Zhang Ruihuan, Fu Ms Cong, Yuan Jing, Li Wenwen, Du Chang, Chen Shuang, Liu Kaihua, Yin Xiaoping
School of Nursing, Hebei University, Baoding, China.
Department of Gastroenterology, Affiliated Hospital of Hebei University, Baoding, China.
Inquiry. 2024 Jan-Dec;61:469580241305344. doi: 10.1177/00469580241305344.
To investigate the factors influencing the colonoscopy screening behavior of first-degree relatives of colorectal cancer patients and to provide a basis for formulating screening intervention strategies. In this study, 15 first-degree relatives of colorectal cancer patients in the Department of Medical Oncology of a tertiary hospital in Baoding City from May to July 2024 were selected as the research subjects, and face-to-face semi-structured interviews were conducted. The theme was analyzed and summarized based on the theory of planned behavior and Colaizzi's 7-step analysis method. Results of this study identified 12 themes from 3 aspects. For behavioral attitudes, 4 themes emerged: (1) Negative screening emotions caused by psychological stress, (2) Lack of awareness of the importance of screening due to cognitive biases, (3) Screening behavior caused by fatalistic views is systematically underestimated, and (4) Affirm the value of early screening. For subjective norms (The impact of external information on screening behavior), 4 themes emerged: (1) Family support, (2) Advice from a healthcare professional, (3) information support from online media, (4) Personal experience and suggestions from friends. For perceived behavior control, 4 themes emerged: (1) Unbearable pain and embarrassment, (2) Busyness of life and work, (3) Medical treatment process and transportation convenience, and (4) Screening costs. The colonoscopy screening behavior of first-degree relatives of colorectal cancer patients is affected by behavioral attitudes, subjective norms (The impact of external information on screening behavior), and perceived behavior control. Clinical medical staff should correct their behavioral cognitive biases from the perspective of first-degree relatives, use positive belief factors to avoid wrong cognition, pay attention to a variety of sources of support, stimulate the self-efficacy of first-degree relatives, and create a suitable environment for colonoscopy screening, to promote the change of colonoscopy screening behavior of first-degree relatives.
为探究影响结直肠癌患者一级亲属结肠镜筛查行为的因素，为制定筛查干预策略提供依据。本研究选取2024年5月至7月保定市某三级医院肿瘤内科的15名结直肠癌患者一级亲属作为研究对象，进行面对面半结构式访谈。基于计划行为理论和Colaizzi 7步分析法对主题进行分析总结。本研究结果从3个方面确定了12个主题。行为态度方面出现4个主题：（1）心理压力导致的负面筛查情绪；（2）认知偏差导致对筛查重要性认识不足；（3）宿命论观点导致的筛查行为被系统低估；（4）肯定早期筛查的价值。主观规范（外部信息对筛查行为的影响）方面出现4个主题：（1）家庭支持；（2）医护人员的建议；（3）网络媒体的信息支持；（4）朋友的个人经验及建议。感知行为控制方面出现4个主题：（1）难以忍受的疼痛和尴尬；（2）生活和工作忙碌；（3）医疗过程及交通便利性；（4）筛查费用。结直肠癌患者一级亲属的结肠镜筛查行为受行为态度、主观规范（外部信息对筛查行为的影响）和感知行为控制的影响。临床医护人员应从一级亲属角度纠正其行为认知偏差，利用积极信念因素避免错误认知，关注多种支持来源，激发一级亲属自我效能感，营造适合结肠镜筛查的环境，以促进一级亲属结肠镜筛查行为的改变。
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