Xiao-Dan Wu, MS, RN, Department of Colorectal Surgery, Cancer Center, Sun Yat-sen University, Guangzhou, China.
Ying-Yu Zeng, MS, RN, Department of Operation Room, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Gastroenterol Nurs. 2020 Mar/Apr;43(2):186-195. doi: 10.1097/SGA.0000000000000407.
The objective of this study was to describe prehospital delay and health beliefs in Chinese patients with colorectal cancer. A total of 756 adult Chinese patients with a first-time diagnosis of colorectal cancer were recruited during 2016 in Guangzhou, China. All patients completed the Chinese-language version of a questionnaire developed specifically for this study as well as the Chinese-language version of the Champion Health Belief Model Scale. The results of this study showed that the median length of the prehospital delay was 12 weeks and that the average delay was 18.29 (SD = 14.66) weeks. The rate of prehospital delay was 47.35%. The score of health beliefs among these patients was 115.56 (SD = 9.00) and the average score of the entries was 3.21 (SD = 0.25). Health beliefs about colorectal cancer were negatively correlated with prehospital delay. A multiple logistic regression showed that the level of health beliefs, frequency of physical examinations, occupation, and the site of the cancer were the major factors influencing prehospital delay (p < .05). The patients had a low rate of physical examination (41.40%), and colorectal cancer screening was not routine prior to their physical examination. This study showed that the incidence of prehospital delay among Chinese patients with colorectal cancer was 47.35%. Multiple factors influenced prehospital delay among Chinese patients with colorectal cancer.
本研究旨在描述中国结直肠癌患者的院前延误和健康信念。2016 年，在中国广州共招募了 756 名首次诊断为结直肠癌的成年中国患者。所有患者均完成了专为该研究开发的中文版问卷和中文版 Champion 健康信念模型量表。本研究结果显示，院前延误的中位数为 12 周，平均延误为 18.29（SD=14.66）周。院前延误率为 47.35%。这些患者的健康信念评分为 115.56（SD=9.00），各条目平均得分为 3.21（SD=0.25）。结直肠癌的健康信念与院前延误呈负相关。多因素逻辑回归显示，健康信念水平、体检频率、职业和癌症部位是影响院前延误的主要因素（p<0.05）。患者体检率低（41.40%），且体检前未常规进行结直肠癌筛查。本研究显示，中国结直肠癌患者的院前延误发生率为 47.35%。多种因素影响中国结直肠癌患者的院前延误。
