影响结肠镜查的因素在结肠直肠癌患者的一级亲属:混合方法系统审查
Rujin Li1, Caixia Li2, Li Liu3
1School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China.
Worldviews on evidence-based nursing
|November 11, 2023
概括
结直肠癌 (CRC) 患者的第一级亲属 (FDR) 的结直肠镜查率较低. 了解影响查行为的多层次因素是提高查遵守率和降低CRC风险的关键.
科学领域:
- 在瘤学瘤学.
- 预防医学 预防医学
- 健康行为研究 研究健康行为研究
背景情况:
- 结直肠癌 (CRC) 患者的第一级亲属 (FDR) 呈现出高的CRC风险.
- 在这个高风险群体中,结肠镜查率仍然很低,需要针对性的干预措施.
- 现有的审查缺乏对影响FDR查行为的多层次因素的系统审查.
研究的目的:
- 系统地探索影响结肠镜查行为因素在FDRs的CRC患者.
- 应用生态模型框架对这些因素进行全面分析.
主要方法:
- 一个混合方法的系统审查,遵循PRISMA指南.
- 在八个数据库 (1995-2023) 中进行了广泛的文献搜索.
- 使用Joanna Briggs研究所的检查清单进行数据合成和质量评估的融合综合方法.
主要成果:
- 包括23项中等到高质量的研究 (24篇文章).
- 影响查行为的确定因素包括误解,程序性问题,感知易感性,健康动机,恐惧,宿命主义,社会建议,时间安排,成本和癌症禁忌.
- 观察到这些因素之间的相互作用.
结论:
- 建议以家庭沟通为中心的多层次干预措施,以加强在CRC患者的FDR中进行结肠镜查.
- 解决个人,社会和系统因素对于提高查遵守率至关重要.
- 需要有针对性的战略来克服障碍,并促进危险家庭及时进行CRC查.
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