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乳腺癌患者健康信息寻求障碍的定性研究。

Qualitative Study of Health Information -Seeking Barriers among Mastectomy Patients.

机构信息

Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Department of Internal Medicine, Imam Hossein Hospital, Shahid Beheshti University of medical science, Tehran, Iran.

出版信息

Asian Pac J Cancer Prev. 2020 Nov 1;21(11):3185-3190. doi: 10.31557/APJCP.2020.21.11.3185.

Abstract

BACKGROUND

Health information-seeking behavior (HISB) plays a key role in self-care management, promoting quality of life and improving health. However, some individual and contextual barriers hinder women undergoing mastectomy access to needed information. Identifying and removing health information-seeking barriers for these women undergoing mastectomy can lead to improving their health outcomes. Therefore, the aim of this study was to identify the health information-seeking barriers for women with breast cancer after mastectomy.

MATERIALS AND METHODS

This was a conventional qualitative content analysis in which the participants were selected through purposive sampling based on the study inclusion criteria from two hospitals of Shahid Mohammadi and Persian Gulf and Chemotherapy Center of Omid in Bandar Abbas. The study population consisted of 17 women with breast cancer after mastectomy. Data were collected through semi-structured face-to-face interviews.

RESULTS

Seven main themes were introduced as three individual barriers, including fear, shame and embarrassment and inadequate health literacy and four contextual barriers of economic status, physicians and medical staff, lack of accessibility of information sources and the behavior of those around them that were the underlying factors to explain the barriers of health information seeking in mastectomized women.

CONCLUSION

The results of this study emphasize the need for further attention from Iranian authorities to health care, especially women' health care institutions, to reform the health system and remove their health information -seeking barriers.
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摘要

背景

健康信息寻求行为(HISB)在自我保健管理中起着关键作用,可提高生活质量并改善健康状况。但是,一些个人和环境障碍会阻碍接受乳房切除术的女性获取所需信息。确定并消除这些接受乳房切除术的女性在健康信息寻求方面的障碍,可以改善她们的健康结果。因此,本研究的目的是确定接受乳房切除术的乳腺癌女性的健康信息寻求障碍。


材料和方法

这是一项常规的定性内容分析,根据研究纳入标准,通过目的抽样从沙希德·莫哈马迪(Shahid Mohammadi)和波斯湾以及阿巴斯港的奥米德(Omid)化疗中心的两家医院中选择参与者。研究人群由 17 名接受乳房切除术的乳腺癌女性组成。通过半结构化的面对面访谈收集数据。


结果

介绍了七个主要主题,包括三个个体障碍:恐惧、羞耻和尴尬以及健康素养不足,以及四个环境障碍:经济状况、医生和医务人员、信息来源获取不足以及周围人的行为,这些都是解释接受乳房切除术的女性健康信息寻求障碍的根本因素。


结论

本研究的结果强调需要伊朗当局进一步关注医疗保健,特别是妇女保健机构,以改革卫生系统并消除她们的健康信息寻求障碍。

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Qualitative methods in implementation research: An introduction.定性方法在实施研究中的应用:简介。
Psychiatry Res. 2019 Oct;280:112516. doi: 10.1016/j.psychres.2019.112516. Epub 2019 Aug 10.

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