南充地区泌尿外科中老年患者参与前列腺癌筛查的意愿及影响因素调查分析  

Investigation and influencing factors of prostate cancer screening willingness in middle-aged and elderly patients in Department of Urology in Nanchong

作　　者：张秋华 郑杨灿 胡燕华 胡蓉[1] 李婷婷[1] 杨小秋 ZHANG Qiu-hua;ZHENG Yang-can;HU Yan-hua;HU Rong;LI Ting-ting;YANG Xiao-qiu(Department of Urology,Nanchong Hospital,Beijing Anzhen Nanchong Hospital,Capital Medical University&Nanchong Central Hospital,Nanchong 637000,Sichuan,CHINA)

机构地区：[1]首都医科大学附属北京安贞医院南充医院南充市中心医院泌尿外科,四川南充637000

出　　处：《海南医学》2025年第5期712-716,共5页Hainan Medical Journal

基　　金：四川省南充市财政局南充市科学技术局科技计划项目(编号:22YYJCYJ0080)。

摘　　要：目的调查南充地区泌尿外科中老年患者参与前列腺癌筛查的意愿,并分析影响其意愿的相关因素。方法选取2021年4月至2022年7月在南充市地区所有二级及以上公立医疗机构的泌尿外科就诊的18674例中老年患者作为调查对象,采用问卷调查所有患者的前列腺癌筛查意愿,根据调查结果分为无筛查意愿组和有筛查意愿组。采用单因素和多因素Logisitic回归分析年龄、婚姻状况、受教育程度、家庭收入、医疗保险等个人基本资料及风险认知(RP)、严重性认知(SP)、收益认知(BP)、障碍认知(BRP)和自我效能(SE)等多个认知情感变量对调查对象前列腺癌筛查意愿的影响,并采用Spearman相关性分析个人基本资料与认知情感变量的相关性。结果共发放调查问卷18674份,有效回收18225份,有效回收率为97.59%,其中有筛查意愿组11072例(60.75%),无筛查意愿组7153例(39.25%);单因素分析结果显示,与有筛查意愿组比较,无筛查意愿组患者的年龄更大,丧偶/离异/未婚比例更高,受教育程度及家庭收入更低,RP、SP、BP、BRP和SE等评分更低,差异均有统计学意义(P<0.05);多因素Logistic回归分析结果显示,RP、SP、BP、BRP和SE等评分<3分均是中老年患者参与前列腺癌筛查意愿的影响因素(P<0.05);Spearman相关性分析结果显示,年龄、婚姻状况与RP、SP、BP、BRP、SE等均呈负相关(P<0.05);受教育程度、家庭收入与RP、SP、BP、BRP、SE等均呈正相关(P<0.05)。结论南充地区泌尿外科中老年患者参与前列腺癌筛查的意愿尚可,但仍有部分患者缺乏筛查意愿;其中RP、SP、BP、BRP和SE等多个认知情感变量均与患者筛查意愿密切相关。Objective To investigate the willingness for prostate cancer screening in middle-aged and elderly patients in Department of Urology in Nanchong and to analyze influencing factors of the willingness.Methods A total of 18674 middle-aged and elderly patients in urology surgery of grade≥2 public medical institutions in Nanchong were enrolled as the investigation objects between April 2021 and July 2022,and a questionnaire survey on prostate cancer screening willingness was performed.According to investigation results,they were divided into non-willingness group and willingness group.The effects of personal basic data(age,marital status,education level,family income,and medical insurance)and cognitive affective variables(risk perception[RP],severity perception[SP],benefit perception[BP],barrier perception[BRP],self-efficacy[SE])on prostate cancer screening willingness were analyzed by univariate and multivariate logisitic regression analysis.The correlation between personal basic data and cognitive affective variables was analyzed by Spearman correlation analysis.Results Of the 18674 questionnaires distributed,18225 were validly returned(97.59%).Among these,11072 patients(60.75%)were in the willingness group,and 7153(39.25%)were in the non-willingness group.Univariate analysis showed that the non-willingness group had older age,higher rates of being widowed/divorced/unmarried,lower education levels and family income,and lower RP,SP,BP,BRP,and SE scores compared to the willingness group(all P<0.05).Multivariate logistic regression identified RP,SP,BP,BRP,and SE scores<3 as significant factors influencing screening willingness(P<0.05).Spearman correlation analysis revealed that age and marital status were negatively correlated with RP,SP,BP,BRP,and SE(P<0.05),while education level and family income were positively correlated with these variables(P<0.05).Conclusion The willingness of prostate cancer screening is general in middle-aged and elderly patients in Department of Urology in Nanchong,but there are still some pa

关 键 词：南充地区 泌尿外科 中老年 前列腺癌筛查 意愿 影响因素 

分 类 号：R737.25[医药卫生—肿瘤]