目标设定健康教育对消化道早癌筛查认知行为的改善效果分析

Analysis of the Improvement Effect of Health Education on Cognitive Behavior in Early Cancer Screening of Digestive Tract

摘要: 目的：探讨目标设定健康教育在提高消化道肿瘤高危人群早癌筛查接受率中的应用。方法：在确诊为消化道肿瘤患者的直系三代亲属(祖父母、兄弟姐妹、子女)中选取200名，按照数字表法随机分为观察组和对照组各100名，对照组给予常规科普宣教，观察组采用目标设定健康教育方式，比较两组参与研究的直系三代亲属癌症防治知识掌握程度以及行内镜检查进行早癌筛查的人数(早癌筛查接受率)。结果：观察组在目标设定健康教育后消化道早癌筛查的接受率72%明显高于对照组28%，具有统计学意义(P < 0.001)；教育后两组的癌症防治知识得分均高于教育前(P < 0.001)，且观察组明显高于对照组，具有统计学意义(P < 0.001)。结论：目标设定健康教育可以提高消化道肿瘤高危人群的癌症防治知识的掌握程度及提高早癌筛查接受率。

Abstract: Objective: To explore the application of goal setting health education in improving the acceptance rate of early cancer screening in high risk of digestive tract tumors. Methods: Two hundred patients were selected from three generations of lineal relatives (grandparents, siblings and children) of patients diagnosed with digestive tract tumors, and randomly divided into observation group and control group according to the number table method. The control group was given routine popular science education, and the observation group was given goal setting health education. The degree of knowledge of cancer prevention and treatment and the number of patients undergoing endoscopic screening for early cancer (acceptance rate of early cancer screening) were compared between the two groups. Results: The acceptance rate of early gastrointestinal cancer screening in the observation group (72%) was significantly higher than that in the control group (28%), with statistical significance (P < 0.001). The scores of cancer prevention and treatment knowledge in the two groups after education were higher than before education (P < 0.001), and the observation group was significantly higher than the control group, with statistical significance (P < 0.001). Conclusion: Goal setting health education can improve the knowledge of cancer prevention and treatment and the acceptance rate of early cancer screening in high risk population of digestive tract tumors.