东莞市社区居民肺癌早期筛查意愿影响因素分析  

Analysis of influencing factors on intention of early screening of lung cancer among community residents in Dongguan

作　　者：黎淑仪 盘瑞兰[1] 李启芬 苏敏茹 徐丽梅[1] 袁晓芬 LI Shuyi;PAN Ruilan;LI Qifen;SU Minru;XU Limei;YUAN Xiaofen(Dongguan People's Hospital,Dongguan 523000,Guangdong,China;Shijie Community Health Service Station,Dongguan 523290,Guangdong,China)

机构地区：[1]东莞市人民医院,广东东莞523000 [2]东莞市石碣镇社区卫生服务中心,广东东莞523290

出　　处：《护士进修杂志》2024年第1期89-92,105,共5页Journal of Nurses Training

基　　金：广东省东莞市科技特派员项目(编号:20201800500702);广东省东莞市社会科技发展重点项目(编号:201950715001182)。

摘　　要：目的 探讨东莞某社区居民肺癌早期筛查意愿及影响因素。方法 采取便利抽样法,选取2021年7月-2022年10月东莞市某社区40~74岁居民为研究对象,采用自行设计的调查问卷进行调研,分析社区居民肺癌早期筛查意愿及影响因素。结果 共调查社区居民1 219人,有肺癌筛查意愿的占47.7%(n=582);肺癌早期筛查意愿单因素分析结果显示,性别、年龄、婚姻状况、受教育程度、医保类型、平均月收入是肺癌早期筛查意愿得分的影响因素(P<0.05),多因素logistic回归分析结果显示,受教育程度、医保类型(公费)是肺癌早期筛查意愿的影响因素(P<0.05)。结论 东莞社区居民肺癌早期筛查意愿较低,加强对文化程度低、家庭收入低、医疗保障差等重点人群的健康教育将有助于提高社区居民肺癌早期筛查率,利于社区肺癌的早期防控。Objective To investigate the intention and influencing factors of early screening of lung cancer among residents in a community in Dongguan.Methods Using convenience sampling method,residents aged 40-74 in a community in Dongguan City from July 2021 to October 2022 were selected as the research subjects.A self-designed survey questionnaire was used to investigate and analyze the willingness and influencing factors of community residents for early lung cancer screening.Results A total of 1219 community residents were surveyed,with 47.7%(n=582)showing a intention to screen for lung cancer;The results of univariate analysis showed that while gender,age,marital status,education level,type of medical insurance,and average monthly income were the influencing factors for lung cancer screening intention scores(P<0.05);The results of multivariate logistic regression analysis showed that education level and type of medical insurance(public)were the influencing factors of screening intention(P<0.05).Conclusions The intention of residents in Dongguan community to undergo early lung cancer screening is relatively low.Strengthening health education for key populations such as low education level,low family income,and poor medical security will help improve the early screening rate of lung cancer among community residents and facilitate early prevention and control of lung cancer in the community.

关 键 词：社区 肺癌 早期筛查 意愿 影响因素 

分 类 号：R473.73[医药卫生—护理学]