南昌市结直肠癌高危人群肠镜筛查的依从性研究

Compliance of colonoscopy screening in high risk population of colorectal cancer in Nanchang

目的:分析南昌市结直肠癌高危人群筛查依从性及主要影响因素,为南昌市城市癌症早诊早治决策提供参考依据。方法:选取南昌地区被评估为结直肠癌高危人群200例为研究对象,根据自身意愿决定是否参与结直肠镜筛查,并完成结直肠癌筛查问卷调查,分析结直肠癌高危人群筛查依从性的主要影响因素。结果:192例研究对象中,42例接受了结直肠镜检查。多因素logistic回归分析发现:肠镜检查有痛苦,肠道准备太复杂,害怕检查出阳性结果,认为自己是结直肠癌发病高风险人群是肠镜筛查依从性的影响因素。结论:在工作中,应针对结直肠癌高危人群进一步加大社区健康教育及防癌知识普及,使其意识到自己为高危人群,同时缓解该人群对结直肠镜筛查的恐惧心理,进而提高结直肠镜筛查的依从性。

Objective:To analyze the compliance and main influencing factors of screening for high risk population of colorectal cancer in Nanchang city,and to provide reference for decision making of early diagnosis and treatment of cancer in Nanchang city.Methods:200 cases of high risk population of colorectal cancer in Nanchang were selected as the research object,and the main influencing factors of screening compliance of high risk population of colorectal cancer were analyzed according to their willingness to participate in colorectal endoscopy screening and completed the questionnaire survey of colorectal cancer screening.Results:Of 192 subjects,42 underwent colonoscopy.Multivariate logistic regression analysis found that:enteroscopy is painful,intestinal preparation is too complex,and fear of positive results.Considering oneself as a high risk group for colorectal cancer is the influencing factor of enteroscopy screening compliance.Conclusions:In future work,community health education and cancer prevention knowledge should be further popularized among high risk groups of colorectal cancer to make them realize that they are high risk groups,and alleviate their fear of colorectal screening,so as to improve their compliance with colorectal screening.