Perceived Deterrence Towards Colonoscopy for Colorectal Cancer Screening among Northern Malaysia Population: A Qualitative Study.
Perceived Deterrence Towards Colonoscopy for Colorectal Cancer Screening among Northern Malaysia Population: A Qualitative Study.
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DOI：
10.31557/apjcp.2020.21.5.1253
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发表时间：
2020-05-01
期刊：
影响因子：
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通讯作者：
Abu Hassan MR
中科院分区：
文献类型：
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作者：
Mohd Suan MA;Tan WL;Ismail I;Abu Hassan MR
免疫化学粪便潜血试验阳性的患者被发现对随后的结肠镜检查程序依从性较差。这项研究是为了探讨患者在粪便检测阳性后对结肠镜检查的感知威慑力。采用定性研究的方法，对16名患者进行了电话访谈，以征求他们对粪便检测阳性后未能参加结肠镜检查的原因的看法。在进行数据分析之前，对访谈进行了录音、逐字转录和翻译。对翻译后的访谈进行了内容分析，然后按主要主题对数据进行了系统的分类。缺席的原因被归类为五个主要主题：不必要的测试，对程序的恐惧，后勤障碍(子主题，时间限制，交通问题)，社会影响，以及有其他健康优先事项。在转诊过程中缺乏关于结肠镜检查程序的信息被确定为导致对结肠镜检查的误解和不必要的担忧。女性受访者普遍提到对这一程序的恐惧，而工作的受访者则提出与时间限制有关的后勤问题。患者和医疗服务提供者之间有必要进行更有效的沟通，以避免对结肠镜检查程序的误解。初级保健医生的支持、对客户友好的预约制度、教育辅助工具的使用以及家庭成员的更好参与是提高结肠镜检查依从性的策略。
Patients with positive immunochemical faecal occult blood test results were found to have poor compliance for a subsequent colonoscopy procedure. This study was conducted to explore patients’ perceived deterrence for colonoscopy following a positive stool test. Using qualitative study method, a phone interview was conducted with 16 patients to elicit their views on the reasons for failure to attend the colonoscopy procedure following a positive stool test. The interviews were audio recorded, transcribed verbatim and translated before proceeded with the data analysis. Content analysis was made on the translated interview, followed by systematic classification of data by major themes. Reasons for nonattendance were categorized under five main themes; unnecessary test, fear of the procedure, logistic obstacles (subthemes; time constraint, transportation problem), social influences, and having other health priority. Lacking in information about the procedure during the referral process was identified to cause misperception and unnecessary worry towards colonoscopy. Fear of the procedure was commonly cited by female respondents while logistic issues pertaining to time constraint were raised by working respondents. More effective communication between patients and health care providers are warranted to avoid misconception regarding colonoscopy procedure. Support from primary care doctors, customer-friendly appointment system, use of educational aids and better involvement from family members were among the strategies to increase colonoscopy compliance.