遗传性大肠癌患者一级亲属肿瘤早治疗意识现况及其相关因素分析  

Awareness regarding early treatment and related factors in first-degree relatives of patients with hereditary colorectal cancer

作　　者：王会杰 王建华 徐丹 王娜 Hui-Jie Wang;Jian-Hua Wang;Dan Xu;Na Wang(Department of Nursing,Tianjin Beichen District Hospital of Traditional Chinese Medicine,Tianjin 300400,China;Department of Surgery,Tianjin Beichen District Hospital of Traditional Chinese Medicine,Tianjin 300400,China;Department of Orthopedics,Tianjin Beichen District Hospital of Traditional Chinese Medicine,Tianjin 300400,China)

机构地区：[1]天津市北辰区中医医院护理部,天津市300400 [2]天津市北辰区中医医院外科,天津市300400 [3]天津市北辰区中医医院骨伤科,天津市300400

出　　处：《世界华人消化杂志》2021年第19期1138-1143,共6页World Chinese Journal of Digestology

摘　　要：背景遗传性大肠癌的一级亲属是罹患大肠癌的高危人群,但大部分缺乏正确的健康知识及筛查行为,故提升该人群早发现、早诊断、早治疗意识在防治肿瘤、改善预后中尤为重要.目的分析遗传性大肠癌患者一级亲属肿瘤早治疗意识现况及其相关因素.方法本研究采用横断面调查法,通过便利抽样法选择2017-06/2021-03本院住院的200例遗传性大肠癌患者一级亲属作为研究对象,采用自制一般资料调查表及肿瘤早治疗意识问卷进行评估,经单因素、多因素分析影响遗传性大肠癌患者一级亲属肿瘤早治疗意识的相关危险因素.结果共发放问卷200份,回收有效问卷196份,有效回收率为98.00%;196例一级亲属中127例选择积极治疗,占比64.80%;50例选择不积极治疗,占比25.51%,选择不积极治疗的原因中以经济原因、治疗可能带来痛苦、时间原因为主,分别占比72.00%、42.00%、34.00%;非条件Logistic回归分析结果发现,文化程度(初中及以下)、婚姻状况(未婚)、家庭人均月收入(<3000元)、医疗保险(新型农村合作医疗/无医保)、无商业医疗保险、血亲亲属中患大肠癌人数(<4人)、认知水平(低认知)是影响一级亲属肿瘤早治疗意识的危险因素(OR>1,P<0.05).结论遗传性大肠癌患者一级亲属肿瘤早治疗意识有待提高,文化程度低、未婚、家庭人均月收入低、无商业医疗保险等因素可能降低亲属肿瘤早治疗意识,故应针对风险因素制定干预措施,以提升早治疗意识.BACKGROUND First-degree relatives of patients with hereditary colorectal cancer are a population at high risk for colorectal cancer,but most of them lack correct health knowledge and screening behaviors.Therefore,raising the awareness of early detection,early diagnosis,and early treatment among this population is particularly important in preventing and treating tumors and improving prognosis.AIM To analyze the awareness regarding early treatment and related factors in first-degree relatives of patients with hereditary colorectal cancer.METHODS A cross-sectional survey method was used to select 200 first-degree relatives of hereditary colorectal cancer patients who were hospitalized at our hospital from June 2017 to March 2021 as the research subjects.A self-made general information questionnaire was used to collect the basic information of the subjects.An awareness questionnaire was used to identify the risk factors that might affect the awareness regarding early treatment of tumors in the first-degree relatives of hereditary colorectal cancer patients through single-factor and multi-factor analyses.RESULTS A total of 200 questionnaires were issued,and 196 valid questionnaires were returned,with an effective recovery rate of 98.00%;127 of the 196 first-degree relatives chose active treatment,accounting for 64.80%,and 50 chose not to actively treat,accounting for 25.51%.The main reasons for active treatment included economic reasons,fear of pain caused by treatment,and time reasons,accounting for 72.00%,42.00%,and 34.00%,respectively.Non-conditional logistic regression analysis demonstrated that education level(junior high school and below),marital status(unmarried),family per capita monthly income(<3000 yuan),medical insurance(new rural cooperative medical care/no medical insurance),no commercial medical insurance,number of blood relatives suffering from colorectal cancer(<4 people),and cognitive level(low recognition)were risk factors affecting the awareness regarding early treatment of tumors in first-degree r

关 键 词：遗传性大肠癌 一级亲属 肿瘤早治疗意识 相关因素 

分 类 号：R735.34[医药卫生—肿瘤]