胃癌查:遵守的意图和患者的观点
João Carlos Silva1,2, Mário Dinis-Ribeiro2,3, Fernando Tavares4
1Gastroenterology Department, Unidade Local de Saúde Gaia e Espinho (ULSGE), Vila Nova de Gaia, Portugal.
Helicobacter
|September 10, 2024
概括
大多数人愿意接受胃癌 (GC) 和结直肠癌 (CRC) 的结合内镜查. 然而,对GC症状和风险因素的认识仍然很低,这凸显了改善消化系统健康教育的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 胃癌 (GC) 是全球癌症死亡的主要原因.
- 在中等风险地区,结合上部胃肠内镜 (UGIE) 和结肠镜查可能具有成本效益.
研究的目的:
- 评估结合内镜查 (UGIE和结肠镜检查) 的坚持意图.
- 评估对GC症状,风险因素和查障碍的知识.
主要方法:
- 葡萄牙北部的横截面研究.
- 在符合结直肠癌 (CRC) 查条件的个人中使用了PERCEPT-PREVENT工具.
- 包括三个组:尚未被邀请进行CRC查,FOBT阳性转移到结肠镜检查和初级结肠镜检查.
主要成果:
- 综合内镜查的接受率高 (94%).
- 愿意加入的意愿很高 (97%),并获得全额退款.
- 大多数参与者对GC症状 (76%),风险因素 (73%) 和UGIE并发症 (85%) 缺乏认识.
- 与更高的坚持意图相关的因素包括定期的初级保健随访,较低的负面健康后果和较低的财务负担.
结论:
- 对结合内镜查的意愿很高,受到减少感知障碍的影响.
- 在消化系统健康素养方面的重大差距需要有针对性的教育干预措施.
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