针对癌症和胆管癌的复杂干预:系统性审查和公共教育应用
Sukunta Muadthong1, Jasdeep Brar2,3, Pattapong Kessomboon4
1Department of Pharmacy Technique, Sirindhorn College of Public Health, Khon Kaen, Faculty of Public Health and Allied Health Sciences, Praboromarajchanok Institute Khon Kaen, Khon Kaen, Thailand.
概括
这次审查确定了社区癌症预防计划的关键组成部分,如社区健康教育和传播 (CHEC) 模式,以打击泰国胆管癌 (CCA). 这些发现旨在改善高风险地区的CCA预防和结果.
科学领域:
- 公共卫生和预防医学
- 卫生教育和健康促进
- 癌症流行病学 癌症流行病学
背景情况:
- 胆管癌 (CCA) 在泰国东北部是一个重大的公共卫生挑战,其特点是患病率高,患者预后不佳.
- 基于社区的健康教育和传播 (CHEC) 模式是一个复杂的干预策略,旨在预防CCA.
- 加强CHEC计划需要了解癌症和CCA预防的有效复杂健康干预措施.
研究的目的:
- 系统地审查癌症和CCA预防的复杂健康干预措施.
- 确定以证据为基础的重要组成部分,以加强泰国Khon Kaen的CHEC计划.
- 为制定和评估文化定制的,以社区为基础的癌症预防策略提供信息.
主要方法:
- 对9个电子数据库 (2012年1月 - 2024年3月) 的系统审查,使用实验性社区干预癌症和CCA预防的搜索术语.
- 根据PRISMA指南,两位独立审稿人对标题,摘要和全文进行选.
- 使用混合方法评估工具和叙事数据分析进行偏差风险评估.
主要成果:
- 总共有92项研究被纳入:32项关于CCA预防,60项关于更广泛的癌症预防.
- 11个随机对照试验具有积极的结果和低偏差风险,确定了五个关键干预组件:健康教育,参与者参与,提醒,患者支持和健康影响者.
- 卫生教育成为研究中最一致实施和关键的组成部分.
结论:
- 已确定的干预组件 (健康教育,参与,提醒,支持,影响者) 将被整合到泰国东北部的CHEC模型中.
- 文化定制,多元组件,基于社区的健康教育对于有效预防癌症至关重要,特别是在低收入和中等收入国家.
- 本综述为全球公共癌症教育倡议提供了可操作的见解,以改善CCA结果.
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