CAJ | 학술논문

目的：探讨影响食管癌患者早日就医的因素。方法采用质性研究的现象学研究方法，对12例中晚期食管癌患者采用半结构式深度访谈，合众法收集分析资料。结果影响中晚期食管癌患者早日就医包含6个主题：疾病知识缺乏、经济负担重、不重视早期症状、基层医疗水平低、心理负担重、高龄患者就医意识差。结论促进食管癌患者早日就医刻不容缓，加强食管癌知识普及，注重心理疏导，提高食管癌专科医疗水平，减轻经济负担，从而促进中晚期食管癌患者早期就诊，提高治愈率和生存质量。
목적：탐토영향식관암환자조일취의적인소。방법채용질성연구적현상학연구방법，대12례중만기식관암환자채용반결구식심도방담，합음법수집분석자료。결과영향중만기식관암환자조일취의포함6개주제：질병지식결핍、경제부담중、불중시조기증상、기층의료수평저、심리부담중、고령환자취의의식차。결론촉진식관암환자조일취의각불용완，가강식관암지식보급，주중심리소도，제고식관암전과의료수평，감경경제부담，종이촉진중만기식관암환자조기취진，제고치유솔화생존질량。
Objective To explore how to promote the early medical consultation of patients with advanced esophageal cancer to improve the curative rate and the survival rate. Methods With the phenomenological research method, 12 patients with advanced esophageal cancer were sampled for the research. The semi-structure interview method was conducted to collect the data for analyses. Result There were 6 factors influencing the early consultation from the patients with advanced esophageal cancer in their early medical treatment, which included 6 items: lack of knowledge of the disease, economic burden, ignorance of early symptoms, lower medical level, heavy psychological burden of the disease, ageing and delay in seeking medical care. Conclusions The promotion of early medical treatment to the patients with esophageal carcinoma is in critically emergency. The measures including reducing economic burden, corresponding nursing care and health education can improve the cure rate and life quality.