患者寻求帮助的经历和癌症呈现的延迟:一种定性综合
Lucy K Smith1, Catherine Pope, Johannes L Botha
1Department of Health Sciences, University of Leicester, Leicester LE1 6TP, UK. lks1@le.ac.uk
Lancet (London, England)
|September 6, 2005
概括
了解患者在癌症诊断中的经验是减少延迟和改善生存率的关键. 对咨询和症状解释的恐惧显著影响寻求帮助的行为,受性别和社会支持的影响.
科学领域:
- 在瘤学瘤学.
- 定性研究是指质量研究.
- 健康心理学 心理健康心理学
背景情况:
- 减少癌症诊断的延迟是改善患者生存率的关键策略.
- 患者在识别癌症症状和及时寻求医疗帮助方面的经验至关重要,但往往未被充分探索.
- 定性研究为这些患者旅程的细微差别提供了深刻的见解.
研究的目的:
- 综合国际定性研究患者的癌症症状识别和寻求帮助的经验.
- 确定共同的主题和潜在因素,导致癌症诊断延迟.
- 为开发有针对性的干预措施提供证据,以改善癌症护理.
主要方法:
- 使用元民族学进行了定性合成.
- 从1985年至2004年的国际出版物集中在延迟癌症诊断的系统搜索.
- 分析涉及识别二级和开发第三级构造来解释患者的经验.
主要成果:
- 分析了32篇定性论文,涵盖了20种癌症类型的775多名患者和护理人员.
- 关键主题包括症状识别,解释和对咨询的重大恐惧 (尬或癌症本身).
- 患者的性别和寻求帮助的社会制裁成为影响及时咨询的关键因素.
结论:
- 减少癌症诊断延迟的策略必须解决患者对咨询的焦虑和恐惧.
- 认识到患者性别的影响和社会支持 (朋友,家人,医疗保健专业人员) 在批准咨询方面的作用至关重要.
- 这一元民族志提供了对患者体验的全面国际概述,综合了多种多样的定性研究.
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