目的 总结促进乳腺癌早期筛查依从性的干预措施的最佳证据，为构建标准化、科学化的临床与公共卫生实践方案提供循证依据。方法 根据“6S”证据模型，系统检索指南、临床决策支持系统、专业网站及中英文数据库，纳入与促进乳腺癌早期筛查依从性相关的指南、专家共识、系统评价和Meta分析，并对文献进行质量评价、证据提取与整合。结果 共纳入20篇文献，包括1篇指南和19篇系统评价，形成15条证据，归纳为健康教育、个性化咨询、主动招募与筛查提醒、优化服务可及性、多策略整合及经济支持6个主题。结论 本研究汇总了促进乳腺癌早期筛查依从性的最佳证据，可为制订和实施综合性筛查促进策略提供循证支持。

Objective To summarize the best evidence for interventions to improve compliance to early breast cancer screening,and to provide an evidence-based basis for developing standardized and scientific clinical and public health practice protocols.Methods In accordance with the 6S evidence model,guidelines,clinical decision support systems,professional websites,and Chinese and English databases were systematically searched.Relevant guidelines,expert consensuses,systematic reviews and Meta-analyses on interventions to improve compliance to early breast cancer screening were included.Quality assessment,evidence extraction and integration were conducted for the included literatures.Results A total of 20 literatures were included,consisting of 1 guideline and 19 systematic reviews.Fifteen pieces of evidence were formed and categorized into 6 themes:health education, personalized counseling,active recruitment and screening reminders,optimization of service accessibility,multi-strategy integrations and economic support.Conclusions This study compiles the best evidence for improving compliance to early breast cancer screening,which can provide evidence-based support for the formulation and implementation of comprehensive screening promotion strategies.

R473.73

国家自然科学基金（72204209）；科技创新2030“四大慢病重大专项”（2024ZD0524305）