Delayed Presentation of Self-discovered Breast Cancer Symptoms in Iranian Women: A Qualitative Study

Khakbazan, Zohreh; Taghipour, Ali; Roudsari, Robab Latifnejad; Mohammadi, Eesa; Omranipour, Ramesh

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자료유형: 학술저널

저자정보: Khakbazan, Zohreh (Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences) Taghipour, Ali (Health Sciences Research Center, Department of Biostatistics and Epidemiology, School of Health, Mashhad University of Medical Sciences) Roudsari, Robab Latifnejad (Evidence-Based Care Research Centre, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences) Mohammadi, Eesa (Department of Nursing, Medical Sciences Faculty, Tarbiat Modares University) Omranipour, Ramesh (Cancer Research Centre, Department of Surgical Oncology, Tehran University Of Medical Science)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제15권 제21호

발행연도: 2014.1

수록면: 9,427 - 9,432 (6page)

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Background: Delayed presentation of symptomatic breast cancer is a public health issue in Iran, making a major contribution to low survival. Despite the importance of this problem, current knowledge is insufficient to inform interventions to shorten patient delay. The aim of this study was to explore factors influencing patient delay in Iranian women with self-discovered breast cancer symptom. Materials and Methods: This qualitative study was conducted during 2012-2013. Purposeful sampling was used to recruit 20 Iranian women with self-discovered symptoms of breast cancer who attended the Cancer Institute of Tehran University of Medical Sciences, Tehran, Iran. Data were collected through semi-structured in-depth audiotaped interviews, which were transcribed and analyzed using conventional content analysis with MAXqda software version 10. Findings: Content analysis of the data revealed four main themes related to the delay in seeking medical help including: 1) attributing symptoms to the benign conditions; 2) conditional health behavior; 3) inhibiting emotional expression; and 4) barriers to access to health care systems. Conclusions: These results suggest that patient delay is influenced by complex and multiple factors. Effective intervention to reduce patient delay for breast cancer should be developed by focusing on improvement of women's medical knowledge, managing patients' emotional expression and reform of the referral system.

#Breast cancer #delay #Iran

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Khakbazan, Zohreh

소속기관 Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences