在怀孕期间癌症诊断之前评估症状和寻求帮助:一种定性研究
Afrodita Marcu1, Emma Ream1, Karen Poole2
1School of Health Sciences, University of Surrey, Guildford.
概括
怀孕症状往往被错误地归因,延迟了癌症诊断. 医疗保健服务必须优先考虑症状评估而不是怀孕解释,以确保及时检测和治疗癌症孕妇.
科学领域:
- 在瘤学瘤学.
- 孕产妇健康 孕产妇健康
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 在怀孕期间诊断出癌症很少见,在英国约有1000例怀孕中有1例.
- 怀孕可以显著改变女性对癌症症状的感知和寻求帮助的方式.
- 对于怀孕癌症患者的诊断旅程和潜在延迟,人们的理解有限.
研究的目的:
- 调查怀孕期间被诊断患有癌症的妇女的症状评估和寻求帮助的行为.
- 探索怀孕期间接受癌症诊断的女性的经历.
- 确定影响诊断途径和延迟癌症怀孕妇女的因素.
主要方法:
- 在英国,对20名怀孕期间或怀孕后不久被诊断患有癌症的妇女进行了半结构化采访.
- 在2022年1月至5月期间,通过慈善机构Mummy's Star招募参与者.
- 采用反射主题分析,将发现映射到治疗途径模型上.
主要成果:
- 怀孕经常成为患者和医疗保健提供者解释症状的镜头.
- 对乳腺块的迅速转诊是常见的,参与者怀疑患有癌症.
- 尽管大多数人及时寻求帮助,但由于模糊的症状和COVID-19大流行,卫生系统的延迟发生了.
结论:
- 医疗保健服务需要加强对有潜在癌症症状的孕妇的支持,以确保及时诊断.
- 建议包括优先考虑症状评估,而不是仅将其归因于怀孕.
- 及时的转诊,明确的沟通和强有力的安全网是至关重要的;在没有充分评估之前,不应该将症状视为与怀孕有关而驳回.
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