北京市丰台区马家堡地区社区居民结直肠癌筛查认知及肠镜检查依从性分析

Analysis of Colorectal Cancer Screening Cognition and Compliance with Colonoscopy of Community Residents in Majiapu Area,Fengtai District,Beijing

目的分析北京市丰台区马家堡地区社区居民结直肠癌筛查认知及肠镜检查依从性状况。方法选取2022年1月—2023年1月北京市丰台区马家堡地区某社区常住居民200例作为研究对象展开调查,分析社区居民结直肠癌筛查认知及肠镜检查依从性状况。结果结直肠癌具体筛查结果显示:结直肠癌风险初筛阳性38例(19.00%);结直肠癌报警症状知晓结果显示:腹痛知晓人数30例(15.00%)、腹泻知晓人数为25例(12.50%)、血便知晓人数为90例(45.00%)、消瘦治疗知晓人数为15例(7.50%)、腹部肿块知晓人数66例(33.00%)、排便习惯改变知晓人数为70例(35.00%);结肠癌筛查方式依从性结果显示:筛查依从性从高到低为不愿意筛查(80/200)>结肠镜(60/200)>粪便DNA(20/200)>粪便隐血(17/200)>肿瘤标志物(10/200)>结肠胶囊内镜(13/200);愿意接受肠镜筛查的影响因素中占比最大的是医生建议(95例,占47.50%),占比最小的是直系亲属罹患大肠癌及电视媒体的报道(各3例,各占1.50%);拒绝接受肠镜筛查的影响因素中,怕痛占比最高(60例,占30.00%),占比最小因素为不相信结果(1例,占0.50%)。结论北京市丰台区马家堡地区社区居民结直肠癌筛查认知不足,肠镜检查依从性较低,需要加强肠镜筛查普及。

Objective To analyze status of colorectal cancer screening cognition and compliance with colonoscopy of community residents in Majiapu area,Fengtai District,Beijing.Methods The paper chose 200 permanent residents of a community in Majiapu District,Fengtai District,Beijing from January 2022 to January 2023 for survey,analyzed colorectal cancer screening cognition and compliance with colonoscopy.Results Specific screening results for colorectal cancer showed,there were 38(19.00%)cases with positive colorectal cancer risks during initial screening.Awareness results of colorectal cancer alarm symptom showed,there were 30(15.00%)cases being aware of abdominal pains,25(12.50%)cases being aware of diarrhea,90(45.00%)cases being aware of bloody stools,15(7.50%)cases being aware of weight loss treatment,66(33.00%)cases being aware of abdominal masses,and 70(35.00%)cases being aware of changes in bowel habits.Compliance results of colon cancer screening methods showed,screening compliance from high to low was as follows:unwillingness to screen(80/200)>colonoscopy(60/200)>fecal DNA(20/200)>fecal occult blood(17/200)>tumor markers(10/200)>colon capsule endoscopy(13/200).The factor with the highest proportion of willingness for colonoscopy screening was recommendation of doctors,with 95 cases(47.50%),and that with the lowest proportion was colorectal cancer of immediate family members,with 3 cases(1.50%).Among influencing factors of refusing colonoscopy screening,pain fear accounted for the highest proportion of 60(30.00%),and the lowest proportion was not believing the result of 1(0.50%).Conclusion Community residents in Majiapu area of Fengtai District,Beijing have insufficient colorectal cancer screening cognition and low compliance with colonoscopy.It is necessary to strengthen popularization of colonoscopy screening.