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触发因结直肠癌症状而就医的因素,以及对诊断的看法。

Factors triggering medical consultation for symptoms of colorectal cancer and perceptions surrounding diagnosis.

机构信息

Department of Public Health, Balearic Department of Health, Palma, Spain.

出版信息

Eur J Cancer Care (Engl). 2010 Mar;19(2):192-9. doi: 10.1111/j.1365-2354.2008.00998.x. Epub 2009 Aug 26.

Abstract

This study aims to find out how the presenting symptoms of colorectal cancer are interpreted by those who get them, to identify the main triggering factors that lead someone with colorectal cancer symptoms to consult a doctor, and to describe how those affected perceive the process of being diagnosed with colorectal cancer. It is a qualitative study performed within the theoretical framework of symbolic interactionism and from a gender perspective. Grounded theory has been used for the analysis. Semi-structured interviews were conducted. Twelve individuals with colorectal cancer - seven men and five women - were interviewed. At first, both the men and women attributed their symptoms to trivial causes. Changes in symptoms or the persistence of symptoms trigger medical consultation. Close relatives, especially the closest female family members, can trigger medical consultation, particularly among men. The women said nothing to their families until they had already gone to the doctor. Knowledge about colorectal cancer could be a factor triggering medical consultation. The time between consulting the family doctor and seeing a specialist feels drawn out. Gender-related differences have been observed in respect to help-seeking in colorectal cancer. Health education programmes focusing on knowledge about cancer are needed.

摘要

本研究旨在了解结直肠癌患者对自身症状的解释,确定导致有结直肠癌症状的人去看医生的主要诱发因素,并描述受影响者如何看待结直肠癌的诊断过程。这是一项在符号互动论理论框架内,并从性别角度进行的定性研究。采用扎根理论进行分析。进行了半结构化访谈。共访谈了 12 名结直肠癌患者——7 名男性和 5 名女性。起初,男性和女性都将自己的症状归因于微不足道的原因。症状的变化或持续存在会引发医疗咨询。亲戚,尤其是最亲近的女性家庭成员,可以引发医疗咨询,尤其是在男性中。女性在去看医生之前什么也没对家人说。对结直肠癌的了解可能是引发医疗咨询的一个因素。从看家庭医生到看专科医生的时间感觉很漫长。在结直肠癌的寻求帮助方面观察到了与性别相关的差异。需要开展以癌症知识为重点的健康教育计划。

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