有肝癌家族史肝癌高危人群监查依从性及其影响因素分析

Analysis of Monitoring Compliance and Influencing Factors of Liver Cancer High-risk Group with Family History

目的调查有肝癌家族史的肝癌高危人群监查依从性及影响因素,探讨如何对有肝癌家族史的肝癌高危人群进行健康教育。方法建立调查表,包括一般资料问卷、监查依从性问卷、Champ ion健康信念量表,方便抽样进行问卷调查。研究对象为有肝癌家族史的肝癌高危人群83名为观察组,对照组为正常人群70名。采用Logistic回归方法进行统计分析。结果观察组仅29人知道需要定期检查血清甲胎蛋白和肝脏B超,其中15人能进行定期检查,34人得到医生的指导和建议定期检查,40人得到护士的指导和建议定期检查,11人认为不需要进行定期检查,监查依从率为18.1%。对定期检查的认知和感知的障碍是有肝癌家族史的肝癌高危人群进行定期检查的影响因素。结论有肝癌家族史的肝癌高危人群健康教育知识缺乏,希望医护人员进行相关知识的指导,提高对定期检查的认识,减少定期检查的障碍,而医护人员的指导和建议是影响肝癌高危人群预防肝癌、定期检查的重要因素。

Objective To investigate the monitoring compliance and the influencing factors of liver cancer high-risk group with family history;to explore the approaches on health education to them. Methods A questionnaire was set up, including general information, monitoring compliance, the measure of champion health belief, to process convenient-sampled questionnaire investigation. The research subjects were composed of the observation group of 83 people from liver cancer high-risk group with family history and the contrast group of 70 people from normal population. Logistic regression method was used for statistical analysis. Results Only 29 out of 83 people from liver cancer high-risk group with family history knew the necessity to periodical examine serum alpha-fetoprotein and type-B ultrasonic for liver; 15 had periodical examination;34 were instructed and suggested periodical examination by doctors and 40 by nurses. 11 people did not think it was necessary to have periodical examination. The monitoring compliance rate was 18.1%. The obstacles of recognizing and perceiving periodical examination were influencing factors of liver cancer high-risk group with family history not taken periodical examination. Conclusion Liver cancer high-risk group with family history is usually lack of health knowledge. It is recommended that the doctors and nurses should instruct them with related knowledge, improve their recognition and decrease the obstacles of periodical examination. The investigation shows the instruction and suggestion from doctors and nurses are important factors influencing liver cancer high-risk group with family history to prevent liver cancer and have periodical examination.