疑大腸癌者的行為意圖對遵從診療決策之探討

The Relationship between Behavioral Intention, and Treatment Decision Compliance among Patients of Suspected Colorectal Cancer

台灣大腸癌盛行率越來愈高,而早期篩檢出大腸癌早期治療,病人的存活率則高達 90%,然仍有許多民眾未遵從建議返檢進行診斷或治療。本研究以計畫行為理 論為基礎,探討疑大腸癌者的行為意圖對遵從診療決策的影響。

本研究包括 120 位疑大腸癌者民眾。以基本資料、計畫行為量表、遵從診療決策量表測量。資料以 SPSS 22.0 統計軟體進行建檔分析,統計方法包括描述性統計, 包括次數、百分比、平均值、標準差、相關係數分析和獨立樣本 t 檢定。

結果顯示疑大腸癌者之行為計畫意圖平均數 67.56(SD=7.86,range =32-80), 而疑大腸癌者中瘜肉病史與行為計畫及遵從診療決策具顯著的相關性(p<0.05),而行為計畫與遵從診療決策(r=0.53)有顯著的正相關(p<0.001),顯示行為計畫分數 越高者,其遵從診療決策也相對較高,對醫師診療的遵從診療決策也較高。

研究結果期能供推廣疑大腸癌篩檢參考,落實早期篩檢早期治療以增加其存活 率。

 

In Taiwan, the incidence of colorectal cancer has been increasing in recent years. The survival rate of colorectal cancer is up to 90% if detected and treated at early stages. However, many patients with positive fecal occult blood tests do not receive further examinations, as suggested by their physicians. This study utilized the Theory of Planned Behavior to explain the relationship among behavioral intention, and treatment decision compliance for patients of suspected colorectal cancer.

The study included 120 people with suspected colorectal cancer. The measurement tools were the schedule of behavior. The data were analyzed by SPSS 22.0 statistical software. The statistical methods included the following descriptive statistics: number of times, percentage, average value, standard devia- tion, correlation coefficient analysis, correlation coefficient analysis, and independent sample t verification.

The results showed that the average number of behavioral programs in suspected colorectal cancer was 67.56 (SD = 7.86, range = 32-80), and the history of viscera in patients with suspected colorectal cancer was related to behavioral planning and compliance with treatment decisions (p < 0.05). We found a significantly positive correlation between behavioral planning (r = 0.53) and compliance (p<0.001).

The results of the study period can be used as a reference for the promotion of suspected colorectal cancer screening, and the implementation of early screen- ing and treatment to increase the survival rate.