328例中晚期结直肠癌患者结直肠癌相关知识认知状况及影响因素分析  

Analysis of cognition status and influencing factors of colorectal cancer related knowledge in 328 patients with mediumand advanced colorectal cancer

作　　者：丁中航 王晓辉[2] 顾晓芬[3] 康小娟 DING Zhong-hang;WANG Xiao-hui;GU Xiao-fen;KANG Xiao-juan(School of Public Health,Gansu University of traditional Chinese Medicine,Lanzhou,Gansu 730000,China;不详)

机构地区：[1]甘肃中医药大学公共卫生学院,兰州730000 [2]甘肃省肿瘤医院公共卫生科,兰州730000 [3]新疆医科大学附属肿瘤医院,乌鲁木齐830000

出　　处：《疾病预防控制通报》2025年第1期9-14,共6页Bulletin of Disease Control & Prevention(China)

基　　金：北京爱谱癌症患者关爱基金项目(2021)。

摘　　要：目的了解中晚期结直肠癌患者结直肠癌相关知识认知状况及影响因素。方法本研究回顾性分析328例中晚期结直肠癌患者结直肠癌相关知识认知状况进行调查问卷,采用卡方检验和二分类Logistic回归分析其影响因素。结果328例患者对于结直肠癌相关知识(高危因素、早期筛查知识、知识来源)的认知状况较低。71.04%的患者不了解结直肠癌的高危因素,86.28%的患者不了解结直肠癌的早筛知识,72.25%的患者不了解关于结直肠癌知识途径;二分类Logistic回归分析显示,教育程度高中及中职的患者认知状况大于小学及以下的患者,(OR=2.134,95%CI∶1.038~4.386)、家庭收入>10万的患者认知状况高于无收入患者,(OR=4.149,95%CI∶1.519~11.335)是对结直肠癌认知的主要影响因素(P<0.05)。结论中晚期结直肠癌患者对结直肠癌相关知识认知较差,教育水平和收入水平是患者认知的影响因素,应优先对教育水平不高、收入较低的患者群体进行干预。Objective To understand the cognitive status of colorectal cancer related knowledge and the influencing factors in the patients with medium and advanced colorectal cancer Methods The cognitive status of colorectal cancer related knowledge was retrospectively analyzed with questionnaire survey in 328 patients with medium and advanced colorectal cancer.The influencing factors were analyzed with Chi-square test and binary Logistic regression analysis.Results The cognition level of colorectal cancer related knowledge(high risk factors,early screening knowledge,sources of the knowledge)was low in 328 patients.The patients who didn't know the high risk factors of colorectal cancer accounted for 71.04%.The proportion of the patients who didn't understand the early screening knowledge was 86.28%,and 72.25%of the patients didn't know the way to get the colorectal cancer knowledge.The results of binary Logistic regression analysis showed the education level cognitive status of the patients with high school or secondary vocational education level was better than the patients with primary school education level or below,(OR=2.134,95%CI:1.038-4.386)and household incomecognitive status of the patients who had the income more than 100000 RMB was better than the patients who had no income,(OR=4.149,95%CI:1.519-11.335)were the main influencing factors of the cognition of colorectal cancer(all P<0.05).Conclusions The cognition of colorectal cancer knowledge in the patients with medium and advanced colorectal cancer is poor.The education and income of the patients are the influencing factors of the cognition.The intervention should be preferentially carried out in the patients with low level of education and poor income.

关 键 词：结直肠癌 中晚期 认知状况 影响因素 

分 类 号：R735.34[医药卫生—肿瘤]