健康信念与粪便潜血筛查的依从性

Health belief and compliance with screening for fecal occult blood.

作者信息

Hoogewerf P E, Hislop T G, Morrison B J, Burns S D, Sizto R

机构信息

Department of Family Medicine, University of British Columbia, Vancouver, Canada.

出版信息

Soc Sci Med. 1990;30(6):721-6. doi: 10.1016/0277-9536(88)90257-2.

DOI:10.1016/0277-9536(88)90257-2

PMID:2315741

Abstract

Additional data regarding compliance with screening for occult bowel neoplasm using hemoccult II is reported in this paper. The effects of 'health beliefs' and 'barriers to compliance' among a subset of 256 compliers and 166 noncompliers drawn from the population of 5003 patients previously screened were analyzed. Health belief variables as predictors of compliance were found to be age related. Being 'too busy' was frequently given as the reason for noncompliance in all age groups. The percentage of patients correctly classifies as to compliance was appreciably higher than in the earlier study which considered demographic data and the effect of diet restriction. These findings carry implications extending into clinical practice.

摘要

本文报告了关于使用隐血试验II筛查隐匿性肠道肿瘤的依从性的额外数据。对先前筛查的5003名患者群体中抽取的256名依从者和166名不依从者的“健康信念”和“依从障碍”影响进行了分析。发现作为依从性预测因素的健康信念变量与年龄有关。在所有年龄组中，“太忙”经常被作为不依从的原因。正确分类为依从的患者百分比明显高于早期考虑人口统计学数据和饮食限制影响的研究。这些发现对临床实践具有启示意义。