摘要
目的 调查结直肠癌患者就诊延误、健康信念水平并分析其相关性,为临床护理干预提供依据.方法 采用方便整群抽样的方法,选取2016年1-6月就诊的385例结直肠癌患者,采用一般资料调查问卷、就诊情况调查问卷及Champion健康信念模型量表进行问卷调查.结果 结直肠癌患者到目标医院的延误时间中位数为3.00个月,就诊延误166例（延误率达43.1%,166/385）;其健康信念总分为（119.52 ± 12.62）分,＂感知到的易感性和感知到的严重性＂2个维度得分较低,＂健康动力和感知到的益处＂2个维度得分较高.就诊延误水平与健康信念得分呈负相关（r=-0.737,P〈0.01）.结论 结直肠癌患者存在严重的就诊延误,健康信念水平越低,其就诊延误情况越严重.医护人员应重点关注患者＂感知到的易感性和感知到的严重性＂健康信念;并关注健康信念水平低的人群,改善就诊延误现状.
Objective To describe the current situation of pre-hospital delay and health belief in patients with colorectal cancer and explore the relationship between them. Methods With convenient sampling methods,totally 385 patients with colorectal cancer were recruited from January to June 2016. Patients with colorectal cancer were investigated using a general data survey questionnaire, visit situation questionnaire and the Champion Health Belief Model Scale. Results The median pre-hospital delay time was 3.00 months.The rate of pre-hospital delay was 43.1%（166/385）. The score of the overall health belief was （119.52 ± 12.62） points. The two dimensions of＂perceived susceptibility and perceived severity＂ scored lower, and the two dimensions of ＂health motivation and perceived therapeutic benefits＂ scored higher. The health belief was negatively correlated with the pre- hospital delay among colorectal cancer patients （r=- 0.737, P〈0.01）. Conclusions Pre-hospital delay occurred among patients with colorectal cancer is severe. Patients with a higher level of health belief have shorter pre-hospital delay.It′s important to improve the level of health belief of＂perceived susceptibility and perceived severity＂and reduce the time of pre-hospital delay to improve outcomes in patients with colorectal cancer.
出处
《中国实用护理杂志》
2017年第30期2361-2365,共5页
Chinese Journal of Practical Nursing
基金
2015年广东省科技计划（2014A020212105）
2016年广东省科技计划（2016A020215091）
关键词
结直肠肿瘤
就诊延误
健康信念
健康态度
Colorectal neoplasms
Pre-hospital delay
Health belief
Attitude to health
