【摘要】 目的了解浦东新区肝癌、胃癌、肠癌("三癌")高危人群和早期病例对疾病的认知程度和诊治行为,探讨适合浦东新区的早发现防制模式。方法采用自行设计的调查问卷,对337名高危病例以及64名"三癌"早期病例的早发现认知情况和诊治行为进行调查。结果高危病人干预后的认知情况比干预前和早期病例好,高危病人比早期病人更愿意进行随访和复查,高危病人比早期病人更易于接受医生的检查项目、更愿意在同一家医院进行诊治,其差异均有统计学意义(P<0.05);干预前,高危对象中应答次数百分比最高的知晓途径为门诊医师(42.43%),而干预后,主要知晓途径均为社区医师(100.00%);高危病人没有遵照医嘱进行随访和复查的主要原因在于症状减轻(53.66%),他们最愿意接受的是临床医师和社区随访医师提供的定期随访复查建议(94.95%),不愿意接受定期检查的主要原因是认为检查有痛苦(69.23%)。结论 "三癌"高危病人和早期病人应该通过分类干预和分区域、分职责的管理,合理配置医疗资源,加大宣传力度,增强居民健康意识,提高早发现率。更多还原

【Abstract】 Objective To understand the knowledge of cancers and diagnosis and treatment behaviors of high-risk population and patients in early stage of liver cancer, gastric cancer or intestines cancer in Pudong New Area, so as to develop the local prevention model for early cancer detection. Methods By questionnaire, to survey the knowledge of cancers and the diagnosis and treatment behaviors of 337 high-risk persons of the three cancers and 64 patients in early stage of the three cancers. Results The knowledge of high-risk population after intervention is better than before, and also better than that of patients in early stage of cancer. The high-risk persons have more willingness to do the follow-up visiting and re-check than patients in early stage, and more willingness to accept the medical check and to diagnose and treat in the same hospital than patients in early stage (P<0.05). Before intervention, the access ways for the high-risk population to relative knowledge are from clinicians (42.43%). However, the main accessed ways are all from community clinicians after intervention (100.00%). The reason that high-risk persons do not continue the follow-up visiting and re-check according to the doctor’s advice is symptom relief (53.66%). These persons are most willing to accept those services of regular follow-up visiting by community clinicians or doctors (94.95%). The main reason for their unwillingness to accept regularly check is the check-up pain (69.23%). Conclusion It is suggested to manage the high-risk population and patients in early cancer stage by intervention according to the category, region, and function. At the same time, it is necessary for related organizations to allocate medical resources rationally and to strengthen publicity. The final aim is to enhance the residents’ awareness of health and improve early detection rates of cancers.更多还原