Catherine McAuley School of Nursing & Midwifery, University College Cork, Ireland.
Eur J Oncol Nurs. 2011 Dec;15(5):410-8. doi: 10.1016/j.ejon.2010.10.011. Epub 2010 Nov 19.
The aim of the study was to explore women's Help Seeking Behaviour (HSB) for a self discovered breast symptom, in order to gain understanding of women's experience of finding a breast symptom and how this influenced their HSB. In addition, the study sought to confirm the appropriateness of the "Help Seeking Behaviour & Influencing Factors" framework, for use in phase two of the study.
A qualitative descriptive method was used involving semi-structured interviews with ten women, ranging in age from 25 to 55 years, who had discovered a breast symptom.
Women's HSB ranged from up to one month (n = 6), one to three months (n = 2) and over three months (n = 2), following symptom discovery. The key variables linked to delayed help seeking were denial, fear, social factors and knowledge and beliefs. The study verified that the variables within the "Help Seeking Behaviour and Influencing Factors" framework act as both facilitators and barriers to women's HSB. Thus, confirming the appropriateness of this framework for a larger quantitative study of women's help seeking behaviour.
The study highlights that despite continued emphasis on early help seeking for breast cancer symptoms, delay is still prevalent amongst women. This reiterates the need for continued emphasis on the message of early detection for breast cancer symptoms. To this end, nurses have a significant role to play in educating women in both clinical and community settings, about breast cancer and early detection practices.
本研究旨在探讨女性对自我发现的乳房症状的求助行为(HSB),以了解女性发现乳房症状的经历以及这如何影响她们的 HSB。此外,该研究还试图确认“求助行为和影响因素”框架在研究第二阶段的适用性。
采用定性描述方法,对 10 名年龄在 25 岁至 55 岁之间的女性进行了半结构式访谈,这些女性都发现了乳房症状。
女性发现症状后,求助行为的时间跨度从 1 个月内(n = 6)到 1 至 3 个月(n = 2)再到 3 个月以上(n = 2)不等。与延迟求助相关的关键变量包括否认、恐惧、社会因素以及知识和信念。研究证实,“求助行为和影响因素”框架中的变量既可以促进也可以阻碍女性的 HSB。因此,该框架适用于对女性求助行为进行更大规模的定量研究。
本研究强调,尽管人们一直强调对乳腺癌症状要尽早寻求帮助,但女性仍普遍存在延迟求助的情况。这再次强调了继续强调乳腺癌症状早期检测信息的必要性。为此,护士在临床和社区环境中对女性进行乳腺癌和早期检测实践的教育方面发挥着重要作用。