新疆地区宫颈癌患者就医延迟现状及影响因素分析

目的了解新疆地区宫颈癌患者就医延迟现况及其影响因素,为宫颈癌早期干预及治疗提供理论依据。方法使用随机整群抽样法抽取2016年9月—2017年9月新疆乌鲁木齐市3所三级甲等医院中妇科及肿瘤科收治的宫颈癌患者,共计574例。使用问卷调查法调查宫颈癌患者就医延迟现状,采用Logistic回归分析宫颈癌患者就医延迟的影响因素。结果新疆地区宫颈癌患者就医延迟发生率为41.28%;Logistic回归分析结果显示,民族(OR=0.389,95%CI:0.249~0.528),文化程度(OR=1.484,95%CI:1.034~2.325),收入水平(OR=0.345,95%CI:0.202~0.567),临床分期(OR=1.323,95%CI:1.174~1.905),宫颈癌相关知识(OR=3.641,95%CI:2.339~5.254)为宫颈癌患者就医延迟的主要影响因素。结论新疆地区宫颈癌就医延迟状况严重,患者对该疾病知识了解不足,缺少主动就医意识,应重点加强对少数民族、文化程度较低、经济状况较差、早期宫颈癌及宫颈癌知识了解较少患者的的宫颈癌知识的宣教和干预,以减少宫颈癌患者的就医延迟发生率。

Analysis of Status and Influencing Factors of Delay of Medical Treatment in Patients with Cervical Cancer in Xinjiang

Objective To understand the status and influencing factors of medical treatment delay of patients with cervical cancer in Xinjiang,and then provide a reliable theoretical basis for the early intervention and treatment of cervical cancer in the medical department.Methods Using random cluster sampling,574 patients with cervical can-cer from gynecological and oncology departments in three tertiary hospitals in Urumqi were collected from September 2016 to September 2017.The status of delay medical treatment of cervical cancer patients was investigated using a self-designed questionnaire.Logistic regression model was used to analyze the influencing factors.Results The rate of delayed treatment of patients with cervical cancer in Xinjiang was 41.28 percent.Logistic regression analysis showed that race(OR=0.389,95%CI:0.249~0.528),cultural degree(OR=1.484,95%CI:1.034~2.325),economic status(OR=0.345,95%CI:0.202~0.567),cancer staging(OR=1.323,95%CI:1.174~1.905)and know-ledge of cervical cancer(OR=3.641,95%CI:2.339~5.254)were the main influencing factors.Conclusion The status of delayed medical treatment for patients with cervical cancer in Xinjiang is not optimistic.The patient has no knowledge of the disease,lacking of active medical attention.Particular attention should be paid to patients who are ethnic minorities,low literacy,poor economic conditions and early cervical cancer patients with less knowledge of cervical cancer to reduce the delay rate of patients with cervical cancer.