诊断延迟是否与乳腺癌患者的痛苦有关?
Jerry H Yang1, Victoria Huynh1, Laura D Leonard1
1Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Breast care (Basel, Switzerland)
|October 30, 2023
概括
经历更高情绪或健康困扰的患者更迅速地被诊断出患有乳腺癌. 了解痛苦源有助于早期干预,以获得更好的患者结果.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 乳腺癌诊断可能会导致严重的焦虑和痛苦,影响治疗的坚持和结果.
- 识别痛苦触发因素对于有效的患者护理和支持至关重要.
- 这项研究调查了乳腺癌患者的诊断延迟和患者报告的痛苦之间的联系.
研究的目的:
- 评估乳腺癌诊断延迟与患者报告的痛苦之间的关系.
- 为了确定与诊断延迟相关的患者特征.
主要方法:
- 对745名新诊断乳腺癌患者 (2014-2019) 的回顾性评估.
- 使用了痛苦选工具,评估了情绪,社会,健康和实际领域.
- 定义的诊断延迟为>30天从乳房镜到活检.
主要成果:
- 11%的患者经历了诊断延迟 (平均时间:12天).
- 及时诊断的患者报告了更高的情绪和健康困扰.
- 较大的实际困扰与乳房镜和手术之间的较长间隔相关.
- 高龄,侵袭性叶状腺癌和0-I阶段的诊断与延迟有关.
结论:
- 更高的情绪或健康压力可能会促使人们更及时地寻求医疗护理.
- 了解痛苦是早期干预的关键,以减轻乳腺癌诊断的影响.
- 及时诊断和应急管理是全面乳腺癌护理的关键组成部分.
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