社區民眾接受大腸癌篩檢之相關因素探討

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社区民众接受大肠癌筛检之相关因素探讨

To Explore the Related Factors of Colorectal Cancer Screening in the Community

黄于玲 , 硕士　　导师：黄芷苓　　

繁体中文

大肠癌筛检；因素；社区；成人； colorectal cancer screening ； factor ； community ； adult

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摘要 │ 参考文献 (35) │ 国际计量

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Background: In recent years, colorectal cancer has been the third leading cause of death for cancer in Taiwan. Previous studies indicated that colorectal cancer screening can tremendously reduce the mortality of. In Taiwan, the rate of the fecal occult blood test is only 40.7%, which is lower than the rates of cervical cancer screening and oral cancer screening. Few studies focused on the behaviors of colorectal cancer screening in Taiwan. 
Objective: This study is to aim at the related factors of the colorectal cancer screening.
Method: This is a cross-sectional correlation study. Two hundred subjects were recruited in the community in southern Taiwan. The data was collected from October 2015 to January 2016. The inclusion criteria were: adults age 50–75; living in the community; and being able to communicate in Taiwanese/Mandarin The exclusion criteria were: people who had been diagnosed as severe mental illness patients in the past medical history; people who did not pass the simple cognitive assessment, such as name, date of birth and home address, or had been diagnosed to have dementia; and people who are currently the colorectal cancer patients. The structured questionnaire included socio-demographic data, individuals and family health status, nearby medical resources, the related knowledge of the disease, and attitudes and concerns about taking colorectal cancer screening. The statistical methods were descriptive statistics, t-test, chi-square test, and logical regression analysis.
Results: There are major factors influencing participants  taking the colorectal cancer screening: (1) have had full physical examination last year (AOR = 5.55,95% confidence interval (CI):2.65-12.05), (2) receiving the reminder or notice from doctor or nurse personnel (AOR = 5.41，95% CI：1.64-22.11), (3) attitude (AOR = 1.17，95% CI：1.05-1.32).
Conclusion: The results of this study may provide suggestions to administrators of hospitals and health departments to promote colorectal cancer screening program. National Health Insurance Administration, Ministry of Health and Welfare could add colorectal cancer screening in the periodic adult heath examination. Community nurses could apply remaindering methods to promote colorectal cancer screening, as well as implement health education specific to attitudes of colorectal cancer screening to enhance the rate of colorectal cancer screening.

参考文献 ( 35 ) 〈TOP〉

邱慧娟、邱素娥、林秀珍、陈丽琴、陈淑卿（2013）．卫生教育对提升民众大肠直肠癌筛检意图成效之文献回顾．肿瘤护理杂志，15，31-45。
连结：
陈春帆、陈建志、郭冠良、林光洋（2011）．大肠癌筛检方式及後续追踪的建议．家庭医学与基层医疗，26（6），236-239。
连结：
陈怡君、吴坤和、林为森（2010）．高雄地区民众大肠癌筛检行为及其影响因子．嘉南学报，36，291-301。
连结：
曾嘉庆、李嘉龙、吴启华（2009）．大肠直肠肿瘤的筛检与追踪：文献回顾与最新指引．内科学志，20，506-513。
连结：
欧吉性、余方荣、许文鸿、王圣雯、吴登强、胡晃鸣（2012）．大肠直肠癌的筛检与监测及台湾施行现况．台湾医界，55（3），124-127。
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。