影响癌症患者表现延迟的因素:马来西亚的一项横截面研究
Tshewang Gyeltshen1,2,3, Hoon Shien Teh4, Ching Ee Loo5
1Graduate School of Public Health, St. Luke's International University, Tokyo, Japan.
BMC public health
|May 9, 2024
概括
超过一半的马来西亚癌症患者经历了呈现延迟,社会经济地位和长时间等待等因素都有所贡献. 解决这些障碍对于改善癌症护理及时性和结果至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球和马来西亚的癌症发病率正在上升,这给医疗保健系统带来了压力.
- 马来西亚癌症控制国家战略计划的目标是初级预防和早期检测.
- 了解癌症护理的及时性对于改善患者的治疗结果至关重要.
研究的目的:
- 描述马来西亚癌症治疗及时性的症状表现.
- 确定影响癌症治疗延迟的社会人口,患者和组织因素.
- 分析乳腺,结肠直肠,鼻和宫癌患者的这些因素.
主要方法:
- 马来西亚2015-2020年诊断的476名成人癌症患者的横截面研究.
- 通过患者调查和医疗记录收集的数据.
- 呈现延迟定义为>30天从症状发作到第一次医疗保健访问;使用描述性统计和千平方测试进行分析.
主要成果:
- 54.2%的患者经历了呈现延迟,平均延迟60天.
- 鼻癌患者,社会经济地位较低的就业者和没有家族癌症史的患者的延迟更高.
- 障碍包括自我发现症状 (80%),延迟行动 (1/3),以及长时间的等待时间 (47%).
结论:
- 陈述延迟是马来西亚癌症护理的一个重要问题.
- 延迟受到社会人口统计学,行为和医疗保健系统因素的影响.
- 需要采取全面的方法来解决及时治疗癌症的个人和机构障碍.
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