癌症症状求助行为研究进展及护理启示

doi:10.3761/j.issn.1672-9234.2024.10.020

摘要/Abstract

摘要：

癌症的防治是我国乃至全球共同面临的公共卫生问题,癌症早期筛查、早期诊断、早期治疗是降低癌症死亡率、改善预后的有效路径,关注癌症症状求助行为可帮助患者以经济有效的健康策略发现早期癌症和癌前病变。该文通过阐述癌症症状求助行为(help-seeking behaviour for cancer symptoms)的概念与属性、相关理论模型、具体过程、影响因素及干预措施等内容,为临床医护人员了解癌症症状求助行为,探索有效的干预策略提供参考。

关键词: 癌症, 综述, 症状求助, 求助行为

Abstract:

The prevention and treatment of cancer is a public health problem in China and even the world and help-seeking behaviour for cancer symptoms plays an important role in the early detection and diagnosis of cancer. In order to provide a reference for understanding the help-seeking behaviour and effective intervention strategies,this paper reviewed the concept and attributes,related theoretical models,specific process,influencing factors and intervention programs of help-seeking behaviour for cancer symptoms. The paper aims to provide reference for understanding the symptomatic help-seeking behavior of cancer,improving the early diagnosis rate of cancer and improving the quality of life.

Key words: Cancer, Review, Symptom help, Help-seeking behavior

王悦, 艾闪闪, 牛鹏丽, 肖文俊, 徐国君. 癌症症状求助行为研究进展及护理启示[J]. 中华护理教育, 2024, 21(10): 1275-1280.

WANG Yue, AI Shanshan, NIU Pengli, XIAO Wenjun, XU Guojun. Research progress on help-seeking behaviour for cancer symptoms[J]. Chinese Journal of Nursing Education, 2024, 21(10): 1275-1280.

