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促进西班牙裔人群结直肠癌筛查的干预措施:文献综述。

Interventions promoting colorectal cancer screening in the Hispanic population: a review of the literature.

机构信息

University of Texas Health Science Center at Houston Medical School, Department of General Surgery, Houston, TX 77030, USA.

出版信息

J Nurs Scholarsh. 2012 Dec;44(4):332-40. doi: 10.1111/j.1547-5069.2012.01474.x. Epub 2012 Oct 18.

DOI:10.1111/j.1547-5069.2012.01474.x
PMID:23078262
Abstract

PURPOSE

To review the literature on the interventions used in the promotion of colorectal cancer (CRC) screening in the Hispanic population.

ORGANIZING CONSTRUCT

CRC screening and Hispanic Americans.

METHODS

Literature published between 1999 and 2010 was reviewed using PubMed, Cumulative Index to Nursing and Allied Health Literature Plus, and Cochrane Library using the key words colorectal cancer, colorectal cancer screening, and Hispanic Americans.

FINDINGS

The studies reviewed highlighted various methods of culturally appropriate CRC screening promotion in Hispanic Americans. All studies showed an increase in fecal occult blood test (FOBT) completion and to some degree an improvement in overall CRC knowledge.

CONCLUSIONS

The need for increased CRC screening and awareness studies in the Hispanic population is apparent. Future studies should use colonoscopy, a more sensitive test, to better evaluate CRC screening outcomes in Hispanics.

CLINICAL RELEVANCE

Participation in isolated studies involving FOBT does not necessarily lead to long-term understanding of CRC and the appropriate screening needed, hence the need for ongoing CRC education and promotion in primary care.

摘要

目的

回顾促进西班牙裔人群结直肠癌(CRC)筛查所采用的干预措施的文献。

组织构建

CRC 筛查和西班牙裔美国人。

方法

使用 PubMed、Cumulative Index to Nursing and Allied Health Literature Plus 和 Cochrane Library,检索了 1999 年至 2010 年间发表的文献,使用的关键词为结直肠癌、结直肠癌筛查和西班牙裔美国人。

结果

综述的研究强调了针对西班牙裔美国人进行文化上适当的 CRC 筛查推广的各种方法。所有研究均表明粪便潜血试验(FOBT)完成率有所提高,并且在一定程度上提高了总体 CRC 知识水平。

结论

西班牙裔人群中需要增加 CRC 筛查和意识研究。未来的研究应使用结肠镜检查这一更敏感的检测方法,以更好地评估西班牙裔人群的 CRC 筛查结果。

临床相关性

参与单独的 FOBT 研究并不一定能长期了解 CRC 和所需的适当筛查,因此需要在初级保健中持续开展 CRC 教育和推广。

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