Muliira Joshua Kanaabi, D'Souza Melba Sheila
College of Nursing, Department of Adult Health and Critical Care, Sultan Qaboos University, Muscat, Oman.
Jpn J Nurs Sci. 2016 Apr;13(2):205-19. doi: 10.1111/jjns.12102. Epub 2015 Nov 5.
Colorectal cancer is the fourth most common type of cancer in the world and every year it is responsible for 610,000 deaths worldwide. The aim of this review was to examine the effectiveness of patient navigator interventions towards enhancing uptake of colorectal cancer screening in primary care settings.
Electronic databases such as PubMed, CINHAL, Google Scholar and SCOPUS were searched to retrieve articles reporting on primary studies applying any patient navigator intervention to promote uptake of colorectal cancer screening in eligible patients. The search yielded 292 articles and 15 met the inclusion criteria.
All 15 studies were conducted in urban settings located in the USA. The findings of the review show that patient navigator interventions can increase colorectal cancer screening rates in diverse primary care settings. Patient navigator interventions were most effective in patients who belong to minority groups and enhanced uptake of colorectal cancer screening with rates ranging 11-91%.
There is a need for further studies to examine the effectiveness of patient navigator interventions in rural populations and other countries. Such studies will help us to clearly characterize the effectiveness of patient navigator interventions.
结直肠癌是全球第四大常见癌症类型，每年在全球导致61万人死亡。本综述的目的是研究患者导航干预措施在提高初级保健机构中结直肠癌筛查接受率方面的有效性。
检索了电子数据库，如PubMed、CINHAL、谷歌学术和SCOPUS，以获取报告将任何患者导航干预措施应用于促进符合条件的患者接受结直肠癌筛查的初级研究的文章。检索结果为292篇文章，其中15篇符合纳入标准。
所有15项研究均在美国的城市环境中进行。综述结果表明，患者导航干预措施可提高不同初级保健机构中的结直肠癌筛查率。患者导航干预措施在少数群体患者中最为有效，提高了结直肠癌筛查的接受率，范围在11%至91%之间。
需要进一步研究以检验患者导航干预措施在农村人口和其他国家的有效性。此类研究将有助于我们明确表征患者导航干预措施的有效性。
