基于实施映射理论的社区结直肠癌筛查促进方案构建与应用
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女,博士在读,护士

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科研项目:黑龙江省自然科学基金项目(PL2025G015)


Construction and application of a community-based colorectal cancer screening promotion program based on implementation mapping theory
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    摘要:

    目的 构建基于实施映射理论的社区结直肠癌筛查促进方案,并评价其应用效果。 方法 基于前期识别的社区居民结直肠癌筛查促进与障碍因素,运用实施研究综合框架-专家推荐实施策略汇编匹配工具、文献分析和焦点小组访谈法识别、整合策略实施要素,基于筛查行动整合模型构建双轨协同筛查促进方案,开发“健筛通”小程序作为数字化干预载体。采用类实验研究设计,2025年3-8月方便选取2个社区150名常住居民为对照组,给予常规结直肠癌筛查健康教育; 选取另外2个社区150名常住居民为干预组, 给予基于实施映射的社区结直肠癌筛查促进方案的健康教育。干预后,比较两组结直肠癌筛查完成率、结直肠癌知识、健康信念、健康素养、社会支持、癌症宿命论得分及方案满意度。 结果 干预组筛查完成率、结直肠癌知识、健康信念、健康素养、社会支持、方案满意度方面改善均优于对照组,癌症宿命论得分显著低于对照组(均P<0.05)。 结论 基于实施映射理论构建的社区结直肠癌筛查促进方案能有效提升居民筛查参与率,改善筛查相关心理认知,为社区结直肠癌筛查推广提供了系统性解决方案。

    Abstract:

    Objective To develop a community-based colorectal cancer screening promotion program based on implementation mapping theory and evaluate its effectiveness. Methods Based on previously identified facilitators and barriers to colorectal cancer scree-ning among community residents, the CFIR-ERIC matching tools, literature analysis, and focus group interviews were employed to identify andintegrate implementation strategy elements.A dual-track collaborative screen ing promotion program was developed based on the integrated screening action model (I-SAM), with the "Jian Shai Tong" mini-program serving as the digital intervention platform.From March to August 2025 , a quasi-experimental design was conducted, 150 permanent residents from 2 communities were conveniently selected as the control group and given routine colorectal cancer screening health education; 150 permanent residents from another 2 communities were selected as the intervention group and given health education based on the implementation mapping-based community colorectal cancer screening promotion program.Post-intervention, screening completionrates, colorectal cancer knowledge, health beliefs, health literacy, social support, cancer fatalism scores, and program satisfaction were compared between the two groups. Results The intervention group demonstrated significantly greater improvements in screening completion rates, colorectal cancer knowledge, health beliefs, health literacy, social support, and program satisfaction compared to the control group, with significantly lower cancer fatalism scores (all P<0. 05) . Conclusion The community-based colorectal cancer screening promotion program developed using implementation mapping theory effectively enhanced residents′ screening participation and improved screening-related psychosocial cognition, providing a systematic solution for promoting colorectal cancer scree-ning in community settings.

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施冰梓,张静,饶雪,成阳.基于实施映射理论的社区结直肠癌筛查促进方案构建与应用[J].护理学杂志,2026,41(3):88-93

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  • 收稿日期:2025-09-22
  • 最后修改日期:2025-11-29
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  • 在线发布日期: 2026-03-09