门诊患者大肠癌筛查意愿相关因素及肠镜检查障碍的调查

Willingness of receiving colorectal cancer screening and barriers for receiving colonoscopy examination in outpatients:a survey of the influencing factors

目的分析门诊人群大肠癌筛查意愿的影响因素及肠镜检查障碍情况。方法对市区一家综合性医院的连续性门诊患者通过自制肠镜问卷进行现场调查,分析入选的受调查者的一般情况与筛查意愿的关系,了解影响门诊患者肠镜检查的主要障碍。结果 78.4%(439/560)门诊患者表示愿意参加大肠癌筛查。女性(P=0.005)、低家庭月收入(P=0.013)、缺乏大肠癌认知(P=0.000)者筛查意愿低;门诊患者肠镜检查的主要障碍为缺少医师建议、害怕疼痛、害怕检查的并发症等。结论性别、家庭月收入、大肠癌认知等因素影响着大肠癌筛查顺应性,无痛肠镜可能更有利于大肠癌筛查的推广。

Objective To analyze the factors influencing the willingness of receiving colorectal cancer（CRC） screening and barriers of receiving colonoscopy examination among outpatients.Methods On-site survey with self-designed colonoscopy questionnaires was performed among consecutive outpatients in a comprehensive hospital.The relationship of the general characteristics of eligible participants with the willingness to receive CRC screening was investigated.The barriers of receiving colonoscopy examination were also investigated.Results We found that 78.4%（439/560） of the outpatients were willing to receive CRC screening.Female sex（P=0.005）,low monthly income of the family（P=0.013）,and lack of knowledge on CRC（P=0.000） were associated with a low willingness.The main barriers of receiving colonoscopy examination included lack of recommendations from physicians,fear of pain,and fear of complications caused by the examination.Conclusion Sex,monthly income of the family,and knowledge on CRC can influence the willingness of outpatients to receive CRC screening;painless colonoscopy may help to promote CRC screening.