Lack of knowledge, understanding, and delayed attitudes towards health-seeking behavior in oral cancer patients: a qualitative pilot study.

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Oral Surgery Oral Medicine Oral Pathology Oral Radiology Pub Date : 2025-01-01 Epub Date: 2024-09-18 DOI:10.1016/j.oooo.2024.08.024

Larissa Stefhanne Damasceno de Amorim Póvoa, Daniele Assis Souza, Francielle Silvestre Verner, Rafael Binato Junqueira, Sibele Nascimento de Aquino

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引用次数: 0

Abstract

Objective: This study aimed to explore coping strategies adopted by patients diagnosed with oral squamous cell carcinoma (OSCC) and investigate the reasons for delayed healthcare-seeking help STUDY DESIGN: Data were collected through semi-structured interviews based on the Semi-Structured Self-Regulatory Model (SRM) with participants diagnosed with advanced OSCC, between 2021 and 2023. The sample size was determined based on the saturation point. In this context, saturation refers to the point when no new issues emerge, signaling sufficient sample size. Interviews were audio-recorded, transcribed verbatim, coded, and analyzed using framework analysis.

Results: The sample consisted of 15 patients, 13 male and 2 female, aged between 52 and 80 years (mean 64.5, SD ± 7.5). Four types of coping strategies causing delayed help-seeking emerged: 1) self-medication, 2) seeking medical appointments, 3) abandoning consultations (or treatment), and 4) consulting general dental practitioners. Participants believed that the disease could heal spontaneously and did not consider seeking health help immediately. Socio-economic factors and lack of knowledge on the part of healthcare professionals may have influenced the delay in the diagnosis CONCLUSION: Patients with advanced OSCC demonstrated inadequate disease awareness, oral cancer knowledge, misdiagnosis, and insufficient referrals to specialized treatments.

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口腔癌患者对寻求健康行为的缺乏了解、理解和延迟态度：一项定性试点研究。

研究目的本研究旨在探讨确诊为口腔鳞状细胞癌（OSCC）的患者所采取的应对策略，并调查延迟寻求医疗帮助的原因研究设计：在2021年至2023年期间，通过基于半结构化自律模型（SRM）的半结构化访谈收集数据，访谈对象为确诊为晚期OSCC的参与者。样本量根据饱和点确定。在此情况下，饱和点指的是没有新问题出现的点，表明样本量足够大。对访谈进行录音、逐字记录、编码，并使用框架分析法进行分析：样本由 15 名患者组成，其中男性 13 人，女性 2 人，年龄在 52 岁至 80 岁之间（平均 64.5 岁，SD ± 7.5）。导致延迟求助的应对策略有四种：1）自行用药；2）就医；3）放弃就诊（或治疗）；4）咨询普通牙科医生。参与者认为疾病可以自愈，不考虑立即寻求医疗帮助。结论：晚期 OSCC 患者对疾病的认识不足、口腔癌知识缺乏、误诊以及专业治疗转诊不足。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral Surgery Oral Medicine Oral Pathology Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.80

自引率

6.90%

发文量

1217

审稿时长

2-4 weeks

期刊介绍： Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.