Effect of community-based intervention on the improving of early detection of individuals with high risk nasopharyngeal carcinoma
10.3760/cma.j.issn.1008-6706.2016.08.001
- VernacularTitle:社区干预促进鼻咽癌高危个体的早期发现
- Author:
Hong GUO
;
Xiangjun FU
;
Huasheng LIU
;
Senping LIU
;
Jie XIAO
;
Ping XIAO
;
Shenhua ZHANG
;
Xiangdong ZHAO
- Publication Type:Journal Article
- Keywords:
Nasopharyngeal neoplasms;
High risk individuals;
Community intervention;
Early detec-tion;
Effect study
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(8):1121-1125
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effects of community-based intervention on improving early detection of individuals with high risk nasopharyngeal carcinoma and to explore the interventional mechanism of prevention and treatment in nasopharyngeal carcinoma.Methods Total of 139 344 residents of the Second Chinese Medicine Hospi-tal of Guangdong Province Hospital Community were detected per year.Individuals with high risk nasopharyngeal car-cinoma or nasopharyngeal carcinoma patients were divided into intervention group(69 616 cases) and control group (69 728 cases) according to the random number table.The two groups were given conventional treatment (radiothera-py,chemotherapy and surgery treatment) after diagnosed.The intervention group was interfered with long -term prevention,health care,medical care,rehabilitation,health education and psychological intervention by full-time phy-sician,while the control group was only treated by general education intervention.The awareness of early symptoms and the risk factor of nasopharyngeal carcinoma were analyzed.Additionally,the behavior,knowledge and attitude on nasopharyngeal carcinoma were detected before and after the intervention.Results Community-based intervention significantly improved the rate of early detection of nasopharyngeal carcinoma high-risk individuals ( 75.31% vs. 44.37%,χ2 =5.32,P<0.01) .The awareness rates of major symptoms and the damage of nasopharyngeal carcinoma were 89.34%and 91.78%in the intervention group.In the control group,the rates were 42.17%and 28.47%.The differences of the two groups were significant(P<0.05).Additionally,the awareness of diagnosis standard and good habits were improved significantly in the intervention group compared with the control group(P<0.01).Our results showed that intervention changed the attitude and understanding of patients with nasopharyngeal carcinoma and improved the quality of life of patients with nasopharyngeal carcinoma.Conclusion Intervention increased the early diagnostic rate of nasopharyngeal carcinoma and promoted the quality of life of patients with nasopharyngeal carcinoma.
