基于安德森模型的乳腺癌病人就医延迟影响因素研究

    Study on the influencing factors of medical treatment delay in breast cancer patients based on Andersen model

    • 摘要: 目的:基于安德森模型探讨乳腺癌病人就医延迟的影响因素。方法:选取365例乳腺癌住院病人为研究对象,采用纸质自填问卷收集就医延迟、倾向特征、使能资源和需求特征数据,基于单因素分析和logistic回归分析探究乳腺癌病人就医延迟的影响因素。结果:本研究就医延迟率为32.1%。单因素分析和logistic回归结果表明,家庭人均月收入水平(OR=0.339,P<0.05)、社会支持水平(OR=0.799,P<0.01)、乳腺癌意识水平(OR=0.854,P<0.01)、疾病感知能力(OR=0.681,P<0.01)和就医延迟风险呈负相关,选择替代治疗与乳腺癌病人就医延迟风险升高显著相关(OR=9.775,P<0.05)。结论:乳腺癌病人就医延迟率较高且受多维度因素影响,建议政府制定多层次、多维度的就医延迟干预措施,促进乳腺癌病人的早诊早治。

       

      Abstract: Objective: To explore the influencing factors of medical treatment delay in breast cancer patients based on the Andersen model. Methods: A total of 365 breast cancer inpatients were selected as the research subjects.Paper self-filled questionnaires were used to collect data on medical treatment delay,tendency characteristics,enabling resources and demand characteristics.Based on univariate analysis and logistic regression analysis,the influencing factors of medical treatment delay in breast cancer patients were explored. Results: The rate of medical treatment delay in this study was 32.1%.The results of univariate analysis and logistic regression showed that the per capita monthly household income level(OR=0.339,P<0.05),social support level(OR=0.799,P<0.01),breast cancer awareness level(OR=0.854,P<0.01) and disease perception ability(OR=0.681,P<0.01) were negatively correlated with the risk of medical treatment delay,and choosing alternative treatments was significantly associated with the medical treatment delay risk increasing in breast cancer patients(OR=9.775,P<0.05). Conclusions: The rate of medical treatment delay for breast cancer patients is relatively high,and affected by multi-dimensional factors.It is recommended that the government formulate multi-level and multi-dimensional intervention measures for medical treatment delay to promote the early diagnosis and treatment of breast cancer patients.

       

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