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目的:探讨乳腺癌患者的求医行为及其影响因素,为开展城乡社区乳腺癌防治工作提供依据。方法:采用自制问卷对河北省6家医院178例住院乳腺癌患者进行回顾性问卷调查。结果:51.69%的乳腺癌患者发现乳房异常后未能及时求医,66.29%的患者首诊未到市级以上肿瘤专科医院或综合医院肿瘤科;首诊医疗机构、首诊时间与患者的年龄、文化程度、居住地、医疗费用支付方式、乳房异常的发现方式相关(P<0.001),文化程度较高、年龄较小、城市居民、享受城镇基本医疗保险和新型农村合作医疗、进行常规体检和定期乳房自检的妇女,其求医行为相对较好。结论:乳腺癌患者的求医行为受多种社会文化因素的影响,应提高妇女乳腺癌相关知识的知晓率,并采取有效的预防和干预措施。
Objective: To investigate the behavior of seeking medical treatment in breast cancer patients and its influencing factors, and to provide basis for prevention and treatment of breast cancer in urban and rural communities. Methods: A self-made questionnaire was used to retrospectively survey 178 inpatients with breast cancer in 6 hospitals in Hebei Province. Results: 51.69% of breast cancer patients failed to seek timely medical treatment after breast abnormalities were found, 66.29% of the patients did not get the first diagnosis of cancer specialist or general hospital oncology at the municipal level or above; the first visit to medical institutions, the first consultation time and the patient’s age (P <0.001), higher education level, younger age, urban residents, enjoying urban basic medical insurance and new rural cooperative medical care, and carrying out regular physical examination Women with regular breast self-examination performed relatively better medical treatment. Conclusion: The doctor seeking behavior in patients with breast cancer is influenced by many social and cultural factors. The awareness rate of breast cancer related knowledge should be improved and effective prevention and intervention measures should be taken.