食管癌患者就医延迟的影响因素分析-中国护理管理.pdf

论 著 Research Paper 食管癌患者就医延迟的影响因素分析 吴建平 王克芳 吕宝玉 肖海云 闫荣 赵沁 李芝云 [摘 要] 目的：调查食管癌患者就医延迟现状，基于健康生态学模型分析其就医延迟的影响因素。方法：采用目的抽样方法， 选取山东省济南市4 所医院的住院食管癌患者345 例为研究对象，进行问卷调查。问卷由一般资料调查问卷、就医情况问卷、 健康素养调查问卷、健康坚韧性评定量表修订版、社会支持评定量表组成。结果：食管癌患者就医延迟发生率为33.75％，基 于健康生态学模型得出影响食管癌患者就医延迟的上游因素为：家庭成员中有无医疗卫生工作者、户口类型、家庭人均月收入。 中游因素为：吸烟情况、饮酒情况、健康价值观、外源性健康控制观、客观支持、主观支持、对支持的利用度。下游因素为： 性别、年龄、是否合并慢性病。结论：食管癌患者就医延迟现象比较普遍，相关部门应该采取相应的干预措施促进患者及时就医， 从而提高患者的5 年生存率。 [ 关键词 ] 健康生态学模型；食管癌；就医延迟 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2015.10.009 Patient delay and influencing factors in patients with Esophageal Cancer / WU Jianping, WANG Kefang, LYU Baoyu, XIAO Haiyun, YAN Rong, ZHAO Qin, LI Zhiyun // Emergency Department, Affiliated hospital of Shandong academy of medical sciences, Jinan, 250031 China /// Chinese Nursing Management-2015,15(10): 1183-1188 [ ] Abstract Objective: To investigate the treatment-seeking delay status of patients with esophageal cancer, analyze influencing factors based on medical health ecology model. Methods: Purposive sampling method was used to select 345 hospitalized patients with esophageal cancer from four hospitals in Jinan, Shandong Province. The questionnaire included general information, medical information, health literacy scale, Revised Health Hardiness Inventory (RHHI-24), and Social Support Scale (SSS). Results: Incidence of treatment-seeking delays was 33.75% in this study. Based on the healthy ecological model, the upstream influencing factors of patient delay in patients with esophageal cancer were: whether the family members eng