میزان آگاهی دانشجویان دندان‌پزشکی سال آخر در مورد سبب‌شناسی و اقدامات درمانی سرطان سلول‌های سنگفرشی دهان

نوع مقاله : مقاله‌های پژوهشی

چکیده

مقدمه: سسرطان‌زایی حفره‌ی دهان، فرایندی پیچیده است، تشخیص و درمان زودهنگام ضایعات سرطانی و پیش‌سرطانی، مهم‌ترین عامل در کاهش مرگ و میر می‌باشد. هدف از مطالعه‌ی حاضر، بررسی میزان آگاهی دانشجویان دندان‌پزشکی سال آخر دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان) در سال 1400-1401 در مورد سبب‌شناسی و اقدامات درمانی سرطان سلول‌های سنگفرشی حفره‌ی دهانی بود.
مواد و روش‌ها: مطالعه‌ی حاضر به روش توصیفی- تحلیلی و به شیوه‌ی سرشماری انجام شد. پرسش‌نامه‌ی محقق ساز به صورت حضوری توزیع و تکمیل گردید؛ تجزیه و تحلیل دادها در دو بخش توصیفی و استنباطی انجام شد. اطلاعات جمع‌آوری شده با استفاده از آزمون ناپارامتری Mann–Whitney و ضریب همبستگی  Spearmanدر سطح خطای 0/05درصد مورد بررسی قرار گرفت (0/05 p value ≤).
یافته‌ها: در مطالعه‌ی حاضر حدود 6/60 درصد دانشجویان ترم 11 و حدود 39/4 درصد ترم 12 بودند و میانگین سنی دانشجویان 25/73 سال بود. طبق بررسی دادهای جمع‌آوری شده، میانگین نمره‌ی آگاهی 5/74 از 10 بود. تفاوت معنی‌داری بین میانگین آگاهی دانشجویان ترم 11 و 12 در حیطه‌ی سبب‌شناسی وجود نداشت (0/147 = p value) در حالی که بین میانگین آگاهی دانشجویان ترم 11 و 12 در حیطه‌ی پیش‌آگهی و درمان، تفاوت معنی‌دار وجود داشت (0/001 = p value)، همچنین تفاوت معنی‌داری بین میانگین آگاهی دانشجویان (در دو حیطه‌ی سبب‌شناسی و درمان) با سنین مختلف وجود نداشت (0/245 = p value و 0/425 = p value).
نتیجه‌گیری: نتایج مطالعه‌ی حاضر نشان داد، سطح دانش و آگاهی دانشجویان در رابطه با سرطان سلول‌های سنگفرشی دهان تا حد مطلوب و رضایت‌بخش فاصله دارد.
کلید واژه‌ها: دهان؛ کارسینوم سلول سنگفرشی؛ دانش؛ علت‌شناسی؛ درمان

عنوان مقاله [English]

The Level of Knowledge of Final Year Dental Students About the Etiology and Therapeutic Measures of Oral Squamous Cell Carcinoma Lesions

چکیده [English]

Introduction: Carcinogenesis of the oral cavity is a complex process and oral cancer is one of the 10 most common cancers worldwide. Oral squamous cell carcinoma accounts for 90% of oral cancers, the most important risk factors of Oral squamous cell carcinoma (OSCC) are using tobacco and drinking alcohol. Early detection of cancerous and pre-cancerous lesions and timely referral is the most important factor in reducing mortality associated with OSCC, the purpose of this study is to investigate the level of knowledge of final year dental students at Isfahan Islamic Azad University (Khorasgan) during 1400-1401 regarding the etiology, Diagnosis and treatment of oral squamous cell carcinoma.
Materials and Methods: The present study was carried out in a descriptive and analytical method and in a census method, and a researcher-made questionnaire was distributed among the students in person; Data analysis was done in two descriptive and inferential sections. The collected data were analyzed using the non-parametric Mann-Whitney test and the Spearman correlation coefficient at the error level of 0.05% (p value ≤ 0.05).
Results: In this study, about 60.6% of students were in the 11th semester and about 39.4% were in the 12th semester with average age of 25.73 years. The average awareness score was approximately average (score 5.74 out of 10). There was no significant difference between the average knowledge of the 11th and 12th semester students regarding etiology, while 12th semester students showed significantly higher knowledge in terms of prognosis and treatment compared to 11th semester students. There was no significant difference in the average knowledge between students of different ages in the fields of etiology and treatment.
Conclusion: The results of the present study showed that the level of knowledge and awareness among students regarding OSCC lesions is far from satisfactory.
Keywords: Mouth; Carcinoma squamous cell; Knowledge; Prognosis; Etiology; Therapeutics

