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標題: | 糞便潛血陽性民眾接受轉介之相關因子 Factors associated with referral compliance after abnormal fecal occult blood test |
作者: | Chia-Ming Li 黎家銘 |
指導教授: | 季瑋珠 |
關鍵字: | 篩檢,轉介,遵從性,糞便潛血,健康行為, screening,referral,compliance,occult blood,health behavior, |
出版年 : | 2006 |
學位: | 碩士 |
摘要: | 背景:大腸直腸癌的死亡率可藉由糞便潛血檢查下降,然而,死亡率下降原因,部分是來自於潛血陽性之後的進一步評估與處置。本研究目的在探討影響糞便潛血民眾遵從轉介之相關因素。
方法:本研究以2005年台北縣參與國民健康局大腸直腸癌篩檢後,糞便潛血檢測陽性的874名個案為研究對象。226名未在60天內接受轉介之個案為非遵從組,其餘陽性個案在進行頻度配對抽樣後,選出219名即時接受轉介個案為遵從組,以根據健康信念模式設計之問卷進行電話訪問,相同因素下的各題答案相加成為各因素之分數,以對數複回歸分析探討影響糞便潛血陽性民眾遵從轉介之相關因子。 結果:145名遵從組與115名非遵從組個案完成電訪。「自覺疾病罹患性」與「行動提示:資訊」等因素和遵從轉介呈現正相關,而「隨性個性」和遵從轉介呈現負相關。 結論:健康信念模式中有三個因素和糞便潛血檢測陽性後之遵從轉介行為呈現正相關,未來若能針對這些因素加以介入,可能可以增加轉介的遵從性。 Background, Mortality of colorectal cancer can be reduced by fecal occult blood test. However, mortality reduction is partially due to further evaluation and management after a positive test. The purpose of this study was to investigate factors associated with referral compliance of abnormal fecal occult blood test. Methods, Eight hundred and seventy four subjects joining in colorectal cancer screening of “Bureau of Health Promotion” at Taipei County in 2005 and had positive fecal occult blood test were identified. Two hundred and twenty six subjects who did not accept referral within 60 days were classified as non-compliant group. After frequency matching and sampling for the other positive fecal occult blood subjects, there were 219 subjects in non-compliant group. Telephone interviews were performed according to questionnaire designed under Health Belief Model. Answers of questions from same factors were summed up to present score of that factor. Multiple logistic regression was used to assess possible associated factors for referral compliance. Results, One hundred and forty five subjects in compliant group and one hundred fifteen subjects in non-compliant group completed interview. Factors including “Perceived susceptibility” and “Cue to action: information” were positively associated with referral compliance. “Casual personality” was negatively associated with referral compliance”. Conclusion, Three factors in Health Belief Model were associated with referral compliance after positive fecal occult blood test. Referral compliance rate could possibly be improved if the interventions will focus on these factors in the future. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/33082 |
全文授權: | 有償授權 |
顯示於系所單位: | 流行病學與預防醫學研究所 |
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