中国科学院心理健康重点实验室知识库

目的 针对乳腺癌患者的就诊延误现状,分析就诊延误的相关因素.方法 选择就诊于北京市某三甲医院符合纳入标准的354名乳腺癌女性患者,采用问卷调查法进行调查,问卷包括一般资料、就诊情况、症状的看法与态度、社会支持评定量表和一般自我效能感量表.结果 该组乳腺癌患者的就诊延误发生率为20.62％,延误组与非延误组相比,其忽视得分高(P<0.05),焦虑和害怕得分低(P<0.05),支持利用度得分低(P<0.05).Logistic回归分析显示,就诊延误与社会支持利用度相关(OR=0.849).结论 在乳腺癌常见症状、治疗方法及预后等方面应加强健康教育,家庭及社会的支持在减少就诊延误中发挥重要作用.

Objective To describe the current patient delay among breast cancer patients and to explore the related factors. Methods Using the convenient sampling method，a total of 354 eligible patients with breast cancer were recruited in a tertiary comprehensive hospital in Beijing. A self⁃designed questionnaire covering the general information，health care⁃seeking process and patients’attitude and responses to abnormal symptoms，Social Support Rating Scale（SSRS）and General Self⁃Efficacy Scale（GSES）was used in the survey. Results The incidence of patient delay was 20.62% in this study. The ignorance score was higher in the delayers（P<0.05），while the scores of anxiety and fear were lower（P<0.05）. Logistic regression analysis showed that patient delay was associated with the extent to which of social support was sought （OR=0.849）. Conclusion More health education about abnormal symptoms，treatments and prognosis of breast cancer should be provided for the public. The support from the family and society plays an important role in reducing patient delay.