影响围绕轨道癌症延迟呈现的因素,需要轨道外
Nadine van Wyk1, Akiel Asvat1, Mokokomadi A Makgotloe1
1Division of Ophthalmology, Department of Neurosciences, University of the Witwatersrand, Johannesburg, South Africa.
概括
轨道外的延迟呈现,通常是由于眼表面状瘤和人类免疫缺陷病毒 (HIV),与患者因素和全身延迟有关. 解决这些障碍可以改善结果.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 眼表面状瘤是轨道化的主要迹象.
- 它也是人类免疫缺陷病毒 (HIV) 在特有地区的表现特征.
- 推迟转诊显著影响出土后的生存率.
研究的目的:
- 为了确定与患者相关的和系统因素,有助于延迟呈现需要轨道排气的先进的围绕轨道癌症.
- 了解这种情况的及时医疗干预的障碍.
主要方法:
- 定性,描述性的现象学研究.
- 25名参与者采访使用结构化问卷和开放式问题.
- 使用Colaizzi的七个步骤进行主题分析.
主要成果:
- 六个主要主题出现了:忽视严重性,财务限制,与诊所相关的延迟,寻求替代治疗,耻辱和恐惧,以及最终的希望.
- 患者经常忽视症状,面临财务负担,并经历了与诊所相关的延误.
- 耻辱和恐惧是很重要的,但参与者也找到了希望.
结论:
- 与患者相关的因素 (例如,忽视,财务问题,耻辱) 和系统因素 (例如,诊所延迟) 都会导致延迟呈现.
- 了解这些障碍对于促进早期诊断和干预至关重要.
- 解决这些障碍可以改善患者在轨道外的治疗结果.
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