大腸癌篩檢與健康行為相關因素之研究－以中部某區域醫院為例

The Study of the Colon Cancer-Screening Test and Associated Health Behaviors at a Regional Hospital in Central Taiwan

蔡哲福(Che-Fu Tsai) ； 阮祺文(Chi-Wen Juan) ； 姜明凱(Ming-Kai Chiang) ； 張秀如(Hsiu-Ju Chang) ； 林子艷(Tzu-Yen Lin) ； 蔡嘉倫(Chia-Lun Tsai) ； 李順安(Shun-An Lee)

《醫療品質》 4卷2期 (2011/09) Pp. 39-49

https://doi.org/10.29759/HQ.201109.0004

摘要

前言：惡性腫瘤居十大死因之首，自1996年起大腸癌死亡率即為第三名，死亡人數2,642人，且持續上升，至2009年達4,531人。大腸癌之相關危險因子與環繞因子、遺傳因子有關。故政府自2010年起積極投入全國癌症篩檢計畫，本研究期能從篩檢活動中探討大腸癌篩檢與健康行為之相關因素。方法：研究對象為一區域醫院50～69歲接受大腸癌定量免疫法糞便潛血檢查篩檢民眾，經受試者同意下填寫國民健康局制定之糞便潛血檢查表中之基本資料、健康行為之相關問卷，所得資料進行描述性與推論性統計分析。結果：共收案2,555位，男性1,168位、女性1,387位；平均年齡為58歲。篩檢陽性率佔8.3％，異追率33.0％、大腸癌確診率1.9％。經統計分析後其性別、年齡、地區、運動次數、運動時間、是否每日吃蔬果與是否有家族史等項目與篩檢結果達統計上顯著意義。結論：研究結果顯示民眾之運動次數、運動時間、是否每日吃蔬果等健康行為皆與大腸癌篩結果息息相關，故自2010年起國民健康局推動醫院癌症醫療品質提升補助計畫，透過政府與醫院之合作，提高癌症篩檢率、加強異常個案追蹤及提升癌症診療之品質，達到早期發現早期治療之目的，同時亦能針對民眾之健康行為深入分析，鼓勵正向健康促進行為，避免癌症上身，透過健康促進行為及癌症篩檢計畫，以期大大降低國人癌症死亡率。

關鍵字

大腸癌篩檢 ； 定量免疫法糞便潛血檢查 ； 健康行為

並列摘要

Introduction: Malignant tumors top the list of 10 leading causes of death where colorectal cancer was ranked third in terms of mortality since 1996 and the number of deaths continued to rise from 2,642 to 4,531 for the period between 1996 to 2009. The risk factors of colorectal cancer involve environmental and genetic factors, therefore the government has actively promoted national cancer screening program since 2010. This study is intended to explore colorectal cancer and health behavior-related factors.Methods: Subjects aged 50-69 years who receive immunochemical fecal occult blood test (iFOBT) in a regional hospital and the participants agree to fill out the questionnaires designed by National Health Bureau regarding colorectal cancer-related health behaviors. Descriptive and inferential statistics are used to analyze the data.Results: Of the 2,555 retrieved questionnaires, 1,168 are males and 1,387 are females with an average age of 58 years where 8.3% had positive iFOBT results, 33.0% of abnormality follow-up and 1.9% of confirmed diagnoses. Data regarding subjects' gender, age, region, exercise frequency, intake of fruit and vegetables on a daily basis and family history were analyzed to achieve statistical significance.Conclusions: This research indicates that health behaviors such as exercise frequency, exercise duration, daily intake of fruit and vegetables are closely related to colorectal cancer. Therefore National Health Bureau has promoted cancer screening subsidized cooperation program between government and hospitals since 2010. This paper is intended to achieve higher screening rate, follow-up on abnormal individual cases, improve the quality of cancer diagnosis and ensure early detection and treatment. With an in-depth analysis of individual's health behaviors, it is also aimed at encouraging positive health behaviors to avoid cancer in the hope of reducing colorectal cancer mortality by health behaviors and iFOBT.

並列關鍵字

colorectal cancer screening ； immunological fecal occult blood test ； health behaviors