目的探讨影响乳腺癌患者及时就医的因素,旨在为减少患者延误就医的健康教育提供依据。方法采用质性研究中的现象学研究方法,用目的抽样法选取13例乳腺癌患者。采用深入访谈法收集资料,Clolaizzi法分析资料并形成主题。结果影响乳腺癌患者就医决策及延误就医原因的主题有5大类。第一,知识贫乏,认识不足,对乳腺癌的认识不足,缺乏自查和早期检查的知识;第二,缺乏早期检测的知识,不具备正确的检测意识;第三,受传统观念影响的心理因素;第四,工作及家庭因素;第五,社会环境因素。结论为了让乳腺癌患者及时就医,应提高健康教育覆盖率,在改变认知及意识的基础上,改变工作家庭因素和社会环境因素,向乳腺癌高发年龄段的女性人群做广泛及时的健康教育。
Objective To know the reasons of delaying to receive medical treatment among patients with breast cancer, and then reference to related health education. Methods 13 patients with breast cancer were selected in this research, interviewed them by phenomenological method to know their reasons of delaying to receive medical treatment, analized the results of interview by Clolaiz~i method. Results The were five themes for patients with breast cancer about delaying to receive medical treatment, they were not understand breast cancer-related knowledge, shortage of method of self-examination, psychological factors, working pressure and family factors, social environment factors. Conclusions We should strengthen breast cancer-related health education when changed women's traditional ideas and ameliorated their family and social environment.