基于“未病先防”理念在大肠癌高危人群中开展健康教育  

Health Education Among High-Risk Population of Colorectal Cancer Based on the Concept of"Prevention Before Disease Onset"

作　　者：刘玲娥 李兵剑 贺红梅 Liu Ling-e;Li Bing-jian;He Hong-mei(Preventive Treatment of Disease Center,Traditional Chinese Medicine Hospital of Hengyang City,Hengyang 421001,Hunan Province,China)

机构地区：[1]衡阳市中医医院治未病中心,湖南衡阳421001

出　　处：《中国社区医师》2022年第17期157-159,共3页Chinese Community Doctors

摘　　要：目的:探讨基于中医“未病先防”理念在大肠癌高危人群中开展健康教育的必要性。方法:选取2013年1月-2016年12月在衡阳市中医医院治未病中心筛查出的大肠癌高危患者322例,随机分为两组。观察组进行多维的健康教育及治疗指导;对照组给予定期指导进行肠镜检查。比较两组患者在疾病认知、生活习惯、健康理念、平均复查次数、肠息肉检出及切除数、癌变转化率等指标的差异。结果:观察组疾病认知、生活习惯及健康理念评分均高于对照组,差异有统计学意义(P<0.05);观察组平均复查次数高于对照组,肠镜下平均息肉检出及切除数、癌变转化率均低于对照组,差异有统计学意义(P<0.05)。结论:采用治未病方法进行干预,能够明显提升肠癌高危人群对疾病的认知程度,增强检查及治疗的依从性,从而有利于减少肠癌的发生率。Objective:To explore the necessity of carrying out health education among high-risk population of colorectal cancer based on the concept of"prevention before disease onset"in traditional Chinese medicine.Methods:From January 2013 to December 2016,322 high-risk patients with colorectal cancer screened in the Preventive Treatment of Disease Center,Traditional Chinese Medicine Hospital of Hengyang City were selected,they were randomly divided into the two groups.The observation group conducted multi-dimensional health education and treatment guidance.The control group was given regular guidance for colonoscopy.The differences in indicators such as disease cognition,living habits,health concept,average number of reexaminations,number of intestinal polyps detected and removed,and cancer transformation rate were compared between the two groups of patients.Results:The scores of disease cognition,living habits and health concept in the observation group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).The average number of re-examination in the observation group was significantly higher than that in the control group,the average number of polyps detected and removed under colonoscopy,and the cancer transformation rate were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Intervention with the"preventive treatment of disease"method can significantly improve the awareness of the disease among high-risk population of colorectal cancer,and enhance the compliance with examination and treatment,thereby helping to reduce the incidence of colorectal cancer.

关 键 词：治未病 大肠癌高危人群 临床意义 健康教育 

分 类 号：R248.9[医药卫生—中医临床基础]