Sun Yiyuan, Knobf M Tish
Adelphi University School of Nursing, 1 South Avenue, Garden City, NY 11530-0701, [corrected] USA.
ANS Adv Nurs Sci. 2008 Oct-Dec;31(4):332-41. doi: 10.1097/01.ANS.0000341413.09801.7a.
Although symptoms suggestive of cancer are the most common reason that people seek healthcare, the process undertaken to disclose the symptoms is unclear. The purpose of this article is to critically analyze the concept of symptom disclosure in the context of cancer. Rodgers' evolutionary approach was applied to analyze the concept of symptom disclosure. Concept analysis indicates that symptom disclosure is a decision-making process in which a person chooses to tell significant others and a healthcare provider about self-identified symptoms. Characteristics of the concept include symptom interpretation, weighing the risks and benefits of disclosure, and taking action. Influencing factors are knowledge, cancer risk perception, personal or family history of cancer, socioeconomic and cultural factors, and access to care. The concept analysis of symptom disclosure provides guidance for developing strategies to promote healthcare-seeking behavior in practice and suggest areas for future research.
尽管提示癌症的症状是人们寻求医疗保健最常见的原因，但披露这些症状的过程尚不清楚。本文的目的是在癌症背景下批判性地分析症状披露的概念。采用罗杰斯的进化方法来分析症状披露的概念。概念分析表明，症状披露是一个决策过程，在此过程中，一个人选择向重要他人和医疗保健提供者告知自我识别出的症状。该概念的特征包括症状解读、权衡披露的风险和益处以及采取行动。影响因素有知识、癌症风险认知、个人或家族癌症史、社会经济和文化因素以及获得医疗服务的机会。症状披露的概念分析为制定促进实际就医行为的策略提供了指导，并指出了未来研究的方向。
