Han-Chang Ku1, Huei-Hua Ou2, Tzu-Wen Chen3, Yi-Tseng Tsai4. 1. MSN, RN, Assistant Head Nurse, Department of Nursing, Tainan Municipal An-Nan Hospital-China Medical University, and Doctoral Student, International Doctoral Program in Nursing, College of Medicine, National Cheng Kung University, Taiwan, ROC. 2. BSN, RN, Department of Nursing, Tainan Municipal An-Nan Hospital-China Medical University, Taiwan, ROC. 3. BSN, RN, Assistant Head Nurse, Department of Nursing, Tainan Municipal An-Nan Hospital-China Medical University, Taiwan, ROC. 4. MSN, RN, Head Nurse, Department of Nursing, National Cheng Kung University Hospital, and Doctoral Student, International Doctoral Program in Nursing, College of Medicine, National Cheng Kung University, Taiwan, ROC. yttsai13@gmail.com.
Abstract
BACKGROUND & PROBLEMS: Early screening and early treatment of colorectal cancer increases the 5-year-survival rate of early stage cancer by 90%. However, a lack of knowledge regarding screening opportunities among community residents affects their willingness to seek medical help and delays treatment. The World Health Organization estimated that deaths from colorectal cancer in the next 20 years will increase from 8.2 million people to 13 million people annually. However, systemic screening and follow-up services will promote early detection and treatment and should effectively decrease colorectal cancer-related mortality. PURPOSE: The aim of this study is to increase the follow-up completion rate of community participants who tested positive during a screening for colorectal cancer. RESOLUTIONS: The resolution measure produced stool occult blood screening education leaflets, promoted health lectures on the topic of cancer screening, planned a training course for cancer-prevention education, constructed a participant tracking and notification system in the outpatient information system for positive participants, set up a procedure for positive participant follow-up, and designed a cooperative model for community health promotion. RESULTS: The follow-up completion rate of participants who tested positive during colorectal cancer screen tests increased to 74.1%, and the accuracy rate of colorectal screening knowledge rose to 93.9%. CONCLUSIONS: Implementation of the project increased the follow-up effectiveness of participants who tested positive during the screening. We hope that medical facilities cooperate with communities in order to facilitate health promotion and increase the number of residents with correct cancer-prevention concepts.
BACKGROUND & PROBLEMS: Early screening and early treatment of colorectal cancer increases the 5-year-survival rate of early stage cancer by 90%. However, a lack of knowledge regarding screening opportunities among community residents affects their willingness to seek medical help and delays treatment. The World Health Organization estimated that deaths from colorectal cancer in the next 20 years will increase from 8.2 million people to 13 million people annually. However, systemic screening and follow-up services will promote early detection and treatment and should effectively decrease colorectal cancer-related mortality. PURPOSE: The aim of this study is to increase the follow-up completion rate of community participants who tested positive during a screening for colorectal cancer. RESOLUTIONS: The resolution measure produced stool occult blood screening education leaflets, promoted health lectures on the topic of cancer screening, planned a training course for cancer-prevention education, constructed a participant tracking and notification system in the outpatient information system for positive participants, set up a procedure for positive participant follow-up, and designed a cooperative model for community health promotion. RESULTS: The follow-up completion rate of participants who tested positive during colorectal cancer screen tests increased to 74.1%, and the accuracy rate of colorectal screening knowledge rose to 93.9%. CONCLUSIONS: Implementation of the project increased the follow-up effectiveness of participants who tested positive during the screening. We hope that medical facilities cooperate with communities in order to facilitate health promotion and increase the number of residents with correct cancer-prevention concepts.