社区肺癌防治科普新模式探索及效用评价

目的 研究科普影视剧模式和专家讲座模式对居民肺癌防治知识知晓率的影响,以及居民对不同科普模式的反馈评价。 方法 从上海市5个城区选择人口规模、结构以及经济水平相当的10个社区,随机分组成专家科普讲座组和科普影视剧组(各5个社区)。采用系统抽样原则,每个社区随机选取50名社区居民(共500名),接受科普宣传,并进行问卷调查。调查内容包括居民基本情况、肺癌相关知识以及居民对科普活动的反馈评价。 结果 社区居民对肺癌防治知识知晓率水平偏低,科普宣传后,肺癌一般知识知晓率(专家讲座组67.3% vs.76.0%,P<0.001;科普影视剧组67.2% vs.81.1%,P<0.001)、肺癌早期筛查知识知晓率(专家讲座组48.5% vs.70.0%,P<0.001;科普影视剧组47.9% vs.70.4%,P<0.001)以及肺癌治疗相关知识知晓率(专家讲座组35.9% vs.46.1%,P<0.001;科普影视剧组37.2% vs.70.7%,P<0.001)均显著提高。在15个肺癌科普知识点中,知晓率显著提高的在科普影视剧组中有14个(均P<0.05),而专家讲座组中有9个(均P<0.05)。科普影视剧模式在知识易懂性(P=0.001)、艺术性(P=0.002)、便捷程度(P=0.003)和二次推荐意愿方面(P=0.002)显著优于专家讲座模式,提示科普影视剧模式更受欢迎。 结论 2种科普模式都能有效提高居民肿瘤防治知识,但影视剧模式效果更佳,且更容易被居民接受,值得进一步研究和推广。 

Exploration and evaluation of a new model of community popular science of lung cancer prevention and treatment

Objective To evaluate the influence of two models of popular science (popular film mode and expert lecture mode) on community residents' awareness rate of lung cancer prevention and treatment, as well as their feedback on different models. Methods A total of 10 communities from 5 different districts in Shanghai were selected, and they were randomly divided into two groups, expert lecture mode group and popular film mode group (five communities in each group). All the communities being included have similar population sizes and demographic structure, and have reached the same economic level as well. By principles of systematic sampling, a total of 500 residents were randomly selected from the 10 communities (50 residents each). During the process of research, participants were provided scientific knowledge education and asked to complete questionnaires. The content of questionnaires includes the basic information of participants, the prevention and treatment knowledge of lung cancer and feedbacks from residents on popular science activities. Results The overall awareness rate of knowledge about lung cancer among community residents is fairly low. After the scientific knowledge education, their general knowledge rate of lung cancer (the expert lecture mode group 67.3% vs. 76.0%, P<0.001; the popular film mode group 67.2% vs. 81.1%, P<0.001), their awareness rate of early lung cancer screening knowledge (the expert lecture mode group 48.5% vs. 70.0%, P<0.001; the popular film mode group 47.9% vs. 70.4%, P<0.001) and their understanding of lung cancer treatment(the expert lecture mode group 35.9% vs. 46.1%, P<0.001; the popular film mode group 37.2% vs. 70.7%, P<0.001) improved significantly. In a total of 15 knowledge points of lung cancer, it is clear to see that the awareness rates of 14 knowledge points increased obviously in popular film group (P<0.05), while expert lecture group only had 9 knowledge points enhanced remarkably (P<0.05). In terms of their knowledge understandability (P=0.001), artistry (P=0.002), convenience (P=0.003) and residents' intention of recommendation (P=0.002), popular film mode is significantly better than expert lecture mode, and the former is more popular with the community residents. Conclusion Both models of popular science can effectively enhance community residents' prevention and treatment knowledge of cancer. However, popular film mode works better compared with expert lecture mode, which is more likely to be accepted by residents and worth further research and promotion.