Asia-Pacific journal of oncology nursing · 2026
Determinants of patient delay and its association with quality of life among young women with breast cancer in China: A cross-sectional study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Peng Yueyang, Ma Jun, Liu Li, Xiao Jinnan, Gu Can
Аннотация
OBJECTIVE: The incidence of breast cancer in young women (< 40 years old) has been increasing in recent years. Patient delay is significant to disease prognosis, thus early diagnosis and prompt effective therapy represent the key elements in controlling breast cancer. This study aimed to identify determinants of patient delay and assess the association of patient delay with quality of life (QoL).
METHODS: A cross-sectional study was conducted among 286 young patients with breast cancer from October, 2022 to March, 2023 at four tertiary hospitals in Hunan province, China with the guidance of Andersen Behavioral Model of Health Services Utilization. Determinants of patient delay were identified using binary logistic regression analysis. The association between patient delay and QoL was analyzed using linear regression.
RESULTS: A total of 106 (37.06%) young patients with breast cancer had experienced patient delay, indicating that more than one in three women faced this critical barrier to timely care. Patients who lived in countryside (odd ratio [OR] 3.676, 95% confidence interval [CI] 1.468-9.206), had an initial outpatient consultation to other department (OR 3.910, 95% CI 1.439-10.624), waited > 7-day for initial outpatient consultation (OR 11.350, 95% CI 3.450-37.345) were more likely to experience patient delay. Detecting disease at routine physical examination (OR 0.208, 95% CI 0.045-0.967), having higher critical health literacy (OR 0.676, 95% CI 0.506-0.904), and having more friend support (OR 0.921, 95% CI 0.855-0.993), patients were less likely to experience patient delay. Patient delay was negatively correlated with QoL including overall FACT-B (t = -2.443, P = 0.015), physical well-being (t = -3.526, P < 0.001), functional well-being (t = -2.077, P = 0.039), and additional concerns (t = -1.974, P = 0.049).
CONCLUSIONS: Waiting time for initial outpatient consultation > 7-day was the strongest determinant of patient delay among young women with breast cancer. Other significant factors included rural residence and initial consultation in non-specialist departments, while higher health literacy, friend support, and detection via physical examination were protective. Patient delay was significantly associated with poorer QoL, particularly in the domains of physical well-being, functional well-being, and additional concerns. These findings underscore the need for interventions targeting health care access to reduce patient delay and improve patient health outcomes.
METHODS: A cross-sectional study was conducted among 286 young patients with breast cancer from October, 2022 to March, 2023 at four tertiary hospitals in Hunan province, China with the guidance of Andersen Behavioral Model of Health Services Utilization. Determinants of patient delay were identified using binary logistic regression analysis. The association between patient delay and QoL was analyzed using linear regression.
RESULTS: A total of 106 (37.06%) young patients with breast cancer had experienced patient delay, indicating that more than one in three women faced this critical barrier to timely care. Patients who lived in countryside (odd ratio [OR] 3.676, 95% confidence interval [CI] 1.468-9.206), had an initial outpatient consultation to other department (OR 3.910, 95% CI 1.439-10.624), waited > 7-day for initial outpatient consultation (OR 11.350, 95% CI 3.450-37.345) were more likely to experience patient delay. Detecting disease at routine physical examination (OR 0.208, 95% CI 0.045-0.967), having higher critical health literacy (OR 0.676, 95% CI 0.506-0.904), and having more friend support (OR 0.921, 95% CI 0.855-0.993), patients were less likely to experience patient delay. Patient delay was negatively correlated with QoL including overall FACT-B (t = -2.443, P = 0.015), physical well-being (t = -3.526, P < 0.001), functional well-being (t = -2.077, P = 0.039), and additional concerns (t = -1.974, P = 0.049).
CONCLUSIONS: Waiting time for initial outpatient consultation > 7-day was the strongest determinant of patient delay among young women with breast cancer. Other significant factors included rural residence and initial consultation in non-specialist departments, while higher health literacy, friend support, and detection via physical examination were protective. Patient delay was significantly associated with poorer QoL, particularly in the domains of physical well-being, functional well-being, and additional concerns. These findings underscore the need for interventions targeting health care access to reduce patient delay and improve patient health outcomes.