1. Pereira MC, Oliveira DT, Landman G, Kowalski LP. Histologic subtypes of oral squamous cell carcinoma: prognostic relevance. J Can Dent Assoc 2007; 73(4): 339-44.
2. Andisheh-Tadbir A, Mehrabani D, Heydari ST. Epidemiology of squamous cell carcinoma of the oral cavity in Iran. J Craniofac Surg 2008; 19(6): 1699-702.
3. Feller L, Lemmer J. Oral squamous cell carcinoma: Epidemiology, clinical presentation and treatment. J Cancer Ther 2012; 3(4): 263-8.
4. McDowell JD. An overview of epidemiology and common risk factors for oral squamous cell carcinoma. Otolaryngol Clin North Am 2006; 39(2): 277-94.
5. Le Campion ACO, Ribeiro CMB, Luiz RR, da Silva Júnior FF, Barros HCS, Dos Santos KCB, et al. Low survival rates of oral and oropharyngeal squamous cell carcinoma. Int J Dent 2017; 2017: 5815493.
6. Chen YK, Huang HC, Lin LM, Lin CC. Primary oral squamous cell carcinoma: an analysis of 703 cases in southern Taiwan. Oral Oncol 1999; 35(2): 173-9.
7. McDowell JD. An overview of epidemiology and common risk factors for oral squamous cell carcinoma. Otolaryngol Clin North Am 2006; 39(2): 277-94.
8. Amin S, Rahman I, Jan Z, Saeed T, Tayyab T, Amin J. Public awareness and knowledge of oral cancer and its risk factors in Lahore City, Pakistan. Pakistan J Medical Health Sci 2022; 16(4): 746-9.
9. Shiboski CH, Shiboski SC, Silverman Jr S. Trends in oral cancer rates in the United States, 1973-1996. Community Dent Oral Epidemiol 2000; 28(4): 249-56.
10. Al-Maweri SA, Abbas A, Tarakji B, Al-Jamaei AS, Alaizari NA, Al-Shamiri HM. Knowledge and
opinions regarding oral cancer among Yemeni dental students. Asian Pac J Cancer Prev 2015; 16(5): 1765-70.
11. Jaber M, Abu-Fanas SH. The pattern of occurrence of oral squamous cell carcinoma in Libya. Ibnosina J Med Biomed Sci. 2010; 2: 105-10.
12. da Silva SR, Juliano Y, Novo NF, Weinfeld I. Comparative study of knowledge about oral cancer among undergraduate dental students. Einstein (Sao Paulo) 2016; 14(3): 338-45.
13. Applebaum E, Ruhlen TN, Kronenberg FR, Hayes C, Peters ES. Oral cancer knowledge, attitudes and practices: a survey of dentists and primary care physicians in Massachusetts. J Am Dent Assoc 2009; 140(4): 461-7.
14. Honarmand M, Hajihosseini A, Akbari F. Oral cancer knowledge of senior dental students in Zahedan, South-East of Iran. Asian Pac J Cancer Prev 2014; 15(7): 3017-20.
15. Abdal K, Mortezaee K, Haidari S, Darvishi M. Evaluation of general dentists’ knowledge about oral cancer in Ilam, Iran in 2016. J Bas Res Med Sci 2019; 6(1): 36-40.
16. Jamshidi S, Zargaran M, Moghimbeigi A, Delkhah M, Baghaei F. A comparison between the knowledge of dental students and general dentists about oral squamous cell carcinoma (Hamadan-Iran) [in Persian]. J Mashhad Dent Sch 2012; 36(1): 23-36.
17. Azad A, Talattof Z, Niakan N. Evaluation of knowledge and diagnostic skills of general physicians and dentists in the city of Shiraz about squamous cell carcinoma [in Persian]. J Mashhad Dent Sch 2015; 39(4): 291-302.
18. Taheri JB, Namazi Z, Azimi S, Mehdipour M, Behrovan R, Rezaei Far K. Knowledge of oral precancerous lesions considering years since graduation among dentists in the capital city of Iran: a pathway to early oral cancer diagnosis and referral? Asian Pac J Cancer Prev 2018; 19(8): 2103-8.
19. Hassona Y, Scully C, Abu Tarboush N, Baqain Z, Ismail F, Hawamdeh S, et al. Oral cancer knowledge and diagnostic ability among dental students. J Cancer Educ 2017; 32(3): 566-70.
20. Lorenzo-Pouso AI, Gandara-Vila P, Banga C, Gallas M, Perez-Sayans M, Garcia A, et al. Human papillomavirus-related oral cancer: Knowledge and awareness among Spanish Dental Students.
J Cancer Educ 2019; 34(4): 782-8.
21. de Lima Medeiros Y, de Matos Silveira G, Clemente VB, Leite ICG, Vilela EM, de Abreu Guimarães LD. Knowledge about oral cancer among dental students and Primary Health Care dentists: A Brazilian study. J Dent Educ 2022; 86(11): 1488-97.
22. Fatani B, Alabood AA, Almuqrin RF. Knowledge, attitude, and practices of Saudi Dental Students regarding oral/oropharyngeal cancer: A cross-sectional study. J Nat Sci Med 2022; 5(3): 225-9.