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首页> 美国卫生研究院文献>Journal of the National Medical Association >Six years of occult blood screening in an urban public hospital: concepts methods and reflections on approaches to reducing avoidable mortality among black Americans.
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Six years of occult blood screening in an urban public hospital: concepts methods and reflections on approaches to reducing avoidable mortality among black Americans.

机译：在城市公立医院进行六年潜血筛查：概念方法和对降低黑人可避免死亡率的方法的反思。

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While early cancer detection is frequently overused in high socioeconomic status communities, opportunities for early detection often are overlooked by practitioners serving lower income and minority populations. Review of our patient records in 1980 revealed that only 13% of patients had a record of a rectal examination, and less than 1% had either proctoscopy or fecal occult blood testing. Our program has made a dramatic impact on colorectal cancer detection, performing 8192 fecal occult blood tests in the first 5 1/2 years of our program. As with other programs, stage of cancer is greatly influenced by fecal occult blood testing, with 0 modified Dukes' stage D compared to 33% for the hospital registry, and 35% stage A compared to 0 for the registry. Compliance with diagnostic evaluation has been excellent (89.6%). The program has allowed for increased communication between patients and staff. Education about diet and other prevention has been institutionalized. Patients see our nurses as their advocates and openly express their fears and concerns about their health and health care. We began our fecal occult blood testing program at a time when it was considered the "standard of care" although randomized clinical trial proof was, and is, incomplete. This program provides evidence that "standard of care" is feasible in the public sector.
机译：虽然在较高社会经济地位的社区中经常滥用早期癌症检测方法，但为低收入人群和少数族裔服务的从业人员常常忽略了早期检测的机会。回顾我们1980年的患者记录，发现只有13％的患者有直肠检查记录，只有不到1％的患者接受了直肠镜检查或粪便潜血测试。我们的计划对大肠癌的检测产生了巨大影响，在我们计划的前5 1/2年中进行了8192次粪便潜血测试。与其他程序一样，癌症阶段受粪便潜血测试的影响很大，Dukes D期修改为0，而医院注册机构为33％，A期修改为35％，注册机构为0。诊断评估的依从性极好（89.6％）。该计划使患者与医护人员之间的交流更加紧密。关于饮食和其他预防的教育已经制度化。患者将我们的护士视为自己的拥护者，并公开表达他们对健康和保健的恐惧和担忧。我们开始进行粪便潜血测试程序，当时该程序被认为是“护理标准”，尽管随机临床试验证明过去而且过去都是不完全的。该方案提供了证明，“照料标准”在公共部门是可行的。

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