胃癌患者一级亲属胃癌筛查行为现状及影响因素的研究  

Study on Gastric Cancer Screening Behavior and Influencing Factors in First-Degree Relatives of Patients With Gastric Cancer

作　　者：温秀梅[1] 陈玲 苏丹 李霞[3] 达霞 杨青[5] WEN Xiumei;CHEN Ling;SU Dan;LI Xia;DA Xia;YANG Qing(Department of General Surgery,People′s Hospital of Yanjiang District,Ziyang City,Ziyang Sichuan 641300,China;Department of Gastrointestinal Surgery,Ziyang First People′s Hospital,Ziyang Sichuan 641300,China;Department of Thoracic Surgery and Oncology,People′s Hospital of Yanjiang District,Ziyang City,Ziyang Sichuan 641300,China;Department of Geriatrics,People′s Hospital of Yanjiang District,Ziyang City,Ziyang Sichuan 641300,China;Department of Nursing,Sichuan Cancer Hospital,Chengdu Sichuan 610041,China)

机构地区：[1]资阳市雁江区人民医院普外科,四川资阳641300 [2]资阳市第一人民医院胃肠外科,四川资阳641300 [3]资阳市雁江区人民医院胸外肿瘤科,四川资阳641300 [4]资阳市雁江区人民医院老年科,四川资阳641300 [5]四川省肿瘤医院护理部,四川成都610041

出　　处：《中国卫生标准管理》2024年第13期137-142,共6页China Health Standard Management

基　　金：四川省护理学会2022年度四川省基层护理专项科研课题(JH22005);2022年四川省资阳市科技计划项目(Zykjjsc20-yyjc-2022-15)。

摘　　要：目的分析胃癌患者一级亲属胃癌筛查行为影响因素。方法2022年9月—2023年6月,采用自行设计的胃癌认知筛查态度和行为问卷、胃癌拓展平行过程问卷和一般资料调查表,对资阳市雁江区人民医院胃癌患者一级亲属374例进行调查,分析该人群的胃癌筛查情况,探讨胃癌筛查行为的影响因素。结果胃癌患者一级亲属374例中,有96例(25.67%)完成了胃癌筛查;收入、医疗保险、居住地、危险因素认知、感知严重性、感知易感性、感知自我效能是胃癌患者一级亲属胃癌筛查行为的主要影响因素(P<0.05)。结论胃癌患者一级亲属的胃癌危险因素认知和风险感知水平较低,感知自我效能低下,胃癌筛查率低。应重点加强对低收入、农村等人群的胃癌相关知识的健康宣传,提高胃癌患者一级亲属的认知及风险感知水平,提高自我效能水平,切实促进其参与胃癌筛查,以更有效地防治胃癌。Objective To analyze the influencing factors of gastric cancer screening behavior in first-degree relatives of patients with gastric cancer.Methods From September 2022 to June 2023,a total of 374 first-degree relatives of patients with gastric cancer in Ziyang First People′s Hospital were investigated by self-designed attitude and behavior questionnaire,parallel process questionnaire for gastric cancer expansion and general data questionnaire to analyze the situation of gastric cancer screening and explore the influencing factors of gastric cancer screening behavior.Results Among 374 first-degree relatives of gastric cancer patients,96(25.67%)completed gastric cancer screening.Income,medical insurance,place of residence,risk factor cognition,perceived severity,perceived susceptibility and perceived self-efficacy were the main influencing factors of gastric cancer screening behavior in first-degree relatives of patients with gastric cancer(P<0.05).Conclusion First-degree relatives of patients with gastric cancer have low risk factor cognition and risk perception,low perceived self-efficacy,and low screening rate of gastric cancer.It should focus on strengthening the health publicity of gastric cancer related knowledge among low-income and rural groups,improve the cognition and perceived self-efficacy of first-degree relatives of patients with gastric cancer,and effectively improve the screening rate of first-degree relatives of patients with gastric cancer,so as to prevent and treat gastric cancer more effectively.

关 键 词：胃癌 一级亲属 筛查 行为 现状 影响因素 

分 类 号：R735[医药卫生—肿瘤]