以大腸癌篩檢探討民眾健康行為

Screening for Colorectal Cancer Screening for Public Health Behavior

郭淑芬(Guo Shufen) ； 林雅惠(Lin Yahui) ； 鄭惠文(Zheng Huiwen)

《第六屆亞洲健康識能國際會議》 預刊文章 Pp. 1-3

https://doi.org/10.6881/AHLA.201810.SM01

摘要

惡性腫瘤居十大死因之首，我國自1996年起大腸癌死亡率居高無下，然本縣105年惡性腫瘤為十大死因第一位，影響的年齡更有年輕化的趨勢。政府自2010年起積極投入全國癌症篩檢計畫，免費 提供年滿50歲以上74歲以內之民眾每2年一次大腸癌定量免疫法 糞便潛血檢查，期望藉由篩檢可以早期發現疾病早期治療。本院於1-5月鼓勵符合年齡之社區及到院民眾接受篩檢，篩檢數846人，陽性反應54人，經由個管師逐一電話追蹤至醫院追蹤有44人，其中2位民眾經確診為大腸癌，篩檢癌症確診率4.54%，另有36人為息肉 導致陽性反應81.8%、6人為痔瘡導致陽性反應13.6%，另有10人表示沒有症狀而不願至醫院複檢。本院為使篩檢結果陽性個案能早期確診及治療，並針對民眾對於自己健康行為調查，以問卷方式了解民眾對於篩檢的健康資訊，提升民眾自我健康促進的方法，並藉由統計結果設計健康議題廣為社區或院內民眾宣導，加強民眾對健康篩檢的認識，進而提升自我及家人健康照護行為。

關鍵字

大腸癌 ； 健康行為

並列摘要

Malignant tumors rank among the top ten causes of death. Since 1996, the mortality rate of colorectal cancer in China has remained high. Randomized malignant tumors were the top ten cause of death in 105 years in Ranben County, and the affected age was more youthful. The government has been actively participating in the National Cancer Screening Program since 2010. It provides free people with colon cancer within 50 years of age and less than 74 years of age every 2 years with a quantitative immunoassay for fecal occult blood, and expects early detection of the disease through screening. From January to May this year, the hospital encouraged the age-appropriate community and the people in the hospital to receive screenings. The number of screenings was 846. Positive responses were 54. There was a total of 44 people tracked by a tuber by telephone to the hospital, including 2 people. Diagnosed with colorectal cancer, the screening rate of cancer was determined to be 4.54%. Another 36 people had polyps that led to a positive response of 81.8%. Six patients had acne and resulted in a positive response of 13.6%. Another 10 said they had no symptoms and were reluctant to go to the hospital for retest. The hospital is able to diagnose and treat positive cases of screening results early, and conducts surveys on people’s health behaviors, uses questionnaires to understand the public's health information for screenings, and promotes people's self-health promotion methods. The statistics are used to design the results. Health issues are widely publicized by the community or the people in the hospital to strengthen public awareness of health screening and improve self-care and family health care behavior.

並列關鍵字

Colorectal cancer ； health behavior