衛生教育對提昇民眾大腸直腸癌篩檢意圖成效之文獻回顧

The Effect of Health Education on Behavioral Intentions of Taking Colorectal Cancer Screening: A Systemic Review

邱慧娟(Hui-Chuan Chiu) ； 邱素娥(Su-Erh Chiu) ； 林秀珍(Hsiu-Chen Lin) ； 陳麗琴(Li-Chin Chen) ； 陳淑卿(Shu-Ching Chen)

《腫瘤護理雜誌》 15卷增訂刊 (2015/12) Pp. 31-45

https://doi.org/10.3966/168395442015121503004

摘要

背景：大腸直腸癌可透過篩檢早期偵測及預防。衛生教育能增進民眾健康知識，亦是持續推動健康照護活動的主要策略。目的：旨在透過系統性文獻回顧，整合分析衛生教育對大腸直腸癌篩檢成效的相關研究，做為臨床照護運用，以提升癌症篩檢率及達到早期診斷早期治療。方法：搜尋2010年至2015年發表於Pub Med、CEPS中文電子期刊、台灣期刊論文索引等資料庫，使用關鍵字「大腸直腸癌篩檢」、「衛生教育」，共3935篇，依納入與排除條件選取，共找出6篇隨機試驗研究分析整理，並以Modified Jadad Scale篩選其品質。結果：結果顯示均為隨機試驗研究設計，多數個案為中年期以上，多數採電話衛教，衛生教育介入有助於增加篩檢率及改變民眾對於癌症篩檢的動機。結論：本研究結果可提供醫院及衛生單位在推動及策劃大腸直腸癌篩檢計畫之參考。

關鍵字

大腸直腸癌 ； 篩檢 ； 衛生教育 ； 系統性文獻回顧

並列摘要

Background: Through timely screening, colorectal cancer can be detected early and prevented. Health education can promote health knowledge and is a major strategy of healthcare activity. Purpose: The authors systemically reviewed published research on health education on colorectal cancer screening to explore the design, interventions, results, and quality of these articles for clinical care application to increase screening for early diagnosis and treatment. Methods: The keyword ＂colorectal cancer screening＂ and ＂health education＂ were used to search in the databases including Cochrane Library, Pub Med, Science Direct-Health Science Collection, CEPS, and Guide to Periodicals published in Taiwan. The search focused only on articles published between 2010 and 2015. A total of 3935 articles were initially identified and 6 containing randomized control trails were picked for further analysis and synthesis with quality evaluation done on the Modified Jadad Scale. Results: All 6 studies were randomized control trails, most eligible subjects were middle age and older, and the most common method for health education was telephone education. These studies showed that health education can improve screening rate and change people's motives towards cancer screening. Conclusions: The study can be used as a reference in hospitals and healthcare units for applying health education in colorectal cancer screening plans.

並列關鍵字

Colorectal cancer ； screening ； health education ； systematic review

參考文獻

Atkin, W.S., Edwards, R., Kralj-Hnas, I., Wooldrage, K., Northover, J. M., Parkin, D. M., ... Cuzick, J. et al. (2010). Once-only flexible sigmoidoscopy screening in prevention of colorectal cancer: A multicentre randomized controlled trial. Lancet, 375(9726), 1624-1633. doi: 10.1016/S0140-6736(10)60551-X

Beebe, T. J., Ziegenfuss, J. Y., Jenkins, S. M., Lackore, K. A., & Johnson, T. P. (2014). Survey mode and asking about future intentions did not impact self-reported colorectal cancer screening accuracy. BMC Medical Research Methodology, 14(19), 1-7. doi: 10.1186/1471-2288-14-19

Broc, G., Denis, B., Gana, K., Gendre, I., Perrin, P., & Pascual, A. (2015). Impact of the telephone motivational interviewing on the colorectal cancer screening participation. A randomized controlled study. European Review of Applied Psychology, 65(3), 133-142. doi: 10.1016/j.erap.2015.04.002

Cohen-Cline, H., Wernli, K. J., Bradford, S. C., Boles-Hall, M., & Grossman, D. C. (2014). Use of interactive voice response to improve colorectal cancer screening. Medical Care, 52(6), 496-499. doi: 10.1097/MLR.0000000000000116

Fortuna, R. J., Idris. A., Winters, P., Hendren. S. G., Scofield. S, Hendren. S., Ford. P., Li. S. X. L., & Fiscella. K. (2014). Get screened: A randomized trial of the incremental benefits of reminders, recall, and outreach on cancer screening. Journal of General Internal Medicine, 29(1), 90-97. doi: 10.1007/s11606-013-2586-y