参考文献 37

[1]	Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022:GLOBOCAN estimates of incidence and mortality world-wide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2024, 74(3):229-263.
[2]	李为民, 赵爽, 刘伦旭. 肺癌早期诊断方法及临床意义[J]. 四川大学学报(医学版), 2017, 48(3):331-335.
[3]	新华社. 中共中央国务院印发《“健康中国2030”规划纲要》[EB/OL].(2016-10-25)[2023-10-26]. http://www.gov.cn/zhengce/2016-10-25/content_5124174.Htm.
[4]	Momeni M, Rafii F. Help-seeking behaviour for cancer symp-toms:an evolutionary concept analysis[J]. Scand J Caring Sci, 2020, 34(4):807-817.
[5]	Rajaram N, Jaganathan M, Muniandy K, et al. Barriers to help-seeking for Malaysian women with symptoms of breast cancer:a mixed-methods,two-step cluster analysis[J]. BMC Health Serv Res, 2023, 23(1):206. doi: 10.1186/s12913-023-09046-x pmid: 36859265
[6]	Black GB, van Os S, Whitaker KL, et al. What are the simi-larities and differences in lung cancer symptom appraisal and help-seeking according to smoking status?A qualitative study with lung cancer patients[J]. Psycho-Oncology, 2022, 31(12):2094-2103.
[7]	Williams P, Rebeiz MC, Hojeij L, et al. Help-seeking behaviour in women diagnosed with gynaecological cancer:a systematic review[J]. Br J Gen Pract, 2022, 72(725):e849-e856.
[8]	Tessler RC, Schwartz SH. Help seeking,self-esteem,and achieve-ment motivation:an attributional analysis[J]. J Pers Soc Psychol, 1972, 21(3):318-326. pmid: 5060750
[9]	Scott S, Walter F. Studying help-seeking for symptoms:the challenges of methods and models[J]. Soc Pers Psychol Compass, 2010, 4(8):531-547.
[10]	O’Mahony M, Hegarty J. Help seeking for cancer symptoms:a review of the literature[J]. Oncol Nurs Forum, 2009, 36(4):E178-E184.
[11]	Howell DA, Smith AG, Roman E. Help-seeking behaviour in patients with lymphoma[J]. Eur J Cancer Care(Engl), 2008, 17(4):394-403.
[12]	Dubayova T, van Dijk JP, Nagyova I, et al. The impact of the intensity of fear on patient’s delay regarding health care seeking behavior:a systematic review[J]. Int J Public Health, 2010, 55(5):459-468. doi: 10.1007/s00038-010-0149-0 pmid: 20467882
[13]	江光荣, 夏勉. 心理求助行为:研究现状及阶段—决策模型[J]. 心理科学进展, 2006, 14(6):888-894.
[14]	张丝艳, 徐震雷, 官锐园. “阶段—决策” 模型下医学生心理求助行为分析[J]. 中国学校卫生, 2015, 36(6):874-877.
[15]	魏喜蕾. 中学生心理求助行为研究探析[J]. 亚太教育, 2016, 186(28):233.
	Wei XL. Research and analysis on psychological help-seeking behavior of middle school students[J]. Asi Pac Edu, 2016, 186(28):233.
[16]	Leventhal H, Phillips LA, Burns E. The Common-Sense Model of Self-Regulation(CSM):a dynamic framework for unders-tanding illness self-management[J]. J Behav Med, 2016, 39(6):935-946. doi: 10.1007/s10865-016-9782-2 pmid: 27515801
[17]	Jouanny C, Abhyankar P, Maxwell M. A mixed methods syste-matic literature review of barriers and facilitators to help-seeking among women with stigmatised pelvic health symp-toms[J]. BMC Womens Health, 2024, 24(1):217. doi: 10.1186/s12905-024-03063-6 pmid: 38570870
[18]	Whitaker KL, Boswell L, Russell J, et al. The relationship between patient enablement and help-seeking in the context of blood cancer symptoms[J]. Psycho-Oncology, 2023, 32(8):1223-1230. doi: 10.1002/pon.6170 pmid: 37199519
[19]	Hannaford PC, Thornton AJ, Murchie P, et al. Patterns of symp-toms possibly indicative of cancer and associated help-seeking behaviour in a large sample of United Kingdom residents-the USEFUL study[J]. PLoS One, 2020, 15(1):e0228033.
[20]	Saab MM, Noonan B, Kilty C, et al. Awareness and help-seeking for early signs and symptoms of lung cancer:a qualitative study with high-risk individuals[J]. Eur J Oncol Nurs, 2021,50:101880.
[21]	Al-Azri MH, Al-Saidi M, Al-Mutairi E, et al. Knowledge of risk factors,symptoms and barriers to seeking medical help for cervical cancer among Omani women attending sultan qaboos university hospital[J]. Sultan Qaboos Univ Med J, 2020, 20(3):e301-e309.
[22]	Moodley J, Constant D, Mwaka AD, et al. Anticipated help seeking behaviour and barriers to seeking care for possible breast and cervical cancer symptoms in Uganda and South Africa[J]. Ecancermedicalscience, 2021,15:1171.
[23]	Oshiro M, Kamizato M, Jahana S. Factors related to help-seeking for cancer medical care among people living in rural areas:a scoping review[J]. BMC Health Serv Res, 2022, 22(1):836.
[24]	Mullins MA, Peres LC, Alberg AJ, et al. Perceived discrimina-tion,trust in physicians,and prolonged symptom duration before ovarian cancer diagnosis in the African American Cancer Epidemiology Study[J]. Cancer, 2019, 125(24):4442-4451. doi: 10.1002/cncr.32451 pmid: 31415710
[25]	Agbeko AE, Arthur J, Bayuo J, et al. Seeking healthcare at their ‘right’ time;the iterative decision process for women with breast cancer[J]. BMC Cancer, 2020, 20(1):1011.
[26]	傅华. 健康教育学[M]. 3版. 北京: 人民卫生出版社,2017:283-284.
[27]	Ezenwankwo EF, Oladoyimbo CA, Dogo HM, et al. Factors in-fluencing help-seeking behavior in men with symptoms of prostate cancer:a qualitative study using an ecological perspective[J]. Cancer Invest, 2021, 39(6/7):529-538.
[28]	Freij M, Al Qadire M, Khadra M, et al. Awareness and know-ledge of ovarian cancer symptoms and risk factors:a survey of Jordanian women[J]. Clin Nurs Res, 2018, 27(7):826-840.
[29]	Carter-Harris L, Hermann CP, Schreiber J, et al. Lung cancer stigma predicts timing of medical help-seeking behavior[J]. Oncol Nurs Forum, 2014, 41(3):E203-E210.
[30]	Pakseresht S, Tavakolinia S, Leili EK. Determination of the association between perceived stigma and delay in help-seeking behavior of women with breast cancer[J]. Maedica, 2021, 16(3):458-462. doi: 10.26574/maedica.2021.16.3.463 pmid: 34925603
[31]	Saab MM, O’Driscoll M, FitzGerald S, et al. Primary healthcare professionals’ perspectives on patient help-seeking for lung cancer warning signs and symptoms:a qualitative study[J]. BMC Prim Care, 2022, 23(1):119.
[32]	Liu XH, Zhong JD, Ren JY, et al. The formation of stigma and its social consequences on Chinese people living with lung cancer:a qualitative study[J]. Oncol Nurs Forum, 2023, 50(5):589-598.
[33]	Mueller J, Davies A, Jay C, et al. Evaluation of a web-based,tailored intervention to encourage help-seeking for lung cancer symptoms:a randomised controlled trial[J]. Digit Health, 2020,6:2055207620922381.
[34]	Martin-Payo R, Leirós-Díaz C, Armes J, et al. The “Breast-4Y” web app for breast cancer prevention at young age:Development,evaluation,and validation[J]. Internet Interv, 2023, 33:100651.
[35]	Williams G, Mueller J, Mbeledogu C, et al. The impact of a volunteer-led community cancer awareness programme on knowledge of cancer risk factors and symptoms,screening,and barriers to seeking help[J]. Patient Educ Couns, 2020, 103(3):563-570. doi: S0738-3991(18)30540-8 pmid: 31611129
[36]	Niranjan V, Fitzpatrick P, Morrogh R, et al. Evaluation of community outreach feasibility programmes on improving cancer-related,preventive,health behaviour[J]. Lancet, 2022, 400(Suppl 1):S67.
[37]	陆鑫林, 刘雪薇, 高蓓, 等. 基于混合方法研究的社区卫生服务中心开展乳腺癌筛查焦点问题分析[J]. 中国全科医学, 2024, 27(19):2409-2414,2420. doi: 10.12114/j.issn.1007-9572.2023.0196