癌症生存者经济毒性现状及影响因素  

Survey on financial toxicity and its influencing factors in cancer survivors

作　　者：孙艳玲 况艺 袁潇逸 朱菁[3] 顾海雁[3] 胡敏[1] 邢唯杰[2] Sun Yanling;Kuang Yi;Yuan Xiaoyi;Zhu Jing;Gu Haiyan;Hu Min;Xing Weijie(School of Public Health,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]复旦大学护理学院 [3]上海市徐汇区疾病预防控制中心慢病防治科

出　　处：《护理学杂志》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)。

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.

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 

分 类 号：R473.73[医药卫生—护理学]