Factors predicting time to first hospital visit among persons with breast cancer

Main Article Content

Jantorn Pullpipat
Ratsiri Thato

Abstract

Purpose: to study time to first hospital visit among persons with breast cancer and identify its predictive factors.


Design: Retrospective descriptive predictive research


Methods: The sample consisted of 110 new breast cancer persons at every stage of the disease, who sought treatment at Queen Sirikit Hospital and Chonburi Cancer Hospital. Data were collected using 5 questionnaires: demographic data form, time to first hospital visit form, knowledge about breast cancer disease, fear of diagnosis and treatment and social support questionnaires. Knowledge about breast cancer disease had KR-20 at .70. The Cronbach’s alpha coefficients of fear of diagnosis and treatment and social support questionnaires were .88 and .81 respectively. Data were analyzed using stepwise multiple regression.


Finding: The finding revealed that 1) the average time to first hospital visit among persons with breast cancer was 119.45 days, 2) two variables were significant predictors of time to first hospital visit among persons with breast cancer at level .05. There were knowledge about breast cancer disease (Beta=-.447) and social support (Beta=-.236). These two variables could explain 24.70% of time to first hospital visit among persons with breast cancer (p<.05).


Conclusion: Result findings can provide an evidenced data for nurses to the development of the program to decrease time to first hospital visit among persons with breast cancer.

Article Details

Section
Research articles

References

WHO [Internet]. Breast cancer; 2021 [cited

April 30] from https://www.who.

int/news-room/fact-sheets/detail/

breast-cancer

Cancer Registry. Cancer registration at the

hospital level. National Cancer Institute,

Department of Medicine, Ministry of

Public Health; 2020.

Soimadee S. Overall survival and prognostic

factors for breast cancer Patients at

Vachira Phuket Hospital. Thai cancer J

;30(2):62-71.

Angela FB, Cristiane MN, Carlos HAbdon,

Daniela NN, Emenny LL, Adriano D.

Factors associated with time interval

between the onset of symptoms and

first medical visit in women with breast

cancer. Cad Saude Publica. 2020;36(2):1-9.

Wongjunlongsin S, Sumdaengrit B. Causes of

delayed seeking treatment in Thai

women with breast cancer in

Ramathibodi Hospital. J Nurs Health

Care. 2019; 37(3):201-210. (in Thai)

Dracup K, Debra KM, Mickey E, Hendrika M,

Angelo AA, Allan B. Causes of delay in

seeking treatment for heart attack

symptoms. Soc Sci Medicine.

;40(3):379-392.

Dracup K, Debra K. Moser, Sharon M, Carol

B, Keiko Y, Cho-Ja K, Lynn VD, Mary AC.

An International Perspective on the

Time to Treatment for Acute Myocardial

Infarction. J Nurs Scholarsh. 2003;35(4):

-323.

Cohen J. Statistical power analysis for the

behavioural sciences, xxi. Hillsdale NJ

Erlbaum Assoc. 1998;

Pornchai S, Pensirinapa N, Sitakalin P. Factors

affecting early doctor visiting behavior

among patients with breast tumor at

Saraburi Hospital. J Saf Health.

;1(2):14-23. (in Thai)

Anja M, Petra B, Gerhard H, Peter H. Fear of

cancer progression and cancer-related

intrusive cognitions in breast cancer

survivors. Psycho-Oncology. (2009);18:

–1280.

Wongkuan D. Factors Predicting Sleep

Variability in Acute Myocardial Infarction

S u r v i v o r s [ T h e s i s ] . B a n g k o k :

Chulalongkorn University; 2017. (in Thai)

Sorotkulangkoon P, Thato R. Factors

predicting cervical cancer screening

among police officer wives in Bangkok.

J Police Nurs. 2019; 11(2):407-420. (in Thai)

Dracup K, Sharon M, Barbara R, Hendrika M,

Lynn VD, Debra KM. A Nursing

Intervention to Reduce Prehospital

Delay in Acute Coronary Syndrome: A

Randomized Clinical Trial. J Cardiovasc

Nurs. 2006;21(3):186-193.

Odongo J, Makumbi T, Kalungi S, Galukande

M. Patient delay factors in women

presenting with breast cancer in a

low-income country. BMC Res Notes.

;8(467):1-6. 14. Huaguo Z,

Guorong W, Jina Z, Ying L, Xiaolian J.

Patient delay and associated factors

among Chinese women with breast

cancer A cross-sectional study. Med.

; 98:40

Su JC, Pei-Tseng K, Kuang HH, Yueh-Hsin W,

Wen-Chen T. Characteristics of the

Delayed or Refusal Therapy in Breast

Cancer Patients: A Longitudinal

Population-Based Study in Taiwan. J

pone. 2015;10(6):1-13.

Rattanaphasura N. Factors affecting delayed

treatment among breast cancer patients

in the central-region cancer centers

[Thesis]. Bangkok: Mahidol University;

(in Thai)

Anita EA, Joshua A, Jonathan B, Basil BK,

Ishmael K. Seeking healthcare at their

‘right’ time; the iterative decision

process for women with breast cancer.

BMC Cancer. 2020;20(1011): 1-7.