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揭示延误情况:了解晚期宫颈癌女性的诊断途径。

Unveiling delays: understanding the diagnostic pathways of women with advanced cervical cancer.

作者信息

Nogueira Cristiane Matos, Reis Bruna Sena, Meneses Aerica de Figueiredo Pereira, Mellado Bruna Helena, Candido Dos Reis Francisco José

机构信息

Department of Gynecology and Obstetrics, Ribeirao Preto Medical School, University of Sao Paulo, Av. Bandeirantes, Ribeirão Preto, 3900, Brazil.

出版信息

Support Care Cancer. 2025 Aug 30;33(9):826. doi: 10.1007/s00520-025-09885-w.

Abstract

PURPOSE

This qualitative inquiry delves into the diagnostic odyssey experienced by women diagnosed with locally advanced cervical cancer, seeking to elucidate the multifaceted factors influencing symptom recognition and access to healthcare services.

METHODS

Semi structured interviews were conducted with 17 women diagnosed with locally advanced cervical cancer at a tertiary care hospital. The study employs Braun and Clarke thematic analysis, a structured approach to identifying, interpreting, and displaying themes that reflect participants' experiences.

RESULTS

Two overarching themes of significance emerged: (1) "Personal Attitude: from symptom recognition to seeking healthcare" encapsulating individual symptom perception and healthcare-seeking behavior, and (2)"Weaknesses of the health system: from access to referral," uncovering systemic obstacles impeding timely diagnosis and treatment.

CONCLUSION

These findings underscore the urgent need for comprehensive strategies including patient education, healthcare provider training, improved referral systems, and empathetic healthcare interactions, to mitigate diagnostic delays and improve outcomes. By applying a rigorous qualitative approach, our study contributes to a deeper understanding of diagnostic delays in cervical cancer and provides a framework for future research in similar contexts.

摘要

目的

本定性研究深入探讨被诊断为局部晚期宫颈癌的女性所经历的诊断历程,旨在阐明影响症状识别和获得医疗服务的多方面因素。

方法

在一家三级护理医院对17名被诊断为局部晚期宫颈癌的女性进行了半结构化访谈。该研究采用布劳恩和克拉克主题分析法,这是一种识别、解释和展示反映参与者经历的主题的结构化方法。

结果

出现了两个具有重要意义的总体主题:(1)“个人态度:从症状识别到寻求医疗服务”,涵盖个人症状感知和寻求医疗服务行为;(2)“卫生系统的弱点:从获得转诊到”,揭示阻碍及时诊断和治疗的系统性障碍。

结论

这些发现强调迫切需要采取综合策略,包括患者教育、医疗服务提供者培训、改进转诊系统以及富有同情心的医疗互动,以减少诊断延误并改善治疗结果。通过采用严谨的定性方法,我们的研究有助于更深入地理解宫颈癌的诊断延误,并为类似背景下的未来研究提供框架。

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