在被诊断为晚期乳腺癌的伊朗妇女中,对及时诊断的感知障碍:一项定性研究
Maryam Janatolmakan1,2, Marziyeh Lashkari3, Rebecca Lehto4
1Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran (the Islamic Republic of).
BMJ open
|August 17, 2025
概括
伊朗妇女乳腺癌诊断的延迟是由于医疗管理不善,成本和文化信仰等问题造成的. 解决这些障碍对于改善患者的治疗结果和生存率至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 及时诊断乳腺癌对于治疗成功和生存至关重要.
- 文化,系统和社会经济因素可能会阻碍及时诊断.
- 这项研究侧重于伊朗晚期乳腺癌妇女所感知的障碍.
研究的目的:
- 探索对及时诊断乳腺癌的感知障碍.
- 了解患者对诊断延迟的看法.
- 为预防晚期诊断晚期乳腺癌的策略提供信息.
主要方法:
- 使用深入的,半结构化的访谈进行的定性研究.
- 15名被诊断患有晚期乳腺癌的伊朗妇女参与了这项研究.
- 数据使用MAXQDA软件进行分析.
主要成果:
- 七名参与者经历了超过七个月的诊断延迟.
- 关键障碍包括:任命/护理管理不佳,未满足的期望,营销问题,成本,缺乏知识,恐惧,信念,竞争优先事项,支持不足和诊断错误.
结论:
- 了解患者感知的障碍对于有效的延迟诊断预防策略至关重要.
- 这些发现可以改善患者教育,医疗保健质量和提供者与患者之间的沟通.
- 解决这些障碍可以减少晚期乳腺癌中可预防的负面结果.
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