高雄榮總門診患者對口腔癌認知的研究

Study on the People's Knowledge, Attitude and Behavior about Oral Cancer from Kaohsiung-VGH OPD Patient

梁錦榮(Kam-Wing Leung)

《中華民國口腔顎面外科學會雜誌》 14卷2期 (2003/09) Pp. 97-104

https://doi.org/10.7104/CJOMS.200309.0097

摘要

近年來口腔癌已是我國十大癌症死因之一，臨床上發現一般民眾對於口腔癌的認識與暸解嚴重不足，因此導致民眾延誤就醫，失去治療先機，以致死亡率節節升高。所謂預防勝於治療，要做好口腔癌之預防及早期診斷的工作，必需先從教育民眾開始，讓一般民眾認識什麼是口腔癌，那些是致癌物質及危險因素，儘早遠離各種危險因子，減少民眾對偏方的迷信，了解正規治療之方法，以減少民眾對手術治療的恐懼感。目前國內尚未有類似研究報告探討民眾對口腔癌的認知及態度，因此希望本研究的結果有助於暸解目前對於口腔癌的預防教育有那些缺失，藉由這樣的研究，喚起大家對口腔癌的重視及宣導，達到預防重於治療的目的，以大幅降低口腔癌之死亡率。

關鍵字

口腔癌 ； 認知 ； 態度

並列摘要

According to the report of Parkin et al in 1993, oral squamous cell carcinoma is the 6th most common cancer worldwide and the 3rd in the developing countries. While in Taiwan, oral squamous cell carcinoma is up raising to the 5th most common cancer death since 1995 in male population. Despite the advances in surgery, radiotherapy and chemotherapy, the prognosis of this cancer is still very poor and has not changed over the past few decades.
In fact, cancer is no longer an incurable disease. It can be able to treat easily if early diagnoses especially in oral squamous cell carcinoma. The 5 years survival rate is more than 80% in early stages while only less than 25% survival rate in late stage cases. Therefore, early detection, diagnosis and early treatment are crucial in increasing survival rate. However, in our clinical analysis, only less than 20% of patients were diagnosed as stage I when they first presented in our clinic. Many cases were unable to treat surgically when they came. They can only be treated palliative with chemotherapy and radiotherapy. Their prognoses were poor. The reasons why these patients not came earlier were mostly due to ignorance of the disease nature and behavior. They usually denied the existence of the lesion or even want to try herbs at first. That causes the loss of optimal treatment time and also the good prognosis.
In order to understand the attitudes and manage behavior of people in relation to oral cancer, we performed a questionnaire study on all peoples who visited our out patient department with or without diseases. All peoples have to complete a questionnaire assessing their awareness of the causative factors, early symptom & signs and treatment methods of oral cancer. Hope we can find out the best prevention strategies to decrease the mortality rate of oral cancer.

並列關鍵字

Oral cancer ； attitude ； behavior