Where’s my what? A survey of anatomical knowledge in a community in Western Melbourne

Morgan Jones, Catherine J Krejany, M. Jiwa
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Abstract

Background and Aims This study aimed to explore if members of the public could identify the location of major body organs as well as pain associated with major organ pathologies. Method A survey of 100 participants was conducted in Melbourne, Australia. Participants were invited to mark the location of two internal organs and the site of pain for two pathologies on a manikin. Five anatomical questions and four clinical scenario questions were randomised prior to data collection. Photographs of participant responses were compared to responses of a doctor, and if a site within the same area was identified the participant was deemed correct. Results Correct identification of body organ site was poor at 34 per cent (±6.6%; CI 95%) and only slightly better for the location of pain related to clinical pathologies at 39 per cent (±6.8%; CI 95%). Respondents were more likely to identify the location of the heart, or pain associated with a myocardial infarction; 51.2 per cent (±15.3%; CI 95%) and 79.6 per cent (±10.7%; CI 95%), respectively. A minority, 18.6 per cent (±11.6%; CI 95%), were able to locate the gallbladder, and fewer still, 6.4 per cent (±7%; CI 95%), identified the location of pain due to cholelithiasis (gallstones). Conclusion Most respondents failed to identify the major organs or the likely location of pain for related pathologies. Limited anatomical knowledge is reflected in the literature, however, these results were poorer than previous studies suggest. These data have implications for help-seeking behaviour and may be a factor in delayed presentation for serious pathology.
我的什么呢?西墨尔本某社区解剖学知识调查
背景与目的本研究旨在探讨市民是否能识别身体主要器官的位置以及与主要器官病变相关的疼痛。方法在澳大利亚墨尔本对100名参与者进行调查。参与者被邀请在人体模型上标记两个内部器官的位置和两种疾病的疼痛部位。在数据收集之前随机抽取5个解剖学问题和4个临床情景问题。参与者回答的照片与医生的回答进行比较,如果在同一区域内确定了一个地点,则认为参与者是正确的。结果对身体器官部位的正确识别率为34%(±6.6%;CI 95%),与临床病理相关的疼痛定位仅略好于39%(±6.8%;CI 95%)。受访者更有可能识别心脏的位置,或与心肌梗死相关的疼痛;51.2%(±15.3%;CI 95%)和79.6%(±10.7%;CI 95%)。少数,18.6%(±11.6%;CI 95%),能够定位胆囊,更少,6.4%(±7%;CI 95%),确定了胆石症(胆结石)引起的疼痛部位。结论多数患者对相关病变的主要脏器及可能的疼痛部位不清楚。有限的解剖学知识反映在文献中,然而,这些结果比以前的研究表明的要差。这些数据对寻求帮助的行为有影响,可能是严重病理延迟表现的一个因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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