结直肠癌筛查中肠镜检查依从性影响因素及干预研究进展  

A review of the influencing factors and interventions of colonoscopy compliance in colorectal cancer screening

作　　者：则媛 柏愚 陈鑫 屠惠明[3] ZE Yuan;BAI Yu;CHEN Xin;TU Huiming(Wuxi School of Medicine,Jiangnan University,Wuxi 214122,Jiangsu,China;Changhai Hospital of Shanghai,Shanghai 200433,China;Affiliated Hospital of Jiangnan University,Wuxi 214062,Jiangsu,China)

机构地区：[1]江南大学无锡医学院,江苏无锡214122 [2]海军军医大学第一附属医院(上海长海医院),上海200433 [3]江南大学附属医院,江苏无锡214062

出　　处：《健康体检与管理》2022年第3期259-267,共9页Journal of Health Examination and Management

摘　　要：结肠镜检查作为结直肠癌筛查的金标准,其依从性是衡量结直肠癌筛查质量的重要质控指标。受年龄、性别、经济文化、社会筛查理念的缺乏、医护主动式科普意识不足、肠镜检查资源有限、肠镜高质量检查质控不到位、医保未覆盖筛查的肠镜检查费用等多种因素影响,肠镜检查依从性成为了肠癌筛查的瓶颈问题,国内外肠癌筛查中肠镜检查依从性差距较大。本文通过比对影响国内外肠癌筛查中肠镜检查依从性的影响因素和干预措施,努力探索适合我国高危人群的有效干预措施,以显著提高我国肠镜检查的依从性,减少前期筛查费用的浪费,提高肠癌筛查的效率。Colonoscopy plays a significant role as the gold standard for colorectal cancer screening,and its compliance rate is an important reference indicator to measure the quality of colorectal cancer screening.Currently,influenced by various factors such as age,gender,economy and culture,lack of social screening concept,lack of awareness of medical science,limited colonoscopy resources,inadequate quality control of colonoscopy,and the cost of colonoscopy not covered by medical insurance,the compliance of colonoscopy is the bottleneck problem and is large in colorectal cancer screening at home and abroad.In this paper,by comparing the influencing factors and interventions for colorectal cancer screening,to put more effort into finding out what are suitable interventions for high-risk groups in China,so as to significantly improve the compliance of colonoscopy,reduce the waste of early screening costs and improve the efficiency of colorectal cancer screening in China.

关 键 词：结直肠癌筛查 肠镜检查 依从性 影响因素 干预 

分 类 号：R735.3[医药卫生—肿瘤]