中国全科医学2017，Vol.20Issue(6)：645-650,6.DOI:10.3969/j.issn.1007-9572.2017.06.003
农村结直肠癌筛查组织动员模式探讨
Model of Mobilization of Colorectal Cancer Screening in Rural Area
摘要
Abstract
Objective To explore the model of mobilization of colorectal cancer(CRC)screening that is suitable for the characteristics of rural populations,and to improve the participation rate of CRC screening of the villagers. Methods By community - based participatory research(CBPR)method,the mobilization model of CRC screening in rural area on the basis of CBPR method was designed under the guidance of knowledge,attitude and practice(KAP)theory,and the theory of community involvement. The model mainly included intervening measures such as establishing the community screening team,identifying the demands by baseline survey,establishing screening models by community leaders,community leaders assisting in promoting education,and community leaders guiding medical staff in offering personalized persuasion for the villagers door to door. Community intervention test was used to evaluate the effectiveness of the model of mobilization of CRC screening. From March to August 2014,two villages(Wuhou Village and Gushankou Village)were selected from 27 administrative villages in Hancunhe Town of Fangshan District in Beijing as research sites by purposive sampling method,and were divided into intervention group (Wuhou Village)and control group(Gushankou Village). The intervention group adopted the model of mobilization based - on CBPR method while the control group used the routine mobilization method. Free CRC screening was carried out by selecting the eligible villagers who had local household registration from the study site as the screening subjects. Researchers recorded the preliminary participation rates,the completion rates of the first round of FOBT and the second round of FOBT,and the screening completion rate of the two groups. Results There were 911 cases in the intervention group and 936 cases in the control group. The participation rates of preliminary CRC screening for villagers in the intervention group and control group were 35. 6% (324 / 911) and 11. 6% (109 / 936)respectively,the completion rates of the first round of FOBT of the two groups were 85. 5% (277 / 324) and 87. 2% (95 / 109)respectively,the completion rates of the second round of FOBT of the two groups were 71. 3% (231/ 324)and 55. 0% (60 / 109)respectively,the completion rates of preliminary screening of the two groups were 71. 3% (231/ 324)and 55. 0% ( 60 / 109 ) respectively. Multivariate Logistic regression analysis showed that the participation rate of preliminary screening,the completion rate of the second round of FOBT and the completion rate of preliminary screening in intervention group after controlling gender and age were higher than those in control group(P ﹤ 0. 05),while the completion rate of first round of FOBT was not significantly different between the two groups(P ﹥ 0. 05). Conclusion The mobilization model of CRC screening in rural area on the basis of CBPR has effectively improved the participation rate of CRC screening,Being simple and convenient,the model is appropriate for mobilization of CRC screening in rural area.关键词
结直肠肿瘤/筛查/农村/社区参与式研究方法/组织动员Key words
Colorectal neoplasms/Screening/Rural area/Community - based participatory research method/Mobilization分类
医药卫生引用本文复制引用
杨文珍,王亚东,王贵齐,徐俊杰,刘茉..农村结直肠癌筛查组织动员模式探讨[J].中国全科医学,2017,20(6):645-650,6.基金项目
北京市科学技术委员会（D121100004712001）---结肠癌早期预警及筛查规范研究 （）
