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한국 여성의 유방암 진단과 치료시기에 영향을 미치는 요인

Factors related to the Period of Diagnosis and Treatment for Breast Cancer among Korean Women

이윤지|황선경|조현희
간호과학연구소 (Research Institute of Nursing Science)|2020.07|글로벌 건강과 간호 (Global Health and Nursing)|제10권 제2호|pp. 98-107|DOI 10.35144/ghn.2020.10.2.98

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키워드

Breast neoplasmsDelayed diagnosisTime-to-treatment
주제분류간호학

초록

Purpose: We aimed to assess the period of diagnosis and treatment for breast cancer and identify related factors. Methods: A cross-sectional study of 108 women who were hospitalized as patients with breast cancer was carried out in a university hospital in the Republic of Korea. A self-administered questionnaire was used for data collection. Results: The mean periods of diagnosis and treatment were 51.69±81.18 days (median: 17 days) and 44.83± 56.97 days (median: 30 days), respectively. In hierarchical regression, significant predictors of an increased period of diagnosis included detecting abnormal changes based on perceived symptoms, performing regular breast self-examinations, and not undergoing mammography regularly. Women with breast cancer require more time for diagnosis when it is dependent on their breast self-examination and perceived symptoms without regular mammography. A predictor of increased period of treatment was financial burden. Conclusion: Women need health-promoting education in terms of proper techniques and training for breast self-examinations and the importance of regular mammography. Moreover, we must develop healthcare service programs and financial support to fill the gap to achieve early diagnosis and treatment to improve outcomes and quality of life among patients with breast cancer.

Abstract

Purpose: We aimed to assess the period of diagnosis and treatment for breast cancer and identify related factors. Methods: A cross-sectional study of 108 women who were hospitalized as patients with breast cancer was carried out in a university hospital in the Republic of Korea. A self-administered questionnaire was used for data collection. Results: The mean periods of diagnosis and treatment were 51.69±81.18 days (median: 17 days) and 44.83± 56.97 days (median: 30 days), respectively. In hierarchical regression, significant predictors of an increased period of diagnosis included detecting abnormal changes based on perceived symptoms, performing regular breast self-examinations, and not undergoing mammography regularly. Women with breast cancer require more time for diagnosis when it is dependent on their breast self-examination and perceived symptoms without regular mammography. A predictor of increased period of treatment was financial burden. Conclusion: Women need health-promoting education in terms of proper techniques and training for breast self-examinations and the importance of regular mammography. Moreover, we must develop healthcare service programs and financial support to fill the gap to achieve early diagnosis and treatment to improve outcomes and quality of life among patients with breast cancer. Key Words: Breast neoplasms; Delayed diagnosis; Time-to-treatment

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