Lewis S F, Jensen N M
Department of Medicine, University of Wisconsin School of Medicine, Madison, USA.
J Gen Intern Med. 1996 Sep;11(9):542-4. doi: 10.1007/BF02599602.
Although screening sigmoidoscopy (SS) reduces colorectal cancer mortality, surveys indicate that fewer than half of primary care physicians routinely recommend SS and less than 10% of eligible patients receive this test. The purpose of this study was to explore barriers to compliance with SS through a cross-sectional survey of general medicine patients. Clinician advice, perceived benefit of the test, and having a family member who has had the test are associated with SS, while perceived pain is a barrier to compliance and can negate the positive effects of clinician advice. These factors can be targeted as part of efforts to improve compliance with SS.
尽管乙状结肠镜筛查（SS）可降低结直肠癌死亡率，但调查显示，不到一半的初级保健医生会常规推荐SS，且不到10%的符合条件的患者接受这项检查。本研究的目的是通过对普通内科患者进行横断面调查，探索SS依从性的障碍因素。临床医生的建议、对该检查的感知益处以及有家庭成员接受过该检查与SS相关，而感知到的疼痛是依从性的障碍，并且可能抵消临床医生建议的积极作用。这些因素可作为提高SS依从性努力的一部分来加以关注。
