| 胡凤琴,钞利娜,任红勤.农村上消化道癌早诊早治随访筛查顺应性影响因素分析[J].中国肿瘤,2019,28(9):651-656. |
| 农村上消化道癌早诊早治随访筛查顺应性影响因素分析 |
| Factors Influencing the Compliance of Follow-up Screening for Early Diagnosis and Treatment of Upper Gastrointestinal Cancer in Rural Areas |
| 投稿时间：2019-03-27 |
| DOI：10.11735/j.issn.1004-0242.2019.09.A003 |
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| 中文关键词: 早诊早治 随访 癌前病变 顺应性 筛查 上消化道癌 |
| 英文关键词:early diagnosis and treatment follow-up precancerous lesion compliance screening upper gastrointestinal cancer |
| 基金项目:河南省医学科技攻关计划项目（201702344） |
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| 中文摘要: |
| 摘 要：［目的］ 分析农村上消化道癌早诊早治随访筛查顺应性的影响因素，探讨提高随访率的实现途径。［方法］ 选取2015年7月至2016年6月需要接受随访筛查的随访对象312例，应用随访筛查一般医学知识知晓调查问卷和基本信息调查表进行调查。采用χ2检验比较随访组与失访组基本信息的差异，独立样本t检验比较随访筛查一般医学知识知晓得分上的差异。应用Spearman相关分析研究基本信息和随访筛查一般医学知识知晓得分与实现随访的相关性，多元线性回归分析研究随访筛查顺应性影响因素。 ［结果］ 回收有效问卷312份，出自随访组199例、失访组113例。检验分析结果表明，随访筛查一般医学知识知晓得分、对上消化道癌早诊早治认知程度、文化程度、就业方式、居住状态、健康状况、家庭结构、有无癌症家族史、子女对上消化道癌早诊早治认知程度，是随访筛查顺应性的影响因素（P<0.01）。 ［结论］ 改进、创新随访筛查宣传发动的方式和方法，提高随访筛查一般医学知识知晓率，减少制约随访筛查顺应性的主、客观因素，是解决早诊早治随访率不达标的关键。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the influencing factors of compliance of follow-up screening for early diagnosis and treatment of upper gastrointestinal cancer in rural areas. ［Methods］ A questionnaires survey on general medical knowledge about screening of upper gastrointestinal cancer was conducted from July 2015 to June 2016 among 340 subjects who were identified as high risk of cancer and planned to be followed further screening in rural area of Hebi city. The difference of basic information between the follow-up group and the missing follow-up group was compared through χ2 test；awareness scores of general medical knowledge was tested through independent sample t-test. The correlation of the compliance of follow-up with the basic information，the general medical knowledge about follow-up and screening was assessed by Spearman’s test，and the influencing factors of follow-up and screening compliance were analyzed by multivariable linear regression. ［Results］ Among 312 valid questionnaires，there were 199 subjects in the follow-up group and 113 in the missing follow-up group. The influencing factors of follow-up screening compliance included the awareness scores of general medical knowledge about follow-up and screening，cognition degree of early diagnosis and treatment of upper gastrointestinal cancer，education level，occupation，living condition，health condition，family structure，family history of cancer，and cognition degree of participants’ children on early diagnosis and treatment of upper gastrointestinal cancer（P<0.01）. ［Conclusion］ To improve the follow-up screening compliance it is necessary to upgrade and innovate the health education patterns and methods，to increase the general medical knowledge about follow-up and screening according to the relevant influencing factors among the residents in rural area. |
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