在乳腺癌患者中影响提交到医院延迟的因素:回顾性分析
Kajal Nehra1, Jisa George T1, Geeta Bhardwaj1
1Nursing College, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh, India.
Journal of family & reproductive health
|May 9, 2025
概括
印度许多乳腺癌患者在寻求医疗护理时经历了显著的延迟,特别是那些乳腺块较小的患者. 通过改进查和宣传活动进行早期检测对于降低死亡率和改善患者治疗结果至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 乳腺癌在印度是一个重大的健康问题,占新发癌症病例的13.5%,高死亡率往往归因于晚期呈现.
- 乳腺癌患者的诊断延迟导致预后较差,死亡率增加.
研究的目的:
- 调查印度中部乳腺癌患者在医院出院延迟的程度.
- 确定导致乳腺癌诊断和治疗延迟表现的因素.
主要方法:
- 进行了一项描述性的横截面研究,对138名初级乳腺癌患者 (年龄在18-60岁) 进行了介绍,这些患者提交给了三级护理中心.
- 数据收集侧重于症状识别和初始医疗相互作用之间的时间滞后,并使用二进制逻辑回归来分析促成因素.
主要成果:
- 医院呈现的中位延迟时间为2个月.
- 呈现较小乳腺块的患者显著更有可能延迟寻求医疗护理 (p=0.012).
- 初始症状为乳腺块的女性倾向于晚些时候 (>3个月) 呈现 (p=0.037).
结论:
- 较小的乳腺块是导致乳腺癌患者出现延迟的一个重要因素.
- 加强查服务对于早期发现乳腺癌至关重要.
- 公众宣传活动应强调寻求医疗护理对于任何乳腺块的重要性,以减少诊断延迟和改善患者的生活质量.
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