Qualitative study on barriers and promoting factors of colonoscopy in patients with colorectal high-risk adenoma 3 months after resection
10.3760/cma.j.cn211501-20240619-01604
- VernacularTitle:结直肠高危腺瘤患者切除3个月后结肠镜检查阻碍及促进因素的质性研究
- Author:
Xuan GONG
1
;
Hui YU
;
Hairong HUANG
;
Yun ZHAO
;
Linyan SHEN
;
Zhenping ZHOU
Author Information
1. 桂林市中西医结合医院护理部，桂林 541004
- Publication Type:Journal Article
- Keywords:
Colonoscopy;
Qualitative research;
High-risk adenoma;
Compliance;
Barriers;
Facilitating factors;
Health action process approach
- From:
Chinese Journal of Practical Nursing
2025;41(9):651-657
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the hindrance and promoting factors of colonoscopy compliance in high-risk adenoma patients 3 months after resection, and to provide reference for formulating targeted nursing intervention strategies.Methods:An interview outline was formulated based on the health action process approach theory. A descriptive qualitative research method was used to select 13 patients with high-risk adenoma after resection in Guilin Integrated Traditional Chinese and Western Medicine Hospital from April to May 2024 for semi-structured interviews according to the purposive sampling method. Content analysis was used to analyze the data and refine the themes.Results:Among the 13 patients, there were 8 males and 5 females, aged 42-70 years old.A total of 2 themes and 8 sub-themes were extracted, including hindering factors (fear of disease outcome, risk perception barriers, low self-efficacy and lack of behavior plan) and promoting factors (establishing correct health beliefs, perceiving the benefits of health behavior, enhancing personal efficacy and advocating health behavior plan).Conclusions:The compliance of colonoscopy in patients with high-risk adenoma after resection is affected by a series of obstacles and promoting factors. In the future, targeted intervention strategies can be formulated based on the health action process approach theory to improve their compliance with colonoscopy.
