Help seeking behavior of women with self-discovered breast cancer symptoms: a meta-ethnographic synthesis of patient delay.
Help seeking behavior of women with self-discovered breast cancer symptoms: a meta-ethnographic synthesis of patient delay.
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DOI：
10.1371/journal.pone.0110262
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Mohammadi E
中科院分区：
文献类型：
--
作者：
Khakbazan Z;Taghipour A;Latifnejad Roudsari R;Mohammadi E
患者延误对乳腺癌病例的诊断晚和生存率低至关重要。确定影响患者延误的因素可以为采取缩短延误的策略提供信息。这种元人种志的目的是综合现有的定性证据，以便对具有自我发现的乳腺癌症状的女性寻求帮助的行为有新的了解，并确定影响患者延迟的因素。 该设计是一种元民族志方法。在不同的数据库（包括 Elsevier、PubMed、ProQuest 和 SCOPUS）中对文章进行了系统检索。其中包括 1990 年至 2013 年间以英文发表的定性研究，重点关注具有自我发现乳腺癌症状和患者延误的女性寻求帮助的行为。使用批判性评估技能计划定性研究清单对文章进行质量评估，13 篇文章符合纳入标准。该综合是根据 Noblit 和 Hare 的元民族志方法（1988）通过相互转化分析和论证进行的。通过综合，确定了八个重复的关键概念，包括：症状检测、初始症状解释、症状监测、社交互动、情绪反应、医疗帮助的优先顺序、卫生服务评估和个人环境因素。症状解释被认为是寻求帮助过程中的重要一步，通过积极监测症状、社交互动和情绪反应，症状解释在整个过程中发生变化。形势的严重性、优先接受医疗护理、医疗保健系统的难以获得性和不可接受性影响了妇女利用医疗服务的决策。寻求帮助的过程受到多种因素的影响。旨在纠正误解、错误社会信仰和提高自我意识的教育计划可以为改善卫生政策提供关键策略，从而减少患者的延误。
Patient delay makes a critical contribution to late diagnosis and poor survival in cases of breast cancer. Identifying the factors that influence patient delay could provide information for adopting strategies that shorten this delay. The aim of this meta-ethnography was to synthesize existing qualitative evidence in order to gain a new understanding of help seeking behavior in women with self-discovered breast cancer symptoms and to determine the factors that influence patient delay. The design was a meta-ethnography approach. A systematic search of the articles was performed in different databases including Elsevier, PubMed, ProQuest and SCOPUS. Qualitative studies with a focus on help seeking behaviors in women with self-discovered breast cancer symptoms and patient delay, published in the English language between 1990 and 2013 were included. The quality appraisal of the articles was carried out using the Critical Appraisal Skills Programme qualitative research checklist and 13 articles met the inclusion criteria. The synthesis was conducted according to Noblit and Hare’s meta-ethnographic approach (1988), through reciprocal translational analysis and lines-of-argument. The synthesis led to identification of eight repeated key concepts including: symptom detection, initial symptom interpretation, symptom monitoring, social interaction, emotional reaction, priority of medical help, appraisal of health services and personal-environmental factors. Symptom interpretation is identified as the important step of the help seeking process and which changed across the process through active monitoring of their symptoms, social interactions and emotional reactions. The perceived seriousness of the situation, priority to receive medical attention, perceived inaccessibility and unacceptability of the health care system influenced women’s decision-making about utilizing health services. Help seeking processes are influenced by multiple factors. Educational programs aimed at correcting misunderstandings, erroneous social beliefs and improving self-awareness could provide key strategies to improve health policy which would reduce patient delay.
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影响因子：
4.2
作者：
Ceber, Esin;Turk, Meral;Ciceklioglu, Meltem
通讯作者：
Ciceklioglu, Meltem
影响因子：
2.4
作者：
Britten, Nicky;Campbell, Rona;Pill, Roisin
通讯作者：
Pill, Roisin
影响因子：
5.4
作者：
ANDERSEN, BL;CACIOPPO, JT;ROBERTS, DC
通讯作者：
ROBERTS, DC
影响因子：
3.5
作者：
de Nooijer, J;Lechner, L;de Vries, H
通讯作者：
de Vries, H
DOI：
10.1016/s0277-9536(02)00064-3
发表时间：
2003-02-01
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Campbell, Rona;Pound, Pandora;Donovan, Jenny
通讯作者：
Donovan, Jenny