CAJ | 학술논문

目的系统收集影响结直肠癌筛查依从性的因素,了解筛查障碍的原因,为增强依从性提供理论基础.方法计算机检索Pubmed、EMbase、CBM、CNKI、VIP等数据库,手工检索相关文献,纳入影响结直肠癌筛查依从性的定性研究文献.阅读和评价后,采用荟萃分析方法对研究结果进行合并.结果共纳入15项研究,分析结果提示:患者缺乏癌症及筛查相关知识、筛查费用、筛查尴尬心理、害怕筛查并发症或不适性、筛查执行障碍、缺乏医患沟通、缺乏症状和筛查意识等是引起依从性降低的重要因素和原因.结论增强患者认知、改善医患沟通和减少筛查费用,将有利于改善患者筛查依从性,提高筛查效能.
목적 계통수집영향결직장암사사의종성적인소,료해사사장애적원인,위증강의종성제공이론기출.방법 계산궤검색Pubmed、EMbase、CBM、CNKI、VIP등수거고,수공검색상관문헌,납입영향결직장암사사의종성적정성연구문헌.열독화평개후,채용회췌분석방법대연구결과진행합병.결과 공납입15항연구,분석결과제시:환자결핍암증급사사상관지식、사사비용、사사감개심리、해파사사병발증혹불괄성、사사집행장애、결핍의환구통、결핍증상화사사의식등시인기의종성강저적중요인소화원인.결론 증강환자인지、개선의환구통화감소사사비용,장유리우개선환자사사의종성,제고사사효능.
Objective To systematically collect and analyze the influencing factors of patient compliance with colorectal cancer screening in qualitative studies so as to provide a theoretical basis for improving compliance. Methods The databases of Pubmed, EMbase, CBMdisc, CNKI and VIP and the relevant articles were searched. According to the predefined inclusion and exclusion criteria, the qualitative studies of the influencing factors of patient compliance with screening were included. After selection and critical appraisal of the retrieved studies, a meta-analysis was performed. Results A total of 15 studies were included. It was found that several factors had a great impact on the patient compliance of screening. They included a lack of knowledge of cancer and screening, screening costs, a feeling of embarrassment, a fear of screening complications or discomfort, barriers to implementation of screening, a lack of communication with physicians and a lack of symptoms and awareness. Conclusion Screening compliance may be improved through enhancing cognitive function in patients, ameliorating physician-patient communication and lowing the screening costs.