The Relationship between Patient Satisfaction with Colonoscopy and Willingness to Return for Colonoscopy-In Northern Regional Teaching Hospital

• Main Authors: Hwa-Fa Han, 罕華發
• Other Authors: Kuo- Piao Chuang
• Format: Others
• Language: zh-TW
• Published: 2019
• Online Access: http://ndltd.ncl.edu.tw/handle/857qsx

碩士 === 國立臺灣大學 === 公共衛生碩士學位學程 === 107 === Background: Cancer is the first leading cause of death in Taiwan, from 2007 to now colorectal cancer has taken the first place in incidence of cancer and more than 5000 people had die from colorectal cancer every year. Early colon cancer had no specific symptom, early detection and treatment of precancerous lesion of colon and rectum, reduced incidence of colorectal cancer incidence. Early detection and treatment of colorectal cancer will reduce colorectal cancer mortality and may improve survivor. In Taiwan colon cancer surveillance program by iFOBT (immunochemical Fecal Occult Blood Test) with colonoscopy examination for those iFOBT positive person fulfil for early detection and treatment of precancerous lesion of colon, rectum and colorectal cancer. But according to National Health Bureau statistic data only 33% of population age between 50 to 70 years in Taiwan received iFOBT surveillance and only 60% of positive iFOBT followed colonoscopy examination, relatively low follow up colonoscopy examination rate. Further need to enhancing colonoscopy follow up is needed. According to Guidelines for colonoscopy surveillance after screening and polypectomy, patient need follow up colonoscopy at different interval.Discomfort and pain during colonoscopy examination is factors to overcome to increase screening colonoscopy and follow up colonoscopy . Objective: .To search factors effecting patient satisfaction during colonoscopy and relationship between patient satisfaction and willingness to come back colonoscopy. To enhance colon cancer screening and follow up colonoscopy Method: We use self-structured questionnaire to measure factors effecting satisfaction for colonoscopy and willing to come back colonoscopy again. Patient satisfaction questionnaire for analysis included patient demographic, reason for colonoscopy, understanding of pre-colonoscopy preparation, satisfaction during colonoscopy,overall satisfaction and willing to come back again for colonoscopy. The study was conducted at New Taipei regional teaching hospital, patients age between 45 to 75 years old were included, 300 questionnaire were collected from patients who had colonoscopy during 2018 May to september and exclude uncompleted questionnaire. The 294 questionnaire were conducted statistical analysis. Result: This study found age, sex, education levels, aim of colonoscopy examination, past colonoscopy experience and therapeutic manipulation during colonoscopy had no correlation with colonoscopy satisfaction. The occupation, residents, method of colonoscopy (anesthesia or non- anesthesia) had partly related to colonoscopy satisfaction. The age, education level, occupations, and residents were not associated with willing to come back colonoscopy again. The Male sex, higher colon cancer risk population, past colonoscopic experience had associated with willing to repeat colonoscopy. Conclusion: Patient satisfaction is key factor of patient loyalty and willing to come back for colonoscopy. The Male sex, higher colon cancer risk population, past colonoscopic experience had associated with willing to come back again for colonoscopy. The 87.4% of patient in our study had willing to come back again for colonoscopy.