乳腺癌妇女的系统延迟 - - 印度中部农村地区的一项连续解释性混合方法研究
Juhi Raut1, Abhishek Joshi1, Abhay Mudey1
1Department of Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.
Journal of family medicine and primary care
|December 26, 2024
概括
乳腺癌诊断和治疗的重大延迟发生在印度农村,主要是由于患者层面的因素. 提高社区意识和解决社会经济障碍对于及时治疗乳腺癌至关重要.
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:
- 乳腺癌是全球领先的恶性瘤,每年有200万新病例.
- 尽管有可用的医疗保健,乳腺癌管理的延迟仍然存在,影响了结果.
- 中部农村印度在及时提供乳腺癌护理方面面临着独特的挑战.
研究的目的:
- 评估乳腺癌护理中的患者和系统级延迟.
- 确定导致印度中部农村地区妇女延误的因素.
- 为减少乳腺癌管理延迟提供有针对性的干预信息.
主要方法:
- 一项混合方法研究,涉及印度中部农村的128名女性乳腺癌患者.
- 对社会人口和临床数据的定量分析,包括中位数延迟 (天) 和四分位数间范围 (IQR).
- 对已识别的延迟因子进行定性主题分析;用于关联分析的负日志二项式回归.
主要成果:
- 患者的中位延迟时间为45天 (IQR:15-120),明显超过系统的中位延迟时间为19天 (IQR:7-35).
- 七个主题出现了,详细介绍了影响患者和系统水平延迟的因素.
- 分析了社会人口统计学和临床变量,以确定它们与患者和系统延迟的关联.
结论:
- 寻求乳腺癌医疗保健的大量患者延迟是一个关键问题.
- 通过行为改变沟通提高社区意识是必不可少的.
- 解决社会文化和经济决定因素对于减轻乳腺癌治疗延迟至关重要.
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