大腸直腸癌患者之一級血親癌症篩檢行為之因素

1. 大腸直腸癌患者之一級血親癌症篩檢行為之因素大腸直腸癌患者之一級血親癌症篩檢行為之因素 • 中文摘要 • 論文摘要 • 本研究旨以健康信念，探討大腸直腸癌患者一級血親執行大腸直腸癌篩檢行為之影響因素，依某醫學中心大腸直腸外科電腦建檔資料，選取90年7月至90年12月，經醫師確立大腸直腸癌診斷半年內患者親屬中，滿40歲以上之一級血親（兄弟姊妹、子女）為研究個案，採橫斷式調查法，以自擬結構式問卷為研究工具，採電話訪談方式收集問卷資料，共收案163人，完成率86.2﹪。重要結果歸納如下： • 一、大腸直腸癌一級血親執行大腸直腸癌篩檢現況 • （一）一級血親聽過大便潛血檢查的比率為42.3%、做過大便潛血檢查的比率為18.4%。 • （二）一級血親聽過大腸鏡檢查的比率為79.8%、做過大腸鏡檢查的比率為23.3%。 • （三）163位研究對象中，曾經執行大便潛血檢查或大腸鏡檢查的比率為31.9%(52人)。 • 二、大腸直腸癌患者一級血親曾經執行大腸直腸癌篩檢之影響因素 • （一）大腸直腸癌患者一級血親的罹患性認知、障礙性認知、健康動機、年齡與大腸直腸疾病經驗與曾經執行大腸直腸癌篩檢行為在統計上有顯著意義。 • （二）一級血親獲得大腸直腸癌篩檢有關之資訊管道來源越多者，曾經執行大腸直腸癌篩檢的機率越增加，在統計上達臨界水準。 • 根據研究結果，本研究建議： • 一、臨床護理人員需加強以家庭為中心之照顧觀念，主動評估和發現家庭成員的健康需要，提供大腸直腸癌相關知識，培養對疾病預防正確觀念。 • 二、利用各種不同資訊管道，依不同年齡族群使用資訊之習慣，提供大腸直腸癌患者一級血親大腸直腸癌篩檢知識並強化一級血親對疾病的罹患性認知與嚴重性認知，使其了解篩檢之重要性。 • 三、透過教育，培養訓練公共衛生護理人員成為健康管理師（case manager），針對大腸直腸癌患者家庭進行追蹤，提供相關知識與建議，提高一級血親執行癌症篩檢之行為。 • 四、提供一級血親可近性的免費篩檢的服務；針對目前提供之成人預防保健服務，建議增加大便潛血檢查項目，提高大腸直腸癌篩檢之比率。 • 關鍵字：大腸直腸癌患者、一級血親、篩檢行為

2. The Study of Factors Associated with Cancer Screening Behavior among First Degree Relatives of Patients with Colorectal Cancer • 英文摘要 • AbstractThe purpose of this study was to determine factors associated colorectal cancer screening behavior among first degree relatives of colorectal cancer patient. A cross-sectional study design was conducted via structure questionnaires. One hundred sixty three of the first degree relatives were interviewed by telephone (responds rate 86.2%). Main results were as follows:1. Colorectal cancer screening behavior of the first degree relatives（1） The percentage of their awareness of Fobt (faecal occult blood test) was 42.3%. Eighteen point four percent had the test performed.（2） The percentage of their awareness of colonscopy was 79.8%. Twenty three point three percent had the test performed.（3） Had Fobt or colonscopy performed in the past was 31.9%.2.The factors related to their previous colorectal cancer screening behavior of first degree relatives are follows:（1） Age, perceived susceptibility, perceived seriousness, perceivedbarriers, health motivation ,colorectal symptoms are statistical significantly related to their previous undertaking colorectal cancer screening.（2） Relatives with more Sources of Health Information are more likely to have colorectal cancer screening.According to these results, I propose that in order to improve the first degree relatives for colorectal cancer screening, we need to:1.Assess the health needs of the family members, increasing their awareness about colorectal cancer screening.2. Providing health information through different venues about their respective cancer risk.3. Training the public health nurses to be a case manager, follow up the needs of the family individually.Key words: Colorectal cancer, First Degree Relatives, Cancer Screening behavior