Muliira Joshua Kanaabi, Al-Saidi Hazaa Sami, Al-Yahyai Asaad Nasser
Department of Adult Health and Critical Care, College of Nursing, Sultan Qaboos University, Al Khod, Muscat, Oman.
Department of Community and Mental Health, College of Nursing, Sultan Qaboos University, Al Khod, Muscat, Oman.
Asia Pac J Oncol Nurs. 2017 Oct-Dec;4(4):348-355. doi: 10.4103/apjon.apjon_34_17.
This study aimed at exploring the perceived barriers and intention to screen for prostate cancer (PCa).
A survey questionnaire and a descriptive design were used to collect data from 129 Omani men above the age of 40 years. The questionnaire comprised the International Prostate Symptom Score (IPSS), barriers, and intention to screen scales. The participants were recruited from barbershops located in two cities of Oman.
The mean IPSS score was 8.31 ± 3.34 and the majority of participants had mild prostate cancer symptoms (60.4%). The others had moderate (28.7%) or severe symptoms (10.9%). Most men had low-to-moderate intention to screen using the method of digital rectal examination (DRE) (76%) and prostate-specific antigen test (PSA) (69.8%). The most common barriers to screening were fear of finding out something wrong (48.1%), not knowing what will be done during screening (54.3%), belief that PCa is not a serious disease (55.8%), and belief that DRE is embarrassing (56.6%). The significant determinants of intention to screen using DRE were perceived threat of the disease ( = 0.006) and past information from doctors that one has any prostate disease ( = 0.017). The determinants of intention to screen using PSA were perceived threat of the disease ( = 0.025), perceived general health ( = 0.047), and past information from doctors that one has any prostate disease ( = 0.017).
The participants had diminutive intention to undergo PCa screening. Interventions aimed at enhancing PCa disease and risk awareness may help to reduce the barriers and increase PCa screening uptake.
本研究旨在探讨前列腺癌（PCa）筛查的感知障碍及筛查意愿。
采用调查问卷和描述性设计，从129名40岁以上的阿曼男性中收集数据。问卷包括国际前列腺症状评分（IPSS）、障碍及筛查意愿量表。参与者从阿曼两个城市的理发店招募。
IPSS平均得分为8.31±3.34，大多数参与者有轻度前列腺癌症状（60.4%）。其他参与者有中度（28.7%）或重度症状（10.9%）。大多数男性采用直肠指检（DRE）方法筛查的意愿较低至中等（76%），前列腺特异性抗原检测（PSA）的意愿为69.8%。筛查最常见的障碍是害怕发现问题（48.1%）、不知道筛查期间会做什么（54.3%）、认为PCa不是严重疾病（55.8%）以及认为DRE令人尴尬（56.6%）。采用DRE筛查意愿的显著决定因素是疾病的感知威胁（=0.006）以及医生过去告知有任何前列腺疾病（=0.017）。采用PSA筛查意愿的决定因素是疾病的感知威胁（=0.025）、感知的总体健康状况（=0.047）以及医生过去告知有任何前列腺疾病（=0.017）。
参与者接受PCa筛查的意愿较低。旨在提高PCa疾病及风险意识的干预措施可能有助于减少障碍并增加PCa筛查的接受度。
