Nursing Department, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
Appl Nurs Res. 2018 Oct;43:64-68. doi: 10.1016/j.apnr.2018.07.003. Epub 2018 Jul 26.
Few previous studies found that people's knowledge of colorectal cancer (CRC) risk factors and symptoms is a predictor of high compliance with CRC screening. Feelings about CRC have rarely been examined.
This mixed method study is aimed at examining knowledge and feelings about CRC among the Jewish adult population in Israel.
One hundred and ninety six Jewish Israelis were interviewed using semi-structured face to face personal interviews. Clinical characteristics and knowledge about CRC were analyzed by quantitative methods. Feelings about CRC were analyzed by the qualitative constant comparative method.
Most of the participants were at risk for developing CRC due to their native background as Jews of Eastern European origin. The most well known risk factor was family history of CRC, but only a third were aware of it. Screening for CRC by colonoscopy was known to about half the participants. CRC evoked negative feelings of fear of contracting an oncological disease, stress as a result of a new realty, sadness at the possibility of late discovery, disgust and embarrassment because of the involvement of an intimate area and the connection to body secretions. Positive feelings of optimistic faith and hope were found with regard to survival.
The knowledge level of the participants about CRC symptoms, risk factors, and recommended screening was low to moderate. CRC evoked mainly negative feelings. Increasing knowledge about CRC and reducing negative feelings evoked by CRC are essential.
先前的研究发现，人们对结直肠癌（CRC）风险因素和症状的了解是其对 CRC 筛查高依从性的预测指标。但对 CRC 的感受却很少被研究。
本混合方法研究旨在检查以色列犹太成年人群对 CRC 的知识和感受。
对 196 名以色列犹太人进行了半结构化面对面个人访谈。通过定量方法分析临床特征和 CRC 知识，通过定性恒定比较方法分析对 CRC 的感受。
大多数参与者因东欧裔犹太人的原籍背景而面临 CRC 发病风险。最知名的风险因素是 CRC 家族史，但只有三分之一的人知道这一点。大约一半的参与者知道结肠镜筛查 CRC。CRC 引起了对患肿瘤性疾病的恐惧、因新现实而产生的压力、因晚期发现的可能性而感到悲伤、因涉及私密区域和与身体分泌物有关而感到厌恶和尴尬的负面感受。对于生存，也存在乐观信仰和希望的积极感受。
参与者对 CRC 症状、风险因素和推荐筛查的知识水平较低。CRC 引起的主要是负面感受。增加对 CRC 的了解和减少 CRC 引起的负面感受至关重要。
