Temucin Elif, Nahcivan Nursen O
Nursing Faculty, Oncology Nursing Department, University of Health Sciences, Istanbul, Turkey.
Florence Nightingale Nursing Faculty, Public Health Nursing Department, Istanbul University, Istanbul, Turkey.
J Cancer Educ. 2020 Feb;35(1):112-124. doi: 10.1007/s13187-018-1448-z.
Although screening programs are known and recommended for the early detection of colorectal cancer (CRC), the screening rates for the fecal occult blood test (FOBT) and colonoscopy are very low among adult individuals. Navigation programs, also known as individualized counseling, have recently begun to be used for increasing screening rates. The purpose of this study was to compare the efficacy of the Nurse Navigation Program versus usual care on CRC screening participation and movement in stage of adoption for CRC screening and to examine perceived benefits of and barriers to CRC screening. This study was designed in line with a pre- and posttest two-group methodology. A total of 110 participants (55 nurse-navigated and 55 non-navigated patients) were studied. Data were collected using the following three tools: a sociodemographic information form, the Harvard Colorectal Cancer Risk Assessment Tool, and Instruments to Measure Colorectal Cancer Screening Benefits and Barriers. Following the Nurse Navigation Program, the FOBT (82 and 84%, respectively) and colonoscopy completion rates (15 and 22%, respectively) were significantly higher in the nurse-navigated group than in the non-navigated group at 3 and 6 months follow-up. Following the program, the benefit perceptions of the nurse-navigated group about CRC screening were improved, and their barrier perceptions were reduced. The results showed that the Nurse Navigation Program had significant effects on CRC screening behavior and health-related beliefs concerning CRC screening. Further assessment of the Nurse Navigation Program in different groups should be performed to observe its effects.
尽管筛查项目对于早期发现结直肠癌（CRC）是已知且被推荐的，但粪便潜血试验（FOBT）和结肠镜检查的筛查率在成年个体中非常低。导航项目，也被称为个性化咨询，最近已开始用于提高筛查率。本研究的目的是比较护士导航项目与常规护理对CRC筛查参与度以及CRC筛查采用阶段进展的效果，并探讨CRC筛查的感知益处和障碍。本研究采用前后测两组方法设计。共研究了110名参与者（55名接受护士导航的患者和55名未接受导航的患者）。使用以下三种工具收集数据：社会人口统计学信息表、哈佛结直肠癌风险评估工具以及测量结直肠癌筛查益处和障碍的工具。在护士导航项目实施后，在3个月和6个月随访时，接受护士导航的组中FOBT完成率（分别为82%和84%）和结肠镜检查完成率（分别为15%和22%）显著高于未接受导航的组。项目实施后，接受护士导航的组对CRC筛查的益处感知得到改善，障碍感知降低。结果表明，护士导航项目对CRC筛查行为以及与CRC筛查相关的健康信念有显著影响。应在不同群体中对护士导航项目进行进一步评估以观察其效果。
