of the time or everytime was in the 4th place (56%). Women stated more frequent use of sun protection product than men. Mean number of correct answers given to 9 questions about sun effects and skin cancer was 5.4±1.4. Immunsuppresive effect of the sun was known by 8.7% and better sun protection offered by clothes with dark colour was known by 15.3%. Doctors with sun sensitive phenotype and who had given more correct answers stated more frequent use of sun protection (p<0.05). Conclusion: Doctors working in this hospital do not have sufficient knowledge about skin cancers and the optimal mode of sun protection. Public education for harmful effects of sun and prevention of skin cancer is mainly the duty of dermatologists but all doctors should have some input for this purpose. Therefore, we believe that there is a need for improvement about knowledge of all doctors for effects of the sun on skin, skin cancer and means of sun protection.

Keywords

Doctors, sun protection, skin cancer

References

• Stukel TA, Karagas MR, Greenberg ER, Spencer SK, Mott LA
• Increase in incidence rates of basal cell and
• squamous cell skin cancer in New Hampshire, USA.
• New Hampshire Skin Cancer Study Group. Int J Cancer 1999;81:555559.
• Abdulla FR, Feldman SR, Williford PM, Krowchuk D, Kaur M. Tanning and skin cancer. Pediatr Dermatol 2005;22:501-512.
• Diffey BL. A quantitative estimate of melanoma mortality from ultraviolet A sunbed use in the UK. Br J Dermatol 2003;149:578-581. Chen YT, Dubrow R, Zheng T, Berwick M. malignant melanoma: a population-based case-control study in Connecticut, USA. Int J Epidemiol 1998;27:758765.
• Barnhill RL, Fine J,
• Geller AC, Rutsch L, Kenausis K, Selzer P, Zhang Z. Can an hour or two of sun protection education keep the sunburn away? Evaluation of the Environmental ProtectionAgency's Sunwise School Program. Environ Health 2003;2:1-13.
• Mclean DI, Gallagher RP. 'Sunburn' freckles, café-au- lait macules, and other pigmented lesions of schoolchildren: the Vancouver Mole Study. J Am Acad Dermatol 1995; 32:565-70.
• Geller AC, Rutsch L, Kenausis K, Selzer P, Zhang Z. Can an hour or two of sun protection education keep the sunburn away? Evaluation of the Environmental Protection Agency's Sunwise School Program. Environmental Health: A Global Access Science Source 2003;2:1-13. Http://www.meteor.gov.tr. 12.
• Hall HI, May DS, Lew RA, Koh HK, Nadel M. Sun Nisan 2004 protection behaviors of the U.S. white population. Prev Med 1997;26:401-407.
• MacKie RM. Awareness, knowledge and attitudes to basal cell carcinoma and actinic keratoses among the general public within Europe. J Eur Acad Dermatol Venereol 2004;18:552-555.
• ErmertcanAT, Öztürkcan S, Dinç G,Yurtman D, Pala T, Şahin MT. Sunsscreen use and sun protection practices in students and personnel of Celal Bayar University. P h o t o d e r m a t o l P h o t o i m m u n o l P h o t o m e d 2005;21:191-197.
• Devos SA, Baeyens K, Van Hecke L. Sunscreen use and skin protection behavior on the Belgian beach. Int J Dermatol 2003;42:352-356. Argyriadou S, Makridis D, Lygidakis H, Apazidis G, Gagalis G. Knowledge and behaviour of tourists towards the sun, as studied in a region of northern Greece. Rural Remote Health 2005;5:367.
• Thompson SC, Jolley D, Marks R. Reduction of solar keratoses by regular sunscreen use. N Engl J Med 1993;329: 11471151.
• Phillips TJ, Bhawan J, Yaar M, Bello Y, Lopiccolo D, Nash JF Effect of daily versus intermittent sunscreen application on solar stimulated UV radiation-induced skin response in humans. J Am Acad Dermatol 2000;43:610618.
• Kullavanijaya P, Lim HW. Photoprotection. J Am Acad Dermatol 2005;52:937-58.
• Diffey BL, Cheeseman J. Sun protection with hats. Br J Dermatol 1992;127:10-12.
• Dolan NC. Skin cancer control in the primary care
• setting; Are we making any progress? JGIM
• Moore MM, Geller AC, Zhang Z, Hayes BB, Bergstrom K, Graves JE, Kim A, Martinez JC, Shahabi L, Miller DR, Gilchrest BA. Skin cancer examination teaching in US medical education. Arch Dermatol 2006; 142:439-444.
• Gritz ER, Tripp MK, de Moor CA. Skin cancer
• prevention counseling and clinical practices of pediatricians. Pediatr Dermatol 2003;20:16-24.
• Mikkilineni R, Weinstock MA, Goldstein MG, Dube CE, Rossi JS. Impact of the basic skin cancer triage curriculum on provider's skin cancer control practices. J Gen Intern Med 2001;16:302-307. YAZIŞMA ADRESİ Uzm. Dr Meltem USLU
• Adnan Menderes Üniversitesi Tıp Fakültesi,
• Dermatoloji, AYDIN, Türkiye Tel E-posta
• : [e-mail] Geliş Tarihi Kabul Tarihi : 05.07.2006