头颈癌患者经济毒性与自杀风险的现状调查及相关性研究  

Investigation and correlation analysis of financial toxicity and risk of suicide in the patients with head and neck cancer

作　　者：孙梦晨 冯芳茗[2] 何佳倩[2] 范思雨 杨颖 季佳妮 Sun Mengchen;Feng Fangming;He Jiaqian;Fan Siyu;Yang Ying;Ji Jiani(Tongji University School of Medicine,Shanghai 200092,China;Vip Department of East Hospital Affiliated to Tongji University,Shanghai 200120,China)

机构地区：[1]同济大学医学院,上海200092 [2]同济大学附属东方医院特诊部,上海200120

出　　处：《中国实用护理杂志》2023年第23期1815-1821,共7页Chinese Journal of Practical Nursing

基　　金：上海现代护理职业教育集团项目(hlzjzx202308);复旦大学循证护理中心证据转化与临床应用项目(Fudanebn202232);上海市东方医院天使计划暨青年护士人才培养项目(DFTS-2265)。

摘　　要：目的了解头颈癌患者的经济毒性及自杀风险现状,探讨头颈癌患者经济毒性水平与自杀风险的相关性,为降低头颈癌患者的经济毒性水平及自杀风险提供依据。方法本研究为横断面调查,以便利抽样法抽取2022年3月1日至7月31日同济大学附属东方医院肿瘤科收治的头颈癌患者150例,采用一般资料调查表、患者报告结局的经济毒性综合评分量表(COST-PROM)、恶性肿瘤患者自杀风险评估量表进行调查,并对结果进行分析。结果150例头颈癌患者经济毒性综合评分量表得分为(18.00±6.12)分,恶性肿瘤患者自杀风险评估量表得分为(36.31±8.51)分。本次调查的COST-PROM总分与自杀风险总分及其各维度得分均呈显著负相关(r值为-0.446~-0.235,均P<0.05)。恶性肿瘤患者自杀风险总分与COST-PROM总分及其各维度得分均呈显著负相关(r值为-0.446~-0.251,均P<0.05)。结论头颈癌患者经济毒性较普遍,自杀风险较高,经济毒性是自杀风险的重要影响因素,经济毒性水平越重,自杀风险越高。降低头颈癌患者的经济毒性水平对降低其自杀风险具有重要的意义。Objective To understand the current state of financial toxicity and suicide risk in head and neck cancer patients,to investigate the correlation between the level of financial toxicity and suicide risk in head and neck cancer patients,and to provide a basis for reducing the level of financial toxicity and the risk of suicide in head and neck cancer patients.Methods A cross-sectional survey was conducted,from March 1 to July 31,2022,150 head and neck cancer patients were selected from Oncology Department of East Hospital Affiliated to Tongji Universityby by convenient sampling method.The survey was carried out by means of the general questionnaire,Comprehensive Score for Financial Toxicity based on the Patient-Reported Outcome Measures(COST-PROM),Cancer Suicide Risk Scale(CSRS),and then analysis the datum.Results The score of COST-PROM of 150 head and neck cancer patients was(18.00±6.12)points,and the score of CSRS of head and neck cancer patients was(36.31±8.51)points.The total score of economic toxicity was significantly negatively correlated with the total score of suicide risk and its dimensions(r values were-0.446 to 0.235,all P<0.05).The total score of suicide risk was negatively correlated with the total score of economic toxicity and the scores of each dimension(r values were-0.446 to-0.251,all P<0.05).Conclusions Patients with head and neck cancer were at higher risk of suicide,and financial toxicity was a significant contributing factor to suicide risk,with higher levels of financial toxicity associated with a higher risk of suicide.Reducing the level of financial toxicity in patients with head and neck cancer has important implications for reducing their risk of suicide.

关 键 词：头颈癌 经济毒性 自杀风险 

分 类 号：R473.73[医药卫生—护理学]