广州医科大学学报

目的:分析深圳社区居民结直肠癌筛查认知及肠镜检查意愿现况,为制定有利于提高肠镜检查依从性措施提供依据。方法:对深圳市宝安区塘尾社区常住居民653例进行问卷调查,分析居民对结直肠癌的认知程度和肠镜检查意愿,探讨影响肠镜检查依从性的因素。问卷将腹痛、血便、消瘦、腹泻、腹部肿块、排便习惯改变列为结直肠癌的报警症状。结果:问卷风险评估初筛阳性人数111例(17.0%)。调查对象对结直肠癌报警症状的知晓情况显示,知晓全部6种报警症状仅有10例(1.5%),知晓1种、2种、3种、4种、5种报警症状的人数分别为185例(28.3%)、99例(15.2%)、62例(9.5%)、29例(4.4%)、16例(2.5%),完全不清楚结直肠癌报警症状的有252例(38.6%)。本次调查中372例(57.0%)愿意接受结直肠癌筛查,仅有176例(26.9%)愿意接受肠镜筛查。愿意接受肠镜检查者中排在前3位的原因分别是医生建议(40.9%)、担心自己得大肠癌(19.9%)、有消化道不适症状(18.2%)。拒绝肠镜检查的主要原因依次是怕痛(28.7%)、认为没必要(25.8%)、太忙没时间(12.6%)。结论:社区居民结直肠癌筛查顺应性不高,怕痛、认为没必要、太忙没时间是拒绝肠镜检查的主要原因。需充分利用社区资源,针对上述原因开展对应措施,促进结直肠癌宣教及筛查普及工作。

Objective:To analyze the current status of awareness about colorectal cancer(CRC)screening and willingness to colonoscopy in Shenzhen community residents,and to provide evidence for developing measures to improve adherence to colonoscopy.Methods:A questionnaire survey was conducted among 653 residents of Tangwei community in Baoan District,Shenzhen.The residents' awareness of colorectal cancer and their willingness to colonoscopy were analyzed,and the factors affecting their adherence to colonoscopy were investigated.In the questionnaire,abdominal pain,bloody stools,weight loss,diarrhea,abdominal masses,and changes in bowel habits were listed as alerting symptoms of CRC.Results:There were 111 subjects(17.0%)screened positive according to risk assessment of the questionnaire.Regarding the residents' awareness about the alerting symptoms of CRC,only 10(1.5%)reported that they knew all the symptoms.The number of residents who knew one,two,three,four and five of the alerting symptoms was 185(28.3%),99(15.2%),62(9.5%),29(4.4%)and 16(2.5%),respectively.A total of 252(38.6%)residents were completely unclear these alerting symptoms of CRC.In this survey,372(57.0%)residents reported that they were willing to receive a CRC screening.Only 176(26.9%)were willing to undergo colonoscopy for the screening;among them,the first three leading reasons for the willingness to undergo colonoscopy were physicians' recommendation(40.9%),concerns about having colorectal cancer(19.9%),and presence of gastrointestinal discomfort(18.2%).The main reasons for rejecting colonoscopy were fear of pain(28.7%),perceived unnecessity(25.8%),and too busy(12.6%).Conclusion:Community residents are not well adhere to colorectal cancer screening.Fear of pain,perceived unnecessity,and too busy are major reasons for rejecting colonoscopy.It is important to promote the education and screening of CRC with response measures targeting these reasons by taking advantage of community resources.