探索非参与结直肠癌查:对定性研究的系统审查
Alice Le Bonniec1, Oonagh Meade1, Milou Fredrix2
1Health Behaviour Change Research Group, School of Psychology, University of Galway, Galway, Ireland.
Social science & medicine (1982)
|June 22, 2023
概括
结直肠癌查率低的原因是缺乏知识,恐惧和医疗保健系统障碍. 通过有针对性的信息和支持来解决这些问题,可以改善参与癌症查计划的情况.
科学领域:
- 公共卫生 公共卫生
- 癌症研究 癌症研究
- 定性研究是指质量研究.
背景情况:
- 结肠直肠癌是全球重要的健康问题.
- 尽管有查计划,但全球参与率仍然很低.
- 了解不参与的原因对于改善公共卫生结果至关重要.
研究的目的:
- 分析关于对结直肠癌查态度的定性文献.
- 探索符合条件的个人不参与的原因.
- 确定提高查普及率的策略.
主要方法:
- 使用了一种元民族学方法.
- 2021年5月,在五个数据库中进行了系统搜索.
- 使用CASP检查清单,对13项定性研究进行了批判性评估.
主要成果:
- 出现了三个主要主题:动机差异 (缺乏感知到的必要性,低意图),积极的厌恶 (恐惧,厌恶,不想知道) 和上下文障碍 (实际约束,不良的医疗保健关系).
- 不参与的结果是矛盾,对查程序/结果的厌恶,以及支持不足.
- 障碍包括心理因素,感知必要性和系统问题.
结论:
- 多种因素导致人们不参加结直肠癌查.
- 有针对性的干预措施,包括说服性信息传递,对程序的保证和加强医疗保健专业人员的支持,可以增加查的普及率.
- 解决矛盾,负面反应和系统障碍是改善结直肠癌查率的关键.
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