上海城市社区大肠癌高危人群肠镜筛查顺应性影响因素分析  

Analysis of influencing factors on compliance of colonoscopy in high-risk groups of colorectal cancer in Shanghai urban community

作　　者：熊安 曹奕鸥 苏畅[1,2] Xiong An;Cao Yiou;Su Chang(Department of Gastrointestinal,Minhang Hospital Affiliated to Fudan University,Shanghai 201199,China;Minhang Branch,School of Public Health,Fudan University,Shanghai 201199,China)

机构地区：[1]复旦大学附属闵行医院胃肠外科,上海201199 [2]复旦大学公共卫生学院闵行分院,上海201199

出　　处：《中国医学前沿杂志（电子版）》2023年第8期43-47,共5页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：复旦-闵行健康联合体合作项目(2020FM12)。

摘　　要：目的调查并分析影响上海城市社区居民大肠癌高危人群肠镜筛查顺应性的相关因素,为提高肠镜筛查顺应性提供干预依据。方法选取2021年1月至2022年6月至复旦大学附属闵行医院就诊的上海城市社区大肠癌高危人群为调查对象。采用《城市社区居民大肠癌筛查顺应性影响因素调查表》进行问卷调查,调查内容包括基本资料、大肠癌认知及筛查意义评价、是否接受肠镜筛查、拒绝肠镜筛查原因等。多因素Logistic回归分析大肠癌高危人群肠镜筛查顺应性的独立影响因素。结果本次调查共收集大肠癌高危者366例,回收有效问卷351份,高危人群肠镜筛查接受率为39.3%。不同性别、年龄、家庭收入、大肠癌筛查价值认可度,既往有无肠道息肉摘除史、自身有无癌症史,肠镜筛查接受率差异皆无统计学意义(P>0.05)。文化程度高中及以上者肠镜筛查接受率高于文化程度初中及以下者,已婚者肠镜筛查接受率高于非婚状态者,在职者肠镜筛查接受率高于非在职者,亲友中有大肠癌史者肠镜筛查接受率高于亲友中无大肠癌史者,对大肠癌危险因素有一定了解者肠镜筛查接受率高于不了解者,对大肠癌症状有一定了解者肠镜筛查接受率高于不了解者,对肠道息肉摘除意义有一定了解者肠镜筛查接受率高于不了解者,差异均有统计学意义(P<0.05)。非婚状态、非在职状态、亲友中无大肠癌史、对大肠癌危险因素不了解、对大肠癌症状不了解、对肠道息肉摘除意义不了解是大肠癌高危人群肠镜筛查顺应性的独立影响因素(P<0.05)。大肠癌高危人群拒绝肠镜筛查原因中居于前3位的分别是害怕肠镜筛查痛苦(49.8%)、不愿暴露隐私部位(17.8%)、肠道准备烦琐(13.6%)。结论上海城市社区居民大肠癌高危人群肠镜筛查顺应性有待提高,需注重大肠癌筛查的健康宣教深度,重视无痛肠镜在转介精筛�Objective To investigate and analyze the related factors affecting the compliance of colonoscopy in patients with high-risk of colorectal cancer in Shanghai urban community.Methods Community residents with high-risk of colorectal cancer who visited Minhang hospital,Fudan university from January 2021 to June 2022 were adopted as respondents.A questionnaire survey including the basic information,cognition of colorectal cancer,evaluation of colorectal cancer screening,acceptance of colonoscopy and reasons for refusing colonoscopy was conducted among respondents.Logistic multiple regression analysis was used to analyze the independent factors of colonoscopy compliance in patients with high-risk of colorectal cancer.Results In this survey,a total of 366 high-risk individuals for colorectal cancer were surveyed,and 351 valid questionnaires were collected.The acceptance rate of colonoscopy screening for high-risk individuals of colorectal cancer was 39.3%.There was no statistically significant difference in the acceptance rate of colonoscopy screening among different genders,ages,family income,recognized the value of colorectal cancer screening or not,with or without previous history of intestinal polyp removal,and with or without personal history of cancer(P>0.05).Highly educated,married,employed,had history of colorectal cancer among relatives and friends,understanding of risk factors for colorectal cancer,understanding of symptoms of colorectal cancer,or understanding of the role of intestinal polypectomy was associated with higher acceptance rate of colonoscopy screening(P<o.05).Not in a state of marriage,unemployed,without history of colorectal cancer among relatives and friends,lack of understanding of risk factors for colorectal cancer,lack of understanding of symptoms of colorectal cancer and lack of understanding of the role of intestinal polypectomy were the independent influencing factors on the compliance of colonoscopy in the individuals with colorectal cancer high-risk.Conclusion The compliance of colonosc

关 键 词：大肠癌 高危人群 筛查 肠镜筛查 影响因素 

分 类 号：R735.34[医药卫生—肿瘤]