印度德里,患有乳腺癌的妇女在诊断阶段和寻求医疗护理的延误。

IF 0.4 4区 医学
Iranian Red Crescent Medical Journal Pub Date : 2014-12-30 eCollection Date: 2014-12-01 DOI:10.5812/ircmj.14490
Sedigheh Pakseresht, Gopal Krishna Ingle, Suneela Garg, Nahid Sarafraz
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引用次数: 30

摘要

背景:在发展中国家,癌症患者往往延迟寻求医疗建议。它会对疾病的结果产生不利影响。目的:本研究旨在确定印度德里乳腺癌妇女的诊断阶段和寻求医疗护理的延误。患者和方法:这是一项基于人口普查(病例系列)方法的横断面研究,该研究涵盖了印度德里Lok Nayak医院“2007年1月至2009年12月在外科门诊部(OPD)发现的所有原发性乳腺癌女性(172名)。采用自结构问卷对患者进行访谈。寻求行为变量为问题意识、首次就诊、遵医嘱、问题发现、医学制度、知诊差距(患者延误)。采用Microsoft SPSS-pc 14.0版统计程序进行统计分析。变量采用均值、标准差、X(2)、Fisher精确检验、K-S、Kruskal-Wallis等分析方法。所有统计学检验均在5%的显著性水平下进行(P < 0.05)。结果:女性平均年龄46.99岁。38.4%的女性年龄≤40岁。61%的女性在诊断时处于癌症第四期。从知道问题到咨询医生(患者延迟)的平均间隔时间为10.90个月。癌症分期与咨询间隔无显著相关性。研究发现,乳腺癌的分期与收入之间存在显著关联;收入越低的女性患乳腺癌的分期越高(P < 0.05)。结论:年龄与延迟咨询之间存在显著关联。在患乳腺癌的妇女中,延迟仍然很普遍。似乎有必要在临床和社区环境中为妇女设计关于乳腺癌和早期检测实践的教育项目。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Stage at diagnosis and delay in seeking medical care among women with breast cancer, delhi, India.

Stage at diagnosis and delay in seeking medical care among women with breast cancer, delhi, India.

Stage at diagnosis and delay in seeking medical care among women with breast cancer, delhi, India.

Stage at diagnosis and delay in seeking medical care among women with breast cancer, delhi, India.

Background: Patients with cancer often delay seeking medical advice in developing countries. It can adversely influence the outcome of disease.

Objectives: The present study was performed to determine the stage at diagnosis and delay in seeking medical care among women with breast cancer in Delhi, India.

Patients and methods: This was a cross-sectional study based on a census (case series) approach to reach all women (172) diagnosed with primary breast cancer "detected in surgery Out Patient Department (OPD) from January 2007 to December 2009" at Lok Nayak Hospital, Delhi, India. Patients were interviewed using a self-structure questionnaire. Seeking behavior variables were awareness of problem, first consultation, followed physician's advice, detection of problem, system of medicine and gap between knowing the problem and consultation (patient delay). Statistical Analysis was performed using the Microsoft SPSS-pc version 14.0 statistical program. The analytic methods were used (mean, standard deviation, X(2), Fisher's Exact Test, K-S, Kruskal-Wallis) for variables. All statistical tests were performed at a significance level of 5% (P < 0.05).

Results: the mean age of women was 46.99 years. 38.4% of women were ≤ 40 years. 61% of women were in stage IV of cancer at the time of diagnosis. The mean duration of gap between knowing the problem and consulting a physician (patients delay) was 10.90 months. There was no significant association between stage of cancer and consultation gap. A significant association was found between the stage of breast cancer and income; women with lower income had a higher stage of breast cancer (P < 005).

Conclusions: A significant association was found between ages of women with their delays in consultation. Delay is still prevalent amongst women with breast cancer. It seems necessary to design educating programs for women in both clinical and community settings, about breast cancer and early detection practices.

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来源期刊
Iranian Red Crescent Medical Journal
Iranian Red Crescent Medical Journal 医学-医学:内科
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期刊介绍: The IRANIAN RED CRESCENT MEDICAL JOURNAL is an international, English language, peer-reviewed journal dealing with general Medicine and Surgery, Disaster Medicine and Health Policy. It is an official Journal of the Iranian Hospital Dubai and is published monthly. The Iranian Red Crescent Medical Journal aims at publishing the high quality materials, both clinical and scientific, on all aspects of Medicine and Surgery
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