学习辨别进展期黑色素瘤危险度的ABCDE标准的技能训练  

Skills training to learn discrimination of ABCDE criteria by those at risk of developing

作　　者：melanoma Robinson J.K. Turrisi R. J.K. Robinson 王琼 

机构地区：[1]Northwestern University, Feinberg School of Medicine, 132 E Delaware Pl, No. 5806, Chicago, IL 60611, United States Dr.

出　　处：《世界核心医学期刊文摘（皮肤病学分册）》2006年第8期25-25,共1页Digest of the World Core Medical JOurnals:Dermatology

摘　　要：Objective: To develop skin self-examination skills by improving the use of the ABCDE criteria by those at risk of developing melanoma. Design: Ten single- sex groups of 10 unrelated adults received a knowledge-based intervention followed by skills training. Setting: Classroom in the ambulatory care area of a hospital. Patients: One hundred unrelated adults with either a personal or family history of melanoma and no previous skin self-examination counseling. Interventions: A dermatologist presented information, and each subject read a brochure and reviewed a bookmark. The facilitator led the group discussions about scoring each feature and the decision to seek medical care. Measurement of moles with a ruler and a pencil eraser and the use of an illuminated magnifying lens were demonstrated. Preintervention and postintervention assessments were performed for each intervention. Main Outcome Measure: Recognition of A, B, C, D, and E traits. Results: The subjects preferred the bookmark (87% of subjects), opaque ruler (94% of subjects), and lighted magnifying lens (81% of subjects) to reading the brochure, which was felt to take too long. Recognition of border irregularity, color variation, and diameter improved significantly after the intervention. Women recognized color variation more often than men (94% vs 62% ; odds ratio [OR], 23.7; 95% confidence interval [CI], 16.1- 50.5). Men identified irregular borders more often than women (91% vs 75% ; OR, 16.8; 95% CI, 4.5- 22.6). Women appropriately decided to see a physician more often than men (81% vs 57% ; OR, 13.5; 95% CI, 7.1- 28.4). Conclusions: Determining the presence of the A, B, C, and E criteria is challenging for the novice. Skills training aided performance of skin self-examination. Differences in proclivities according to sex suggest that if men and women form partnerships for skin checks, they may learn from each other, and their combined strengths will promote detection of early melanomas.Objective： To develop skin self-examination skills by improving the use of the ABCDE criteria by those at risk of developing melanoma. Design： Ten single-sex groups of 10 unrelated adults received a knowledge-based intervention followed by skills training. Setting： Classroom in the ambulatory care area of a hospital. Patients： One hundred unrelated adults with either a personal or family history of melanoma and no previous skin self-examination counseling. Interventions： A dermatologist presented information, and each subject read a brochure and reviewed a bookmark. The facilitator led the group discussions about scoring each feature and the decision to seek medical care. Measurement of moles with a ruler and a pencil eraser and the use of an illuminated magnifying lens were demonstrated. Preintervention and postintervention assessments were performed for each intervention. Main Outcome Measure： Recognition of A, B, C, D, and E traits. Resuits： The subjects preferred the bookmark （87% of subjects）, opaque ruler （94% of subjects）, and lighted magnifying lens （81% of subjects） to reading the brochure, which was felt to take too long. Recognition of border irregularity, color variation, and diameter improved significantly after the intervention. Women recognized color variation more often than men （94% vs 62%; odds ratio [ORI, 23.7; 95% confidence interval [CI], 16. 1 -50.5） . Men identified irregular borders more often than women （91% vs75%; OR, 16.8; 95% CI, 4.5- 22. 6） . Women appropriately decided to see a physician more often than men （81% vs 57%; OR, 13.5; 95% CI, 7.1 -28.4） Conclusions： Determining the presence of the A, B, C, and E criteria is challenging for the novice. Skills training aided performance of skin self-examination. Differences in proclivities according to sex suggest that if men and women form partnerships for skin checks,

关 键 词：黑色素瘤 危险度 进展期 技能训练 标准 皮肤科医生 学习 自我检查 宣传资料 颜色变化 

分 类 号：R739.5[医药卫生—肿瘤] R734.2[医药卫生—临床医学]