肿瘤患者家属关于肿瘤防治的知识、态度、行为
Cancer Prevention Related Knowledge-attitude-practice in Family Members of Cancer Patients in a Community of Shanghai
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摘要:
目的 了解上海市天山街道和虹桥街道肿瘤患者家属关于肿瘤防治的知识、态度、行为(knowkledge,attitudes and practices, KAP),为进一步开展该人群社区肿瘤防治工作提供参考。 方法 单纯随机抽取天山街道和虹桥街道2008年1月1日至2009年12月31日经三级医院临床诊断为恶性肿瘤的患者272人,通过入户方式,随机选择一名家属进行问卷调查,由经过专业培训的医生,使用统一的自制调查问卷进行入户调查。有效问卷268份,全部数据应用EpiData软件建立数据库,采用SPSS11.5软件进行统计分析。 结果 患者家属肿瘤相关知识的总知晓率为90.0%,肿瘤防治态度问答总正确率为85.0%。肿瘤相关行为形成率平均为79.5%。不同性别、职业、文化程度在知识、态度、行为方面存在差异,并且知识与态度相关,与行为无关。其中,电视、报刊杂志和亲属及朋友是获取肿瘤知识的主要途径。 结论 肿瘤患者家属作为高危人群,优先接受肿瘤防治知识的宣传普及教育十分重要。应针对不同人群采取不同的健康教育策略,充分利用社区大众传媒,将社区作为科普教育的最佳场所,充分发挥社区医生的作用。 Abstract:Objective To understand cancer prevention related knowledge, attitudes and practices (KAP) among family members of cancer patients in Tianshan and Hongqiao Communities of Shanghai and provide baseline information for developing community-based cancer prevention and control approaches. Methods A total of 268 residents having family members diagnosed tumor from 1st January, 2008 to 31st December, 2009 were inivited to the suvey in Tianshan and Hongqiao communities of Shanghai. Data was collected by trained interviewers and analyzed by SPSS (version 11.5). Results The rates of correct answers to knowledge, attitude and practice on tumor prevention were 90.0%, 85.0% and 79.5% respectively. Gender, occupation and education levels were important covariates to knowledge, attitudes and practices on tumor prevention. Knowledge and attitude were correlated, but both showed no such effect to practices. The main channels to recieve the knowledge of cancer prevention were TV program, newspaper, magazine, relatives and friends. Conclusion Family members of cancer patients are high risk population of tumor occurrence. Education on cancer prevention and control is an important approach. Various community-based health education strategies should be developed to take the advantage of community channels and community practitioners.
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