【摘要】 目的探讨健康信念模式指导下的护理干预对提高大肠癌高危人群结肠镜检查依从性的效果。方法选取我院所在辖区2015年3月～2017年2月初筛为大肠癌高危且未行肠镜检查的人群110例,按照随机数字表法分为试验组和对照组,各55例,对照组采用常规护理干预,试验组采用健康信念模式指导下的护理干预;持续干预1年;比较两组人群干预前后对大肠癌认知情况、健康信念问卷(HBM)得分情况及肠镜检查率。结果干预后试验组大肠癌筛查认知、肠镜检查认知、大肠癌高危因素认知评分明显高于对照组[(9.22±3.10) VS (7.33±2.86),(15.13±4.01) VS (10.40±3.23),(14.52±4.54) VS (12.13±3.45)],差异有统计学意义(P <0.05);干预后试验组HBM中易感性认知、严重性认知、益处认知、障碍认知及行为线索评分明显高于对照组,差异有统计学意义(P <0.05);干预1年内试验组肠镜检查率为30.91%(17/55)高于对照组7.27%(4/55),差异有统计学意义(χ~2=9.946,P <0.05)。结论健康信念模式指导下的护理干预能够明显提高大肠癌高危人群肠镜检查依从性,提高知识认知程度。更多还原

【Abstract】 Objective To explore the effect of nursing intervention under the guidance of health belief model on improving colonoscopy compliance in high-risk population with colorectal cancer. Methods 110 patients who were diagnosed as by primary screening and without colonoscopy in the jurisdiction of our hospital from March 2015 to February 2017 were selected.According to the random number table,they were divided into the experimental group and the control group,with 55 cases in each group.The control group was given routine nursing intervention while the experimental group was given nursing intervention under the guidance of the health belief model.The intervention continued for 1 year.The cognition of colorectal cancer,the score of health belief questionnaire(HBM) and the rate of colonoscopy were compared before and after intervention in the two groups.The cognitive status of the colorectal cancer,the score of the health belief model questionnaire(HBM) and the rate of colonoscopy before and after the intervention were compared between the two groups. Results After intervention,the cognitive scores of colorectal cancer screening,colonoscopy and risk factors of colorectal cancer were significantly higher in the experimental group than in the control group(9.22±3.10 VS 7.33±2.86,15.13±4.01 VS 10.40±3.23,14.52± 4.54 VS 12.13±3.45).The differences were statistically significant(P < 0.05).After intervention,the susceptibility cognition,severity cognition,benefit cognition,disorder cognition and behavioral cue scores of HBM in the experimental group were significantly higher than those in the control group,and the difference was statistically significant(P < 0.05).The colonoscopy rate of the experimental group was 30.91%(17/55) within 1 year after intervention,higher than that of the control group. The difference was statistically significant(χ~2=9.946,P < 0.05). Conclusion Nursing intervention under the guidance of health belief model can significantly improve colonoscopy compliance and improve knowledge cognition in high-risk patients with colorectal cancer.更多还原