基于劝导理论的筛查方案对结直肠癌患者家属肠癌筛查的效果  

Effects of Screening Scheme Based on Persuasive Technology in the Screening for Patients’Family Members with Colorectal Cancer

作　　者：徐一格 李艳丽[1] 杨程舒 袁维堂[1] 屈清荣[1] XU Yige;LI Yanli;YANG Chengshu;YUANG Weitang;QU Qingrong(Department of Colorectal and Anal Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院结直肠肛门外科,河南郑州450052

出　　处：《河南医学研究》2024年第11期1953-1958,共6页Henan Medical Research

基　　金：河南省医学教育研究项目(Wjlx2021278)。

摘　　要：目的 探讨基于劝导理论FBM行为模型的筛查方案在结直肠癌患者家属肠癌筛查中的应用效果。方法 选取2022年9至2023年3月在院的结直肠癌患者家属共189名为研究对象,采用基于FBM行为模型及行为转变理论的筛查方案进行肠癌筛查及健康教育。应用《肠癌高危风险评估问卷》进行风险评估,运用《结直肠癌患者家属肠癌筛查调查问卷》进行信息采集,并于调查2个月后随访,了解家属选择的筛查方式与结果。结果 57.67%(109/189)为患者的一级亲属,男89名(47.09%),年龄(44.02±12.03)岁;实施筛查方案干预后,62.43%(118/189)家属选择接受肠道相关筛查,高于干预前(15.87%),差异有统计学意义(P<0.05);结肠镜筛查率为49.21%(93/189),高风险家属的结肠镜检查率为71.56%(78/109);63.56%(75/118)家属筛查结果为阳性,结肠镜检查阳性率为70.97%(66/93)。结论 基于FBM行为模型的筛查方案能够提高结直肠癌患者家属对肠癌筛查的认知和结肠镜筛查参与率,进一步做好自身健康管理。Objective To explore the effects of screening scheme on patients’family members with colorectal cancer based on Fogg behavior model(FBM).Methods A total of 189 patients’family members with colorectal cancer from September 2022 to March 2023 were selected.A screening scheme based on the FBM model and behavioral transformation theory was used for colorectal cancer screening and health education.The“High Risk Assessment Questionnaire for Colorectal Cancer”was applied for risk assessment,and the“Colorectal Cancer Screening Questionnaire for Family Members of Colorectal Cancer Patients”was used to collect information,and follow-up was conducted for 2 months after the survey to understand the screening methods and results chosen by the family members.Results Of the patients’family members,57.67%(109/189)were first-degree relatives,with 89 males(47.09%)and an average age of(44.02±12.03)years,62.43%(118/189)of family members chose to undergo intestinal related screening,higher than before the intervention(15.87%),which had statistically significant differences(P<0.05).The colonoscopy screening rate is 49.21%(93/189),and for high-risk family members,the colonoscopy screening rate was 71.56%(78/109),63.56%(75/118)of family members had tested positive,70.97%(66/93)of family members were examined positive by colonoscopy.Conclusion The screening scheme based on the FBM model can improve the awareness of colorectal cancer patients’family members towards colorectal cancer screening and the participation rate in colonoscopy screening,and further improve their own health management.

关 键 词：结直肠癌 患者家属 肠癌筛查 FBM行为模型 健康教育 

分 类 号：R473.6[医药卫生—护理学]