安徽地区肝癌高危人群肝癌筛查依从性及其影响因素研究  

Compliance of liver cancer screening and its influencing factors in high-risk population for liver cancer in Anhui region

作　　者：王丽娟 卢素珍 孟雪云 王惠 孙会芹 WANG Lijuan;LU Suzhen;MENG Xueyun;WANG Hui;SUN Huiqin(College of Nursing,Anhui Medical University,Hefei 230032,China;People's Hospital of Sixian County)

机构地区：[1]安徽医科大学护理学院,安徽合肥230032 [2]泗县人民医院

出　　处：《华南预防医学》2023年第5期592-595,607,共5页South China Journal of Preventive Medicine

摘　　要：目的探讨安徽地区肝癌高危人群肝癌筛查的依从性,并对相关影响因素进行分析,为制定相关管理策略提供参考依据。方法选取2020年11月至2022年5月于宿州市某医院参加体检且根据防癌评估结果评估为肝癌高风险成年居民为研究对象,进行腹部超声检查以及甲胎蛋白(α-fetoprotein,AFP)检测,采用自制调查问卷对肝癌高危人群进行问卷调查,对肝癌高危人群筛查情况进行分析,并通过单、多因素分析方法分析肝癌高危人群筛查依从性的影响因素。结果802例肝癌高危者中,有386例接受了随后的肝癌筛查,参与率为48.13%。多因素Logistic回归分析显示,年龄<60岁(OR=4.424)、汉族(OR=2.765)、饮酒(OR=5.551)、慢性肝炎(OR=4.250)、脂肪肝(OR=5.140)、胆结石病史(OR=2.757)、肝癌家族史(OR=5.590)是肝癌高危人群肝癌筛查依从性的独立影响因素。结论安徽地区肝癌高危人群肝癌筛查参与依从性不高,针对相关影响因素给予针对性的干预措施,对于提升筛查依从性具有重要价值。Objective To explore the compliance of liver cancer screening in high-risk population for liver cancer in the Anhui region,and analyze the related influencing factors,to provide a reference for formulating relevant management strategies.Methods Adult residents who participated in a physical examination in a hospital in Suzhou City from November 2020 to May 2022 and were assessed to be at high risk of liver cancer according to the results of the anti-cancer assessment were selected as the subjects for abdominal ultrasound examination and α-fetoprotein(AFP)detection.A self-made questionnaire was used to investigate the high-risk population for liver cancer.The screening status of the high-risk population for liver cancer was analyzed,and the influencing factors of screening compliance for the high-risk population for liver cancer were analyzed through univariate and multivariate analysis methods.Results Among the 802 high-risk individuals for liver cancer,386 underwent subsequent liver cancer screening,with a participation rate of 48.13%.Multivariate Logistic regression analysis showed that age<60 years old(OR=4.424),Han nationality(OR=2.765),alcohol consumption(OR=5.551),chronic hepatitis(OR=4.250),fatty liver(OR=5.140),history of gallstones(OR=2.757),and family history of liver cancer(OR=5.590)were independent influencing factors for compliance of liver cancer screening in high-risk population for liver cancer.Conclusions The participation compliance of liver cancer screening in the high-risk population for liver cancer in the Anhui region is not high.It is of great value to provide certain intervention measures for relevant influencing factors to improve screening compliance.

关 键 词：体检 肝癌 高危人群 肝癌筛查 依从性 影响因素 

分 类 号：R195[医药卫生—卫生统计学]