摘要
目的调查结直肠癌患者就诊延误的现状并分析延误时间影响因素。方法本研究采用方便抽样法,调查2016年1—6月就诊于广州市某肿瘤专科医院并入院拟行检查、治疗的结直肠癌患者385例。采用一般资料调查问卷、就诊情况调查问卷对其进行调查。结果共发放调查问卷385份,回收有效问卷385份,有效回收率为100.0%。结直肠癌患者平均延误时间(4.6±4.8)个月;就诊延误的有166例(43.1%)。多重线性回归分析结果显示,肿瘤部位、文化程度、体检频率、职业是患者延误时间的影响因素(P<0.05)。患者既往体检率低(40.0%),多数体检未将结直肠癌筛查列为常规项目。结论结直肠癌患者存在严重的就诊延误现象,延误时间受肿瘤部位、文化程度、体检频率、职业影响。
Objective To investigate the current situation of pre-hospital delay in patients with colorectal cancer and identify the influencing factors of delay time. Methods With convenient sampling,totally 385 patients with colorectal cancer from a cancer hospital in Guangzhou were recruited from January to June 2016. They were surveyed by the self-developed Demographic Questionnaire and Treatment Status Questionnaire. Results The delay time among the colorectal cancer patients was（ 4. 6 ± 4. 8） months. In particular,the duration of delaying treatment for 166 cases was more than 3 months,accounting for43. 1% of the total. Multiple linear regression showed that the site of tumor, degree of education, frequency of physical examination,and occupation were the major influential factors for delay time（ P 0. 05）. Not many participants（ 40. 0%） had received physical examination; and colorectal cancer screening has not been a common item covered in most physical examinations. Conclusion Pre-hospital delay in colorectal cancer is relatively common,delay time is associated with the site of tumor,degree of education,frequency of physical examination and occupation.
出处
《中国全科医学》
CAS
北大核心
2017年第33期4109-4114,共6页
Chinese General Practice
基金
2015年广东省科技发展专项资金项目(2014A020212105)
2016年广东省科技发展专项资金项目(2016A020215091)
