在结直肠癌患者的第一级亲属中探索影响结直肠镜决策的因素:一种混合方法研究
Hanbin Chen1, Yiming Jiang2, Jingyi Wang1
1Department of Gastrointestinal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
结直肠癌患者的一级亲属通常会因为收入和婚姻状况等因素而推迟结直肠镜查. 干预措施应解决这些障碍,以提高查率.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康行为研究 研究健康行为研究
背景情况:
- 在中国,结直肠癌的家族病史是显著的风险因素.
- 结肠镜对于早期检测和降低风险至关重要.
- 有限的混合方法研究存在于亲属之间的结肠镜查决策.
研究的目的:
- 评估结直肠癌患者一级亲属的决策行为.
- 确定影响他们结肠镜查决定的因素.
主要方法:
- 混合方法的解释性顺序设计.
- 定量阶段:对中国武汉的亲属进行问卷调查 (n=272).
- 定性阶段:以保护动机理论为指导的半结构面试 (n=16).
主要成果:
- 参与者通常具有较高的健康信念分数.
- 关键影响因素:婚姻状况,收入,付款方式,感知到的严重程度.
- 定性主题:易感性,严重性,奖励,有效性,成本,自我有效性.
结论:
- 针对未婚/寡妇,低收入亲属,感知严重程度低的目标干预措施.
- 通过改善社会支持,提供补贴,增加保险退款和强调疾病严重程度来加强查.
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