提升社區結腸直腸癌陽性篩檢追蹤完成率

Improving the Follow-Up Completion Rate of Community-Dwelling Individuals Who Screened Positive for Colorectal Cancer

10.6224/JN.201906_66(3).10

辜漢章(Han-Chang KU)；歐蕙華(Huei-Hua OU)；陳姿彣(Tzu-Wen CHEN)；蔡宜蓁(Yi-Tseng TSAI)

社區 ； 結腸直腸癌 ； 癌症篩檢 ； 陽性篩檢追蹤完成率 ； community ； colorectal cancer ； cancer screening ； positive screening follow-up completion rate

護理雜誌

66卷3期（2019 / 06 / 01）

83 - 91

繁體中文

背景：結腸直腸癌早期篩檢早期治療，癌症初期五年存活率可提高90%，社區民眾對篩檢認知不足影響其就醫意願，將導致治療延遲。世界衛生組織估計未來20年結腸直腸癌癌症死亡數，從每年估計發生數820萬人上升至1,300萬人，透過全面性篩檢追蹤服務，達到早期發現治療，降低結腸直腸癌的死亡率。目的：旨在提升社區結腸直腸癌陽性篩檢個案追蹤完成率。解決方案：解決之道為製作糞便潛血篩檢衛教單及推廣癌篩專題健康講座、規劃癌症防治教育訓練課程、門診資訊建構陽性個案追蹤提示系統、訂定陽性個案追蹤流程及社區健康促進合作模式。結果：結腸直腸癌篩檢陽性個案追蹤完成率提升至74.1%，結腸直腸癌篩檢認知正確率增至93.9%。結論：專案推行後可提升篩檢陽性個案追蹤成效，期望經由醫療院所與社區共同推動健康促進，以提升民眾防癌正確觀念。

Background & Problems: Early screening and early treatment of colorectal cancer increases the 5-year-survival rate of early stage cancer by 90%. However, a lack of knowledge regarding screening opportunities among community residents affects their willingness to seek medical help and delays treatment. The World Health Organization estimated that deaths from colorectal cancer in the next 20 years will increase from 8.2 million people to 13 million people annually. However, systemic screening and follow-up services will promote early detection and treatment and should effectively decrease colorectal cancer-related mortality. Purpose: The aim of this study is to increase the follow-up completion rate of community participants who tested positive during a screening for colorectal cancer. Resolutions: The resolution measure produced stool occult blood screening education leaflets, promoted health lectures on the topic of cancer screening, planned a training course for cancer-prevention education, constructed a participant tracking and notification system in the outpatient information system for positive participants, set up a procedure for positive participant follow-up, and designed a cooperative model for community health promotion. Results: The follow-up completion rate of participants who tested positive during colorectal cancer screen tests increased to 74.1%, and the accuracy rate of colorectal screening knowledge rose to 93.9%. Conclusions: Implementation of the project increased the follow-up effectiveness of participants who tested positive during the screening. We hope that medical facilities cooperate with communities in order to facilitate health promotion and increase the number of residents with correct cancer-prevention concepts.

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