摘要
目的了解慢病管理人群对结直肠癌筛查的知识、信念、行为现状及影响因素,并与自然人群相比较,为探索基于慢病管理的结直肠癌筛查模式提供参考依据。方法 2014年3月,对北京市右安门社区卫生服务中心前来就诊的慢病管理人群（慢病组）和自然人群（对照组）进行结直肠癌筛查问卷调查,有效问卷381份,其中慢病组193份,对照组188份。结果慢病组与对照组结直肠癌及结直肠癌筛查知识部分中位数分别为10分和8分,差异有统计学意义（Z=-1.98,P〈0.05）;信念部分平均分分别为（49.17±7.33）分和（44.47±6.45）分,差异有统计学意义（t=6.64,P〈0.05）。两组分别仅有7.77%和5.85%的居民参加过结直肠癌筛查,差异无统计学意义（P〉0.05）;80.31%和67.55%的居民有筛查意愿,差异有统计学意义（χ~2=0.06,P〈0.05）。两组人群中不愿意参加筛查的前三位原因均是身体健康没必要、没时间、结肠镜检查痛苦。但筛查过程麻烦无法坚持、筛查有商业目的以及不相信社区卫生服务中心的筛查技术等原因两组人群差异较大。logistic回归分析显示,组别、婚姻状况是居民结直肠癌筛查参与意愿的影响因素。结论慢病管理人群及自然人群的结直肠癌及结直肠癌筛查知识均不足、筛查行为均较差,但慢病管理人群筛查信念及意愿均高于自然人群。
Objective To understand the status and influencing factors of knowledge, beliefs, and practices （KAP） of coloreetal cancer screening between chronic disease patients managed by Community Health Service Center and community residents, to explore the mode of colorectal cancer screening based on chronic disease management. Methods In March 2014, a KAP questionnaire survey of CRC screening was conducted among chronic disease patients managed by You＇anmen Community Health Service Center （CDM group） and commu- nity residents in You＇anmen, Beijing （CR group）. 381 valid questionnaires were received including 193 of CDM group and 188 of CR group. Results In two groups, the median scores of knowledge were 10 and 8 （P〈0.05）, and the average scores of beliefs were 49.17%7.33 and 44.47±6.45 （t=6.64, P〈0.05）. Only 7.77% and 5.85G respondents received CRC screening （P〉0.05）, 80.31% and 67.55G expressed the will- ingness to participate in CRC screening （χ2= 0.06, P〈0.05）. The top three reasons of not having CRC screening were being healthy, having no time, and painfulness of colonoscopy exams. There were significant differences between the two groups in the aspect of rejecting the complicated screening process, suspecting about the screening purpose, being lack of confidence for the Community Health Service Center. Logistic re- gression analysis showed that gender and and marital status were influencing factors of CRC screening. Conclusions Participants in both groups are lack of KAP of CRC screening, however, patients in CDM group have higher beliefs and willingness for CRC screening.
出处
《中国预防医学杂志》
CAS
2015年第12期950-954,共5页
Chinese Preventive Medicine
基金
北京市科技计划重大项目(D121100004712001)
关键词
肿瘤
结直肠
慢病管理
知信行理论
Neoplasms, colorectal
Chronic disease management
NAP theory
