影响结直肠癌患者术后电话随访应答率的相关因素分析

目的:分析影响结直肠癌患者术后电话随访应答率的因素,为提高应答率提供依据。方法:采用分层抽样方法纳入行手术治疗的结直肠癌患者508例,排除未留电话号码者26例,最终符合研究条件者482例。对其进行电话随访,记录应答情况和计算应答率;并分析人口学因素、疾病与治疗因素以及其他因素对应答率的影响。结果:总体应答率为72.8%(351/482)。不同地域、职业、电话个数、电话类型和是否有癌家族史的患者应答率差异有统计学意义(P=0.018,P=0.031,P=0.006,P=0.006,P=0.040);而不同性别、年龄段、文化程度、居住地、医疗费支付形式、肿瘤部位、TNM分期以及是否行根治术、是否造口的患者应答率差异均无统计学意义(均P>0.05)。结论:结直肠癌术后电话随访应答率尚不够理想,地域、职业、电话个数、电话类型、有无癌家族史是影响应答率的重要因素。

Factors affecting response rate of telephone follow-up for colorectal cancer patients after surgery

Objective: To analyze the factors affecting the response rate of telephone follow-up for patients with colorectal cancer after hospital discharge,so as to provide information to help improve the response rate. Methods: Using stratified sampling,508 patients with colorectal cancer undergoing surgical treatment were included and,after 26 cases who did not register their phone numbers were excluded,482 cases finally met the study criteria.Telephone interview was conducted on these patients,the responses from the patients were recorded and response rate was calculated.The influences of the demographic factors,disease-and treatment-related factors,and other factors on the response rate were analyzed. Results: The overall response rate was 72.8%(351/482).The response rates among the patients of different geographic regions and professions had statistical differences(P=0.018 and P=0.031),and the dialing times,telephone types as well as whether the patients had a family history of cancer or not also significantly influenced the response rate(P=0.006,P=0.006 and P=0.040),However,the sex,age,educational level,places of residence,forms of medical expenses payment,locations of tumor and TNM stages of the patients,as well as whether the patients underwent radical resection and had an ostomy or not had no significant influence on the response rate(all P>0.05). Conclusion: The overall response rate of telephone follow-up is still unsatisfactory in the patients with colorectal cancer after surgery.The geographic region and profession of the patients,and the dialing times,telephone types as well as whether the patients had a family history of cancer or not are important factors affecting the response rate of telephone follow-up.