SCREENING FOR COLORECTAL-CANCER - REASONS FOR REFUSAL OF FECAL OCCULT BLOOD TESTING IN A GENERAL-PRACTICE IN ENGLAND
SCREENING FOR COLORECTAL-CANCER - REASONS FOR REFUSAL OF FECAL OCCULT BLOOD TESTING IN A GENERAL-PRACTICE IN ENGLAND
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DOI：
10.1136/jech.49.1.84
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发表时间：
1995-02-01
影响因子：
6.3
通讯作者：
MAYBERRY, JF
中科院分区：
文献类型：
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作者：
HYNAM, KA;HART, AR;MAYBERRY, JF
研究目的-为了确定原因不遵守粪便潜血试验在大肠癌筛查programmes.Design -一个标准的采访由受过训练的护士随机抽样的那些谁拒绝screening.Setting -莱斯特郡镇的市场哈伯勒，在25000人口中，大部分由10名合伙人组成的单一全科诊所提供服务。参与者-共有4185名51至70岁的居民被邀请接受免费粪便隐血测试（Haemoccult）。从351个样本中的81个主题谁写拒绝offer进行了interviewed.Main results -非依从者分为那些谁没有要求一个测试工具包和那些谁返回一个未使用的工具包。在前一组中，最常见的原因是并发疾病（39%），害怕进一步检查和手术（24%），感觉良好（22%）。对于那些返回未使用的试剂盒的人来说，最常见的原因是粪便收集过程不愉快（65%），感觉良好（30%），并发疾病（23%）以及害怕进一步的测试和手术（20%）。在这两个群体中，主要关注的是那些谁不遵守是害怕进一步的诊断测试和手术，而不是关注在缺乏有效的治疗cancer.Conclusions的治疗，以提高依从性，教育和宣传必须解释的概念，无症状的疾病和减轻人们的恐惧医院的调查和治疗。筛查的好处应该特别强调那些返回试剂盒的人，这样他们就可以克服他们的保留意见。
Study objective - To ascertain reasons for non-compliance with faecal occult blood tests in colorectal cancer screening programmes.Design - A standard interview by a trained nurse of a random sample of those who declined screening.Setting - The Leicestershire town of Market Harborough, where most of the 25 000 population are served by a single general practice of 10 partners.Participants - Altogether 4185 residents aged 51 to 70 years were invited to receive a free faecal occult blood test (Haemoccult). Eighty one subjects from a sample of 351 who wrote declining the offer were interviewed.Main results - Non-compliers were divided into those who did not request a test kit and those who returned an unused kit. In the former group the commonest reasons given were intercurrent illness (39%), fear of further tests and surgery (24%), and feeling well (22%). For those who returned unused kits the commonest reasons were the unpleasantness of the stool collection procedure (65%), feeling well (30%), intercurrent illness (23%), and fear of further tests and surgery (20%). In both groups the main concern of those who did not comply were fear of further diagnostic tests and surgery rather than concern at the lack of effective treatment for cancer.Conclusions - To increase compliance, education and publicity must explain the concept of asymptomatic illness and allay people's fear of hospital investigation and treatment. The benefits of screening should be particularly emphasised to those who return kits so they may overcome their reservations.