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Factors influencing patient delay in individuals with haemorrhoids: A study based on theory of planned behavior and common sense model.

Abstract：

AIMS:This study aimed to describe the status of patient delay and examine related factors affecting patient delay in individuals with haemorrhoids in mainland China, based on theory of planned behaviour and common sense model. BACKGROUND:Studies on patient delay have mainly focused on cancer, tuberculosis and myocardial infarction, but studies on patient delay in individuals with haemorrhoids have yet to be conducted. Compared with other diseases, haemorrhoids are initially considered benign. However, if patients with haemorrhoids seek delayed medical assistance, they pay a large cost for worse symptoms because they fail to seek timely treatments compared with those who receive appropriate treatments at early stages. DESIGN:A cross-sectional study design was used. METHODS:The current study was performed on 306 patients with haemorrhoids from June - October 2017. Data were collected via a self-administered pencil-and-paper survey that consisted of a multi-item questionnaire. Stepwise logistic regression analysis was conducted to explore the factors of patient delay. RESULTS:Middle-aged participants were more than twice more likely to report patient delay than participants in other age groups. A high level of perceived self-efficacy, a high level of illness perceptions and perceived social impact were associated with prolonged delay. CONCLUSION:This study showed that patient delay is common among patients with haemorrhoids in China. The influencing factors of patient delay were middle-aged, illness perceptions, perceived self-efficacy, and perceived social impact. :目的: 本研究旨在以计划行为理论和常识模型为基础,描述中国大陆痔疮患者延迟就医的现状,并探讨影响患者延迟就医的相关因素。背景: 对患者延迟的研究主要集中在癌症、结核病和心肌梗死,但对痔疮患者延迟的研究尚未开展。与其他疾病相比,痔疮最初被认为是良性的。然而,如果痔疮患者寻求延迟的医疗援助,他们将为更严重的症状付出巨大的代价,因为与那些在早期接受适当治疗的患者相比,他们未能及时寻求治疗。设计: 采用横断面研究设计。方法: 本研究于2017年6月至10月对306例痔疮患者进行了研究。数据是通过一个由多项问卷组成的自我管理的铅笔和纸张调查收集的。采用逐步逻辑回归分析探讨患者延迟就诊的因素。结果: 与其他年龄段的参与者相比,中年参与者报告病人延误的可能性要高出一倍以上。自我效能感高、疾病认知高、社会影响认知高与长时间延迟相关。结论: 本研究表明,在我国痔疮患者中,患者延迟就诊是常见的。患者延迟就诊的影响因素为中年、疾病认知、自我效能感和社会影响。.

journal_name

J Adv Nurs

journal_title

Journal of advanced nursing

authors

Shi Y,Yang D,Chen S,Wang S,Li H,Ying J,Zhang M,Li Y,Xing Z,Sun J

doi

10.1111/jan.13900

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

1018-1028

issue

eissn

0309-2402

issn

1365-2648

journal_volume

pub_type

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Factors influencing patient delay in individuals with haemorrhoids: A study based on theory of planned behavior and common sense model.