消化系统癌症高危人群预防主动行为现状调查与影响因素分析  

Survey on proactive preventive behaviors and influencing factors among high risk individuals of digestive system cancer

作　　者：王一龙[1] 贺学敏 孙钰 刘华[1] WANG Yilong;HE Xuemin;SUN Yu;LIU Hua(Gastroenterology Endoscopy Center,Shanghai Tenth People's Hospital,School of Medicine,Tongji University,Shanghai 200072,China)

机构地区：[1]同济大学附属第十人民医院消化内镜中心,上海200072

出　　处：《同济大学学报（医学版）》2024年第3期422-428,共7页Journal of Tongji University(Medical Science)

摘　　要：目的调查消化系统癌症高危人群相关预防知识、行为、动机和技巧,了解其癌症预防的主动行为水平并分析影响因素。方法采用方便抽样,对2022年6月—8月在同济大学附属第十人民医院内镜中心完成胃镜和(或)肠镜的322例患者进行消化系统癌症高危人群预防主动行为调查,使用消化系统癌症高危人群预防主动行为测评量表分析高危人群的预防主动行为水平及不同维度的影响因素。结果322例消化系统癌症高危人群的预防主动行为总分为(83.63±10.89)分,处于优秀水平;DSC-PPBS总分单因素分析显示仅吸烟史、饮酒史组内差异具有统计学意义(P<0.05);相关性分析显示年龄、性别、家族史、吸烟史、饮酒史、胃肠镜经历6个特征与消化系统癌症高危人群预防主动行为得分具有相关性(P<0.05);线性回归分析显示回归模型具有显著的统计学意义(F=5.568,P<0.001),自变量能解释预防主动行为变化的6.6%;年龄、家族史、吸烟史、胃肠镜经历对预防主动行为的影响具有统计学意义(P<0.05)。结论消化系统癌症高危人群的预防主动能力尚可,年纪越大、有癌症家族史、有吸烟史、有胃肠镜经历的人群采取预防癌症的行为更加积极主动。Objective To investigate the proactive preventive behaviors among high-risk individuals of digestive system cancer and their influencing factors.Methods A total of 322 high-risk individuals,who completed gastroscopy and/or colonoscopy at Gastroenterology Endoscopy Center of Shanghai Tenth People's Hospital from June to August 2022,were selected by convenience sampling method.A questionnaire survey on general information was conducted and the Proactive Prevention Behavior Scale in the Population at High Risk of Digestive System Cancer(DSC-PPBS)was assessed.The levels of proactive preventive behaviors and their influencing factors were analyzed.Results The proactive preventive behavior total score of 322 participants was(83.63±10.89),reaching an excellent level.Univariate analysis showed that there were significant difference in DSC-PPBS total scores between individuals with and without smoking history,between those with and without drinking history(P<0.05);age,gender,family history,smoking history,drinking history,and gastroenteroscopy experience were significantly correlated with the scores of proactive preventive behaviors(P<0.05).Linear regression analysis showed that the regression model was significantly significance(F=5.568,P=0.000),and the independent variables explained 6.6%of the variation in preventive active behavior;the age,family history,smoking history,and gastroenteroscopy experience had a significant effect on preventive active behavior(P<0.05).Conclusion The proactive ability to prevent cancer among people at high risk of digestive system cancers is quite good in this study.People with older age,a family history of cancer,a history of smoking and experiencing gastroenteroscopy are more proactive in adopting cancer prevention behaviors.

关 键 词：消化系统 主动预防 癌症风险认知 预防技巧 预防动机 

分 类 号：R730.1[医药卫生—肿瘤]