赣南医学院学报2024，Vol.44Issue(1)：77-87,11.DOI:10.3969/j.issn.1001-5779.2024.01.013
基于筛查平台对肠息肉镜下切除术后人群的"医院-社区"联动管理干预效果评价
Study on impact assessment of hospital-community linkage management intervention based on screening platform for colorectal polyposectomy
摘要
Abstract
Objective:To reduce the recurrence rate of intestinal polyps and their risk factors,and thereby reduce the incidence of colorectal cancer in urban populations and improve their survival rate;relying on the urban cancer early diagnosis and early treatment project screening platform,under the guidance of the hospital-community linkage management model constructed in the early stage,based on the IMB skills model(information-motivation-behavioral skills model)to provide health management intervention for residents after intestinal polypectomy.Methods:A random sampling method was used to select 1 200 residents after intestinal polypectomy in 97 communities in Nanchang city as the research subjects,with 600 residents in the control group and 600 intervention groups each.The control group implemented routine health management,and the intervention group implemented hospital-community linkage health management intervention based on the control group.The colonoscopy re-examination compliance rate and intestinal polyp recurrence rate between the two groups after the intervention were compared,and also the BMI,waist circumference and colorectal status of community residents before the intervention(T0),one month after the intervention(T1)and after two years of follow-up(T2),cancer prevention and treatment knowledge awareness rate and health behavior level were also included.Results:Altogether 509 people in the control group and 521 people in the intervention group completed this study.The compliance rate of colonoscopy review in the intervention group(59.12%)was higher than that in the control group(35.95%),and the recurrence rate of intestinal polyps in the intervention group(34.09%)was lower than that in the control group(47.54%),with statistical significance(P＜0.05).The results of repeated measures analysis of variance showed that after the intervention,the awareness rate and health status of residents in the intervention group about colorectal cancer prevention and treatment at different time points were higher than those in the control group,and their weight and waist circumference levels were lower than those in the control group,with statistical significance(P＜0.05).Conclusion:The hospital-community linkage health management intervention is effective in promoting colonoscopy re-view compliance,reducing the recurrence rate of intestinal polyps,improving BMI and waist circumference levels,im-proving colorectal cancer prevention and treatment knowledge,and promoting healthy behaviors among people after intestinal polypectomy.The positive significance is that it provides a reference for government to make decisions on cancer prevention and control,and also provides new ideas and models for the health management of other high-risk groups of cancer.关键词
肠息肉/"医院-社区"联动/健康干预/息肉复发/健康行为Key words
Intestinal polyps/Hospital-community linkage/Health intervention/Polyps recurrence/Health behavior分类
医药卫生引用本文复制引用
钟燕,许燕鸿,钟春霞,魏清风,夏叶,马盈,黄蕾,牛瑞祥..基于筛查平台对肠息肉镜下切除术后人群的"医院-社区"联动管理干预效果评价[J].赣南医学院学报,2024,44(1):77-87,11.基金项目
国家癌症中心攀登基金项目(NCC201914B07) （NCC201914B07）
江西省重点研发计划项目(2020BBGL73167) （2020BBGL73167）
江西省肿瘤医院科研开放基金项目(2021J11) （2021J11）
