| 阿尔达可·纳汗,朱 琳.上消化道癌高危人群筛查的依从性影响因素分析[J].中国肿瘤,2015,24(5):376-379. |
| 上消化道癌高危人群筛查的依从性影响因素分析 |
| Influencing Factors of Compliance on Upper Digestive Tract Cancer Screening |
| 投稿时间：2014-10-23 |
| DOI：10.11735/j.issn.1004-0242.2015.05.A006 |
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| 中文关键词: 上消化道癌 高危人群 筛查 依从性 |
| 英文关键词:upper digestive tract cancer high risk screening compliance |
| 基金项目: |
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| 中文摘要: |
| 摘 要：［目的］ 了解上消化道癌高危个体参与筛查的依从性的影响因素。［方法］ 40～69岁上消化道癌高危个体367例，包括胃癌高危个体259例和食管癌高危个体108例；参与进一步筛查完全依从者234例，不依从者133例。采用问卷调查方式调查筛查的依从性。［结果］ 多因素Logistic回归分析显示：对筛查目的认识不清、学历低和肿瘤家族史可能是影响上消化道癌高危个体低依从性的主要因素。清楚筛查目的个体参与筛查的可能性为不了解筛查目的个体的1.786倍（95%CI：1.115~2.861）。［结论］ 对筛查目的的了解、文化程度和肿瘤家族史是影响高危个体参与筛查依从性的主要因素。应侧重于文化程度低和无肿瘤史人群的健康教育，做好医务人员与筛查高危个体沟通工作，提高人群参与筛查的依从性。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate influencing factors of compliance on screening for upper digestive tract cancer in high-risk individuals.［Methods］ A total of 367 individuals 40~69 years-old with high-risk for upper digestive tract cancer，including 259 persons with high risk for gastric cancer and 108 persons with high-risk for esophageal cancer were enrolled. 234 persons participated in further screening，and 133 person didn’t. The compliance for further screening were investigated by questionnaire. ［Results］ Multivariate Logistic regression showed that screening purposes vague，low education and family history might correlate to compliance for further screening in high risk person for upper digestive tract cancer. The possibilities of individuals with clearly screening purpose was 1.786 times (95%CI：1.115~2.861) compared with that did not understand screening purposes. ［Conclusion］ Understanding the purpose of screening，education and family history of cancer are major reasons for further screening in high-risk person. It is focus on the person with lower education and no cancer family history，and communication of medical personnel with high-risk individuals must be strenghted to improve screening compliance. |
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