在中国实施结肠直肠癌查管理的障碍和促进因素:一项混合方法研究
Bingzi Shi1, Jing Zhang, Yasi Zhang
1Author Affiliations: Nursing Department (Drs Shi and Zhang and Mss Zhang and Xu) and General Practice Clinic (Mr Cui), The Fourth Affiliated Hospital of Harbin Medical University; and School of Nursing, Harbin Medical University (Dr Sun), Harbin, Heilongjiang, China.
Cancer nursing
|January 22, 2025
概括
在中国实施结肠直肠癌查 (CRCS) 面临挑战. 这项研究确定了改善CRCS计划和减少癌症死亡的关键障碍和促进因素.
科学领域:
- 公共卫生 公共卫生
- 预防癌症 预防癌症
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结肠直肠癌 (CRC) 是中国癌症死亡的主要原因.
- 有效的CRC查计划对于降低死亡率至关重要.
- 在中国医疗保健机构实施全面的CRC查存在重大挑战.
研究的目的:
- 确定在中国实施结直肠癌查 (CRCS) 的障碍和促进因素.
- 根据已识别的因素,推有效的增强CRCS计划策略.
- 为改善结直肠癌的早期检测提供可操作的见解.
主要方法:
- 一个混合方法研究,利用实施研究综合框架 (CFIR).
- 从中国哈尔社区卫生中心和三级医院的128名从业者和440名居民收集的数据.
- 通过描述性统计和物流回归分析的定量数据;通过定向内容分析分析的定性数据.
主要成果:
- 在5个CFIR领域确定了CRCS实施的18个促进者和29个障碍.
- 在个人特征 (11 个障碍) 和创新 (5 个障碍) 中发现了显著的障碍.
- 辅导者在外部环境 (5个辅导者) 和个人特征 (5个辅导者) 中最为普遍.
结论:
- 医疗保健专业人员和公众认为中国的CRCS的关键促进者和障碍.
- 建议采取定期培训,公共教育,财政支持和改善可访问性等策略.
- 研究结果为优化中国医疗保健系统中CRCS实施提供了实际见解.
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