天津地区肛肠疾病患者拖延就医原因调查分析  

Investigation and Analysis of Reasons for Delayed Medical Treatment in Patients with Anorectal Diseases in Tianjin Area

作　　者：于航 武海阔[1,2] 赵千慧 刘剑 YU Hang;WU Hai-kuo;ZHAO Qian-hui;LIU Jian(First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381;National Clinical Research Center for Acupuncture and Moxibustion in Traditional Chinese Medicine,Tianjin 300381)

机构地区：[1]天津中医药大学第一附属医院,天津300381 [2]国家中医针灸临床医学研究中心,天津300381

出　　处：《中国肛肠病杂志》2025年第3期57-59,共3页Chinese Journal of Coloproctology

基　　金：河北省中医药管理局科研计划项目(T2025105);天津中医药大学第一附属医院“拓新工程”基金科研课题(院2020061)。

摘　　要：目的:调查分析天津地区肛肠疾病患者拖延就医原因。方法:采用调查问卷方式,对2022-2023年就诊于天津中医药大学第一附属医院肛肠科患者及天津地区常住志愿者进行调查。结果:采用网络问卷或纸质问卷收集调查者信息,实际回收问卷385份,出现拖延就医情况167人次,占比43.3%。26.9%患者以“有轻微影响但能忍受”为由拖延就医,此类主观自我认知导致的拖延就医约占51.6%,而医疗环境因素影响较低。拖延患者中症状频次最高的是肛周异物或肿物脱出。40.0%的患者对肛肠疾病不了解,68.4%的患者自诉曾获得过健康宣教,37.7%的患者表示希望获取相关疾病知识。结论:天津地区肛肠疾病患者普遍存在拖延就医现象,主要受个人认知影响。尽管多数患者曾接受过健康宣传,但对疾病认识有限,提升其认知水平尤为迫切。建议加强临床医师的科普作用,以增强公众健康意识,有效防治肛肠疾病。Objective To investigate the reasons for delayed medical treatment of patients with anorectal diseases in Tianjin area.Methods A questionnaire-based survey was conducted among patients from the Department of Coloproctology of First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine and permanent residents in Tianjin area from 2022 to 2023.Results The information of the investigators was collected through online or paper questionnaires.A total of 385 questionnaires were actually collected,and 167 cases had delayed medical treatment,accounting for 43.3%.26.9% of the patients delayed medical treatment for the reason that"it has a slight impact but can be tolerated",and such delays caused by subjective self-awareness accounted for about 51.6%,while the impact of medical environmental factors was relatively low.The most frequent symptom in patients with delayed treatment was the protrusion of perianal foreign bodies or masses.40% of the patients had no understanding of anorectal diseases,68.4%of the patients claimed to have received health education,and 37.7% of the patients expressed the desire to obtain knowledge about related diseases.Conclusion There is a widespread phenomenon of delayed medical treatment among patients with anorectal diseases in Tianjin area,which is mainly affected by personal cognition.Although most patients have received health promotion,their understanding of the disease is limited,and it is particularly urgent to improve their cognitive level.It is recommended to strengthen the popular science role of clinical physicians to enhance public health awareness and effectively prevent and treat anorectal diseases.

关 键 词：肛肠疾病 天津地区 拖延就医 

分 类 号：R657.1[医药卫生—外科学]