口腔癌患者就医延迟现状及其影响因素分析

Study on the Patient Delay among Oral Cancer Patients

目的:探讨口腔癌患者就医延迟现状及其主要影响因素。方法:采用口腔癌患者一般资料调查表、汉密尔顿焦虑及抑郁量表、就医情况问卷和家庭支持量表对72例口腔癌患者进行调查。结果:口腔癌患者就医延迟发生率为48.5%;时间最短2d,最长5年余,中位时间为120d;就医延迟患者在居住状况、自觉疾病严重程度、焦虑及家庭支持与未延迟患者比较,其差异有统计学意义。结论:口腔癌患者就医延迟现象较为普遍,且居住状况、自觉疾病严重程度、焦虑及家庭支持均为影响口腔癌患者就医延迟的主要因素。

Objective：To describe the patient delay situation of oral cancer patients in Dalian city and identify the main influencing factors.Methods：The influencing factors of patient delay were assessed by the general data selfdesigned questionnaire,Hamilton Anxiety Scale（HAMA）,Hamilton Depression Scale（HAMD）,medical-seeking situation questionnaire,and family support scale to survey the 72 cases of oral cancer patients.Results：The incidence of oral cancer patient delay was 48.5%.The elapsed time from discovery to the initial seeking for a medical consultation ranged from 2days to 5years,and the median was 120 days.Medical-seeking patients with delay were different from patients with no delay in living conditions,self-consciously disease severity,anxiety,and consciously family support.The difference was statistically significant.Conclusion：Oral cancer patient delay phenomenon is relatively common,and the living conditions,self-consciously severity of disease,anxiety,and consciously family support are the main factors influencing the oral cancer patients to see the doctor.