结直肠癌患者经济毒性现状及影响因素调查分析  

Financial toxicity and its influencing factors among patients with colorectal cancer

作　　者：查荣苹 刘淑华 曾梦婷 何虹[1] Zha Rongping;Liu Shuhua;Zeng Mengting;He Hong(Nursing department,The Second Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第二附属医院护理部,江西南昌330006 [2]南昌大学护理学院

出　　处：《护理学杂志》2023年第10期70-74,共5页Journal of Nursing Science

摘　　要：目的调查结直肠癌患者经济毒性水平,分析其影响因素,为进一步减轻患者经济毒性采取应对策略提供依据。方法选取262例结直肠癌患者作为研究对象,采用患者报告结局的经济毒性综合评分量表、经济毒性应对策略简答表进行调查。结果结直肠癌患者经济毒性总分为12.50,其中高经济毒性患者占82.06%。多元线性回归分析显示,居住地、患病前就业情况、家庭储蓄、患病年限、临床分期、造口及其造口并发症、合并症进入回归方程(P<0.05),可解释结直肠癌患者经济毒性总变异的43.1%。大部分患者曾经采取多种生活上或治疗上的应对策略来减轻经济毒性,且经济毒性越高的患者越易采取应对策略。结论结直肠癌患者普遍存在经济毒性且经济毒性水平较高,医护人员应全面评估患者的经济毒性水平,关注重点人群,教育患者采用正确的应对策略;社会及管理层面应提供重点支持。Objective To investigate the level of financial toxicity in patients with colorectal cancer and analyze its influencing factors.To investigate patient coping strategies to mitigate financial toxicity.Methods A total of 262 patients with colorectal cancer were investigated by General data questionnaire,comprehensive score Scale of Economic Toxicity of patient reported outcome and short answer form of financial toxicity coping strategy.The influencing factors for financial toxicity in colorectal cancer patients were analyzed by multiple linear regression.Results The total score of financial toxicity in colorectal cancer patients was 12.50,among which 215 patients(82.06%)had high financial toxicity.Multiple linear regression analysis showed that,residence,pre-disease employment,family savings,years of illness,clinical stage,stoma,stoma complications,and complications were included in the regression equation(all P<0.05).It can explain 43.1%of the total variation of financial toxicity in patients with colorectal cancer.Most patients adopted a variety of coping strategies in life or treatment to reduce economic toxicity,and the higher the economic toxicity,the easier it was for patients to adopt coping strategies.Conclusion Financial toxicity is common in patients with colorectal cancer,and the level of financial toxicity is high.Health care staff should comprehensively evaluate the financial toxicity level of patients,pay attention to key groups,and educate patients to adopt correct coping strategies;social and management levels should provide key support.

关 键 词：结直肠癌 经济毒性 家庭储蓄 临床分期 造口并发症 就业 影响因素 应对策略 

分 类 号：R473.73[医药卫生—护理学]