健康教育对家族性大肠癌患者早期诊断的价值

目的:探讨通过卫生宣教和健康指导的干预,对提高家族性大肠癌高危人群患者早期诊断率的影响。方法:对83个大肠癌高危家族进行心理护理、提高对大肠癌临床症状的认识、坚持随访和密切追踪、定期进行大便常规和潜血检查、重视肛门指检和肠镜检查及肠镜检查前肠道准备、注重饮食调节、发现病灶及时手术切除;共诊断大肠癌186例,并与对照组162例比较。结果:健康教育组186例,漏诊半年以上6例(3.2%);对照组162例,漏诊半年以上18例(11.1%),X2=8.34,P<0.01,健康教育组的早期诊断率明显占优。结论:通过卫生宣教和健康指导的干预,可提高家族性大肠癌高危人群患者早期诊断率,是早期防治大肠癌,改善患者生活质量、延长生存期的有效方法。

Objective：Discussing the influence to the early diagnosis of high risk group of familial carcinoma of 1arge intestine through the hygiene prophylaxis and health guidance.Method：Nursing 83 patients who with familial carcinoma of large intestine in mentality,raising the awareness for them,Insisting on follow-up and closing tracking,taking stool examination and occult blood regularly.Pay attention to digital rectal examination,enteroscopy and the bowel preparation before enteroscopy,so do their dietary modifications.Focus are found and surgically removing at once.We have diagnosed 186 cases of colorectal cancer and compared them with the 162 ones of control groups.Result：The group of healthy guidance is 186 cases,and missed 6 ones which above half year,that take up 3.2% of them.Control group is 162 cases,and missed 18 ones which above half year.X2=8.34,P0.01.The early diagnosis for the group of healthy guidance is in the ascendant.Conclusion：Through intervene with health guidance and health instruction that improve the diagnosis rate of high risk group of familial carcinoma of 1arge intestine.There is a effective way for discovering the large intestine earlier,and providing prevention that improve the quality of their life and life longer.