经济负担对前列腺癌患者失志情况影响的研究  

Study on the influence of economic burden on the demoralization of prostate cancer patients

作　　者：金珍珍[1] 李萍[1] 余秀秀 Jin Zhenzhen;Li Ping;Yu Xiuxiu(The First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第一医院,浙江温州325000

出　　处：《中国医院统计》2024年第2期145-148,共4页Chinese Journal of Hospital Statistics

摘　　要：目的了解经济负担对前列腺癌患者失志情况的影响,为制定干预措施提供理论依据。方法采用便利抽样法选取2020年12月至2022年12月在某院住院治疗的249例前列腺癌患者为研究对象。采用癌症患者报告结局的经济毒性量表、失志综合征量表Ⅱ进行问卷调查。结果经济负担得分为(27.05±8.14)分,失志得分为(14.93±4.87)分;不同年龄、学历、家庭人均月收入、工作状态、确诊年限、肿瘤临床分期、合并症的患者失志得分存在显著性差异(P<0.05);前列腺癌患者经济负担得分与失志总分及各维度得分均呈正相关(P<0.01);前列腺癌患者的肿瘤临床分期、经济负担、学历及合并症是患者失志的主要影响因素(P<0.05)。结论前列腺癌患者经济负担较重,失志水平较高,应针对患者的确诊年限、经济负担、学历及合并症情况采取相应的干预措施,缓解患者的失志程度。Objective To understand the influence of economic burden on the demoralization of prostate cancer patients,and to provide a theoretical basis for the formulation of intervention measures.Methods A total of 249 patients with prostate cancer who were hospitalized in a hospital from December 2020 to December 2022 were selected as subjects by convenience sampling method.The Comprehensive Scores for Financial Toxicity Based on the Patient-Reported Outcome Measures,and the Chinese Version of the Demoralization Scale-Ⅱwere used for the questionnaire survey.Results The economic burden score of prostate cancer patients was(27.05±8.14)points,and the demoralization score was(14.93±4.87)points.There were statistically significant differences in demoralization scores among prostate cancer patients with different ages,educational backgrounds,per capita monthly family income,working position,years of diagnosis,clinical stages of cancer and complications(P<0.05).Economic burden score of prostate cancer patients was positively correlated with the total score of demoralization and scores of all dimensions(P<0.01).The clinical staging of tumor,economic burden,educational background and complications of prostate cancer patients were the main influencing factors of patients with demoralization(P<0.05).Conclusion The economic burden of prostate cancer patients is heavy,and the level of demoralization is high.Therefore,appropriate intervention measures should be taken to alleviate the level of demoralization of patients according to the diagnosis years,economic burden,educational background and complications of patients.

关 键 词：前列腺癌 经济负担 失志 相关因素 

分 类 号：R737.25[医药卫生—肿瘤]