主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2023, Vol. 23 ›› Issue (6): 807-812.doi: 10.3969/j.issn.1672-1756.2023.06.002

• 特别策划·肿瘤预防及筛查 • 上一篇    下一篇

肿瘤专科护士视角下影响乳腺癌高风险人群早期筛查行为障碍因素的质性研究

张华果 刘俐惠 卢颖 王国蓉 顾怡蓉   

  1. 首都医科大学附属北京世纪坛医院护理部,100038 北京市(张华果,刘俐惠,顾怡蓉);河南省人民医院护理部(卢颖);四川省肿瘤医院护理部(王国蓉)
  • 出版日期:2023-06-15 发布日期:2023-06-15
  • 通讯作者: 顾怡蓉,硕士,主任护师,护理部副主任,E-mail:bjsjtyyhlb2021@163.com
  • 作者简介:张华果,博士,副主任护师,护理部副主任

Obstacles to early screening behavior of high risk breast cancer patients from the perspective of oncology nurses: a qualitative study

ZHANG Huaguo, LIU Lihui, LU Ying, WANG Guorong, GU Yirong   

  1. Department of Nursing, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China
  • Online:2023-06-15 Published:2023-06-15
  • Contact: E-mail:bjsjtyyhlb2021@163.com

摘要: 目的:基于肿瘤专科护士视角,探索乳腺癌高风险人群早期筛查行为的障碍因素,为推进乳腺癌高风险人群早期筛查提供参考。方法:采用描述性质性研究方法,于2022年11月至2023年3月选取14名肿瘤专科护士进行半结构化访谈,采用内容分析法进行访谈资料分析。结果:乳腺癌高风险人群早期筛查决策的障碍因素可归纳为5个主题:乳腺癌自我早期发现素养不足;感知的支持不足;筛查可及性受限;筛查普及性不足;筛查体系不完善。结论:乳腺癌高风险人群早期筛查行为受社会生态系统中多个层面因素的影响,需要提高该人群乳腺癌自我早期发现素养,同时需要加强以“家庭策略”为主的支持,并提供有针对性的外部支持环境,积极落实相关政策,完善筛查体系建设,促进早期筛查普及化。

关键词: 专科护士;乳腺癌;早期筛查;障碍因素;质性研究

Abstract: Objective: To explore the obstacles to early screening behavior of high-risk population of breast cancer from the perspective of oncology nurses. Methods: Qualitative and descriptive research methods were adopted. A semi-structured interview was conducted on 14 oncology specialist nurses from september 2022 to March 2023. Data were transcribed and analyzed using qualitative content analysis. Results: The obstacles to early screening at high risk population of breast cancer were summarized into 5 themes: lack of self-early detection literacy of breast cancer; perceived lack of support; accessibility constraints for screening; insufficient screening popularity; inadequate support system. Conclusion: The early screening decision of high risk breast cancer population is affected by individual, interpersonal, organizational, community and policy factors. It is necessary to enhance the early detection literacy of breast cancer among high-risk population. At the same time, we should strengthen the support system based on "family strategy", and provide the targeted external support environment, actively implement the relevant policies to promote the popularization of early screening.

Key words: specialist nurse; breast cancer; early screening; obstacle; qualitative study

中图分类号:  R473.73;R197