老年结直肠癌高危人群智能语音健康干预效果评价

Evaluation of effects of intelligent voice health intervention on elderly high-risk populations with colorectal cancer

中文关键词: 老年  结直肠癌筛查  智能语音  肠镜  健康干预  知识水平  检查行为依从性

英文关键词: elderly  colorectal cancer screening  intelligent voice  colonoscopy  health intervention  knowledge level  compliance of examination behavior

中文摘要:

      目的 评价60岁及以上结直肠癌高危人群智能语音健康干预效果,为提高该人群知识水平和检查行为依从性提供依据.方法 将2020年上海市黄浦区社区60岁及以上居民结直肠癌筛查项目中初筛结果为阳性者782例使用随机数字表法分为干预组和对照组.在1年干预期间,干预组接受2次智能语音电话干预,对照组接受常规健康教育.在干预前后,分别对干预组和对照组进行一次问卷调查,了解其结直肠癌防治的相关知识以及肠镜检查和肛指检查行为改变情况.结果 干预组344例,对照组342例,2组对象一般资料比较,差异均无统计学意义(P＞0.05).干预后,干预组较对照组的大肠癌防治知识总分高0.29分,且差异有统计学意义(x2=5.45,P＜0.05),干预组干预后较干预前知识总分提高了 0.55分且差异有统计学意义(x2=60.84,P＜0.05).干预后,干预组的肠镜检查率显著高于对照组(x2=4.24,P＜0.05),干预组干预后较干预前肠镜率显著提高,且差异有统计学意义(x2=28.25,P＜0.05).结论 运用智能语音技术对60岁及以上结直肠癌高危人群进行干预是提高大肠癌防治知识和肠镜检查率的有效手段,可在今后的干预项目中进一步完善和推广.

英文摘要:

      Objective To evaluate the effects of intelligent voice health intervention on elderly high-risk populations over 60 years old with colorectal cancer,and provide evidence for improving their knowledge level and compliance with exami-nation behavior.Methods 782 subjects with positive initial screening results for colorectal cancer among community residents aged 60 and above in Huangpu District of Shanghai in 2020 were divided into intervention group and control group.During the one-year intervention period,the intervention group received two times of intelligent voice telephone intervention,and the con-trol group received the routine health education.Before and after intervention,a questionnaire survey was conducted on both groups to investigate their knowledge level of colorectal cancer prevention and treatment,as well as the changes in colonoscopy and digital rectal examination behavior.Results The intervention group included 344 subjects,and the control group included 342 ones.There was no statistically significant difference in general information between the two groups(P＞0.05).After in-tervention,the total score of colorectal cancer prevention and treatment knowledge of the intervention group was 0.29 points higher than that of the control group,and the difference was statistically significant(x2=5.45,P＜0.05).After intervention,the total score of the knowledge of the intervention group increased by 0.55 points compared to before intervention,and the difference was statistically significant(x2=60.84,P＜0.05).After intervention,the colonoscopy rate of the intervention group was significantly higher than that of the control group(x2=4.24,P＜0.05),and was significantly higher than that of the same group before intervention,and the difference was statistically significant(x2=28.25,P＜0.05).Conclusion The intervention of intelligent voice technology in the high-risk population over 60 years old with colorectal cancer can improve their knowledge level of colorectal cancer prevention and treatment and the colonoscopy compliance.It can be further improved and promoted in future intervention projects.