Qualitative study on delayed experience of seeking medical treatment in patients with advanced lung cancer
10.3760/cma.j.cn211501-20220526-01646
- VernacularTitle:中晚期肺癌患者就医延迟体验的质性研究
- Author:
Diandian JIANG
1
;
Miaoling CUI
;
Zixiu WANG
;
Xue LI
Author Information
1. 广西医科大学第一附属医院呼吸与危重症医学科一病区,南宁 530021
- Keywords:
Lung neoplasms;
Qualitative research;
Delay in medical treatment
- From:
Chinese Journal of Practical Nursing
2023;39(7):526-532
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the causes and feelings of delayed experience of seeking medical treatment in patients with advanced lung cancer, and to provide new insights for more targeted health education and medical care services.Methods:A semi-structured in depth interview based on the theory of planned behavior was conducted among 30 patients with advanced lung cancer who experienced medical delay from November to December in 2021 admitted to First Affiliated Hospital of Guangxi Medical University. The interview content was analyzed and abstracted by using Colaizzi phenomenological analysis method and Nvivo11.0 software.Results:The delay duration of 30 patients with advanced lung cancer ranged from 90 to 213 days. Four subject groups were extracted by generic analysis: the cause of delay, the cause to seek medical help, the worry about the disease, and solutions.Conclusions:The delay behavior of patients with advanced lung cancer is affected by external situational factors such as symptom severity, family economic capacity, social support, accessibility of health services, prevalence of novel coronavirus, and subjective psychological factors such as sense of stigma and burden of disease, it is necessary to reduce the occurrence of medical delay in patients with advanced lung cancer through the comprehensive management strategy of multiple channels.