Welsh women's comments about breast problems and the care given: a qualitative study in the community
Welsh women's comments about breast problems and the care given: a qualitative study in the community
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DOI：
10.1046/j.1365-2354.2003.00407.x
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发表时间：
2003-09-01
影响因子：
2.1
通讯作者：
Wilkinson, C
中科院分区：
文献类型：
--
作者：
Pill, R;Wood, FC;Wilkinson, C
这项研究的目的是使用定性软件，对南威尔士34个团体的全科诊所中女性的乳房症状经历、她们对治疗的期望、乳腺癌危险因素的知识和风险认知的邮寄调查的自由文本评论进行系统的分析。在1126名(应答率85%)中，959名女性回复了问卷，其中包括497名在基线数据收集期间咨询有新的乳房症状的全科医生(GP)的女性和462名没有乳房症状的对照组。当调查进行时，研究人员不知道这些女性是否患有癌症或以前是否接受过治疗。三分之一(33.1%)的受访者(n=318)写下了评论。与其他人相比，他们更有可能咨询医生以了解新的乳房症状，并留在学校和/或接受更多的教育或培训。大多数人写到了他们自己的乳房症状和/或在初级和次级环境中接受的护理。总体基调是实事求是的，当进行评估时，积极的评论比负面的评论更频繁。没有任何迹象表明，受访者对前面关于这样一个潜在敏感话题的问题感到不安或更加焦虑。如果系统分析，在调查中收集的自由文本评论可以提供有价值的数据。医生，特别是全科医生，可以放心，在这个社区样本中，更多表达了对护理意见的女性是积极的。然而，负面评论突显了在治疗关系中仍需解决的问题。
The aim of this study was to undertake a systematic analysis, using qualitative software, of the free text comments from a postal survey exploring women's experiences of breast symptoms, their expectations of treatment, knowledge of breast cancer risk factors and perceptions of risk, in 34 group general practices in South Wales. The 959 women who returned the questionnaire, out of 1126 (response rate 85%), comprised 497 women who consulted their general practitioner (GP) with a new breast symptom during the baseline data collection period and 462 controls who had not. When the survey was conducted the researchers did not know whether these women had cancer or had previously been treated for it. One-third (33.1%) of those returning the survey (n = 318) wrote comments. Compared to the rest, they were significantly more likely to have consulted their GP for a new breast symptom and to have stayed on at school and/or gone on to more education or training. The majority wrote about their own experience of breast symptoms and/or the care received in primary and secondary settings. The general tone was factual and when evaluation took place positive comments were more frequent than negative ones. Nothing suggested that the respondents had been upset or made more anxious by the preceding questions on such a potentially sensitive topic. Free text comments gathered in surveys can provide valuable data if systematically analysed. Doctors, particularly GPs, can be reassured that more women in this community sample who expressed an opinion on care were positive. The negative comments, however, highlight issues that still need to be addressed in therapeutic relationships.