基于健康信念模式下社区前列腺癌筛查远程管理方案的构建及应用

Construction and application of remote management scheme of community prostate cancer screening based onhealth belief model

目的 构建基于健康信念模式下社区前列腺癌筛查远程管理方案,并验证其应用价值。方法 构建基于健康信念模式下前列腺癌筛查远程管理方案,应用于2021年12月-2022年3月我院在社区筛查的86例前列腺癌初筛阳性患者的健康管理(观察组),与2021年8-11月83例患者(对照组)进行历史对照。对照组接受社区医院的常规健康教育,综合医院电话随访;观察组在对照组的基础上,实施基于健康信念模式的前列腺癌筛查远程管理。比较2组患者就诊率、就诊间隔时间、前列腺癌确诊率、下尿路症状、疾病知识知晓水平及健康促进生活方式,记录观察组患者管理程序使用数据和使用满意度。结果 初筛阳性患者就诊率由30.12%提升到58.13%,就诊间隔时间由(12.5±7.1)d缩短到(10.5±6.7)d, 2组比较差异均有统计学意义(P<0.05);观察组前列腺癌确诊率为6.98%,高于对照组的2.41%,观察组程序随访反馈率达89.64%,程序使用满意度高于90%。结论 本研究构建的前列腺癌筛查远程管理方案能为社区患者提供科学、高效的健康管理,提高患者就诊率,促进前列腺癌患者的早诊早治。

Objective To construct a remote management program for prostate cancer screening in the community based on the health belief model and verify itsapplication value.Methods The remote management program based on health belief modelwas applied to the pre-hospital management of 86 patients(observation group)with positive preliminary screening of prostate cancer screened in the community from December 2021 to March 2022,and the historical comparison was made with 83 patients(control group)from August to November 2021.The control group received routine health education in community hospital and telephone follow-up in general hospital;On the basis of the control group,the observation group carried out remote management of prostate cancer screening based on the health belief model.The consulting rate,interval between consultation,diagnosis rate,lower urinary tract symptoms,level of disease knowledge,and health-promoting lifestyle were compared between 2 groups,data and satisfaction ofthe patient management procedures in the observation were recorded.Results The consulting rate of primary sieve positive patientswas improved from 30.12%to 58.13%,and the interval between consultation was shortened from(12.5±7.1)days to(10.5±6.7)days,and the differences of these indicates between 2 groups were statistically significant(P<0.05).The diagnosis rate of the observation group was 6.98%and was higher than that of the control group 2.41%,and the follow-up rate in the observation group was 89.64%,and the satisfaction rate of the remote management program was above 90%.Conclusion The remote management program for prostate cancer screening not only can provide scientific and efficient health management for patients,but also can improve the consulting rate of patients,and promote early diagnosis and early treatmentin patients with prostate cancer.