摘要
目的调查癌症生存者经济毒性现状,并分析其影响因素,为制订降低经济毒性的针对性干预策略提供参考。方法选取1065例癌症生存者为研究对象,采用一般资料问卷、慢性病治疗的经济毒性功能评估综合评分量表、心理弹性量表简化版、癌症孤独和负面社会期望量表、领悟社会支持量表、安德森症状量表进行横断面调查。结果癌症生存者经济毒性总分为(24.20±7.75)分,其中535例(50.23%)存在经济毒性。多重线性回归分析结果显示:家庭月收入、可支配的家庭存款、截止目前自付费用、治疗费用信息了解程度、患肿瘤部位、抗肿瘤治疗方式,以及症状严重程度、心理弹性、孤独感、社会期望是癌症相关经济毒性的主要影响因素(均P<0.05),可解释经济毒性总变异的39.0%。结论经济毒性在癌症生存者中普遍存在,除人口学、疾病、经济层面因素外,症状严重程度、心理弹性、孤独感和社会期望均会影响癌症生存者相关经济毒性,需采取针对性干预措施以降低其经济毒性水平。
Objective To investigate the status of financial toxicity and explore its influencing factors in cancer survivors,and to provide evidence for developing targeted intervention strategies.Methods A total of 1065 cancer survivors were recruited and surveyed with demographic questionnaire,the COmprehensive Score for financial Toxicity-Functional Assessment of Chronic Illness Therapy,Connor-Davidson Resilience Scale,Cancer Loneliness Scale and Cancer-related Negative Social Expectations Scale,Perceived Social Support Scale,and the M.D.Anderson Symptom Inventory.Results The total financial toxicity score of the participants was 24.20±7.75,with 535(50.23%)of them suffered from financial toxicity.Multivariate linear regression analysis revealed that,household income per month,disposable household savings,total out-of-pocket payments,knowledge of cost information,tumor site,treatment type,symptom severity,resilience,loneliness and negative social expectations were influencing factors of financial toxicity(P<0.05 for all),which accounted for 39.0%of the total variation.Conclusion The prevalence of financial toxicity in cancer survivors is high.Besides demographic,disease-related and financial factors,symptom severity,resilience,loneliness and negative social expectations are also related to financial toxicity.Targeted intervention strategies are needed to prevent or ameliorate financial toxicity of cancer survivors.
作者
孙艳玲
况艺
袁潇逸
朱菁
顾海雁
胡敏
邢唯杰
Sun Yanling;Kuang Yi;Yuan Xiaoyi;Zhu Jing;Gu Haiyan;Hu Min;Xing Weijie(School of Public Health,Fudan University,Shanghai 200032,China)
出处
《护理学杂志》
CSCD
北大核心
2022年第15期24-27,31,共5页
Journal of Nursing Science
基金
国家自然科学基金青年项目(72004034)
China Medical Board Open Competition Program(20-371)
上海市高水平地方高校试点建设项目“健康中国视角下循证护理创新研究院”子项目(FNDGJ202005)。
关键词
癌症生存者
经济毒性
经济负担
经济困扰
症状
心理弹性
孤独感
社会期望
社会支持
cancer survivors
financial toxicity
financial burden
financial hardship
symptom
resilience
loneliness
social expectation
social support