社区健康教育干预与大肠癌早期诊断的相关性研究

Correlation Between Community Health Education Intervention and Early Diagnosis of Colorectal Cancer

目的分析研究社区健康教育干预与大肠癌早期诊断的相关性,提高社区大肠癌高危人群对大肠癌的防治意识,以利于大肠癌的早期诊断。方法选取2010年11月至2013年3月期间遂溪县域内600名大肠癌高危人群为研究对象,随机将其分成观察组与对照组,每组各300人,给予观察组以健康教育和癌前疾病随访相结合的方式,对大肠癌高危人群实施健康教育干预和预测;给予对照组随访观察,两组随访时间均≥6年。结果观察组早期即A期77例,B期117例,(A+B)期一共占64.7%;对照组A期21例,B期63例,(A+B)期一共占28.0%;两组期别构成差异比较明显,具有统计学意义(P<0.05)。实施社区健康干预后,观察组患者对于大肠癌防治知识的知晓率为95.0%,而对照组为87.7%,两组比较,差异具有统计学意义(P<0.05);观察组辅助性化疗率为82.3%、累积生存率为57.0%,累积死亡率为45.0%,而对照组分别为52.0%,24.0%、74.0%,两组比较差异具有统计学意义(P<0.05)。结论社区健康教育可提高人群对预防大肠癌的重要性及相关知识的认识,有利于大肠癌的早期诊断,适合于农村社区推广。

Objective To analyze the correlation between community health education intervention and early diagnosis of colorectal cancer, to enhance the high-risk group＇s prevention awareness of colorectal cancer, and to facilitate the early diagnosis of colorectal cancer. Methods 600 colorectal cancer high-risk patients in Suixi were selected from Nov. 2010 to Mar. 2013 as the research object, and were randomly divided into observation group and control group, with 300 patients in each group. Health education and precancerous follow-up were implemented to the observation group, while follow-up visit was given to the control group, the period of precancerous follow-up lasting more than 6 years. Results The obervation group had 77 cases in phase A, 117 cases in phase B, with a total of 64.7%. Howerever, the control group had 21 cases in phase A, 63 cases in phase B, with a total of 28.0%. The two groups had statistically significant difference （P 〈0.05）. After the health education intervention, 95.0% of the observation group were aware of the colorectal cancer prevention knowledge, and 87.7% of the control group were aware of the colorectal cancer prevention knowledge, with statistical significance （P 〈0.05）. 82.3 % of the observation group received adjuvant chemotherapy with cumulative survival rate of 57.0% and cumulative mortality of 45.0%, whereas 52.0% of the control group did, with 24.0% and 74.0%, with statistical significance （P 〈0.05）. Conclusions Community health education can improve people＇s awareness of the importance of colorectal cancer prevention and related knowledge, which is helpful for the earlv diamaosis of colorectal cancer in rural communities.