| Summary: | 碩士 === 國立陽明大學 === 牙醫學系 === 106 === Research background: Oral Squamous Cell Carcinoma is the sixth common cancer in the world. According to the latest statistics of the Ministry of Health and Welfare Cancer Registry Report (2015), oral cancer incidence rate ranked as the sixth and mortality the fifth in Taiwan. The incidence and mortality among men both ranked as the fourth. There are approximately 7,000 newly diagnosed oral cancer cases each year and nearly 3,000 deaths due to oral cancer. Oral cancer became the most common cancer among adults age between 25-44 years old. Of these patients with oral cancer, as many as 88% had the habit of chewing betel quids, and accompanying cigarette-smoking and alcohol-drinking behaviors, the incidence of oral cancer in Taiwan remains high. Oral cancer affects not only the patient’s own health, but also the physical aspects and psychological aspects (the appearance is impaired, the inability to continue work, and the lack of financial resources, etc.). At the peak of work, it will also cause social productivity and economic derogation, and the impact will be enormous.
Research methods: The subjects of this study was male oral cancer patient at the Oral Surgery Department of Taichung Veterans General Hospital, who completed the questionnaire to understand the patient's medical treatment behavior and why they delay in diagnosis or treatment. The questionnaire was based on health belief models, PRECEDE-PROCEED model , health literacy, and other factors combined with the characteristics of oral cancer in Taiwan and was calculated using the Likert Scale. Mainly to discuss male oral cancer patients. After consciously having abnormalities in the oral cavity, do they immediately go to the hospital for medical diagnosis; or if they are diagnosed with oral cancer, why they don’t receive treatment immediately.
Results: A total of 50 male patients who had undergone oral cancer surgery for the first time were recruited from the oral surgery section of a medical center at central Taiwan The patient gave the questionnaire information after agreeing and signing the informed consent form. For all study subjects, the mean age was 51.8 years old, and most of them had an education level as high school or junior high school(both were 17, 34%) . Forty-one (82%) subjects were married. Thirteen (26%) subjects did not have a job when interviewed. The economic conditions are mostly ordinary (56%). Twenty-nine (58%) subjects had quit smoking, but 19 (38%) still kept smoking habits. Thirty-eight (76%) subjects had quit chewing betel quid. Twenty-three (46%) subjects had quit drinking habits and still thirteen (26%) continued to drink. Most of the study subjects were with other chronic diseases: 15 patients (30%) have high blood pressure and 12 patients (24%) have diabetes. Divided into three groups at intervals to conduct cross-sectional analysis to see the patient's health beliefs and self-efficacy, propensity factors, enhancement factors, and enabling factors. Patients worried about the surgery would do damage to their faces (P=0.026).
Discussion: Oral cancer can be diagnosed at its early stage. If soon to diagnosis, the five-year survival rate can reach 80%. However, the current incidence of oral cancer and the mortality in Taiwan are the fourth among men. In addition to the lack of cancer awareness, in the face of suffering from oral cancer and delaying treatment or treatment due to various factors, it may be because there is still working, there is no income without work, the family has elders or children to take care of, etc., but also from the questionnaire results The patient's family will support the patient to treatment. Instead, the patient will be more willing to face the treatment and subsequent side effects. Family support is also an important factor.
Conclusion: This study shows that although there are no statistically significant differences in the health beliefs, health education diagnostic evaluation, and health awareness among male oral cancer patients, they can know that oral cancer patients have a positive attitude toward treatment, with family support and assistance. Oral cancer patients can be actively treated. It is also suggested that high-risk groups should have the ability to self-inspect the oral cavity and hope to reduce the incidence of oral cancer so as to improve people's health.
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