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Objective:To explore the causes and feelings of delayed experience of seeking medical treatment in patients with advanced lung cancer, and to provide new insights for more targeted health education and medical care services.Methods:A semi-structured in depth interview based on the theory of planned behavior was conducted among 30 patients with advanced lung cancer who experienced medical delay from November to December in 2021 admitted to First Affiliated Hospital of Guangxi Medical University. The interview content was analyzed and abstracted by using Colaizzi phenomenological analysis method and Nvivo11.0 software.Results:The delay duration of 30 patients with advanced lung cancer ranged from 90 to 213 days. Four subject groups were extracted by generic analysis: the cause of delay, the cause to seek medical help, the worry about the disease, and solutions.Conclusions:The delay behavior of patients with advanced lung cancer is affected by external situational factors such as symptom severity, family economic capacity, social support, accessibility of health services, prevalence of novel coronavirus, and subjective psychological factors such as sense of stigma and burden of disease, it is necessary to reduce the occurrence of medical delay in patients with advanced lung cancer through the comprehensive management strategy of multiple channels.
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Objective To explore the effect of transtheoretical model-based(TTM) health education on the self-management of the patients with chronic obstructive pulmonary disease.Methods 100 patients of COPD were divided into the experimental group and the control group randomly,50 cases in each group.The patients in the control group received routine health education,while the patients in the experimental group received TTM education.All the patients were investigated with the self-management scale at baseline and 4,12 and 24 weeks after discharge.Results After the intervention,the scores of self-management in the experimental group were significantly higher than those in the control group,the difference was statistically significant.Conclusions TTM health education can improve the self-management skills in patients with COPD.