主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
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中国护理管理 ›› 2022, Vol. 22 ›› Issue (6): 830-835.doi: 10.3969/j.issn.1672-1756.2022.06.007

• 论著 • 上一篇    下一篇

乳腺癌生存者经济毒性现状与影响因素分析

袁潇逸 孙艳玲 况艺 朱菁 顾海雁 邢唯杰   

  1. 复旦大学护理学院,200032 上海市(袁潇逸,况艺,邢唯杰);公共卫生学院(孙艳玲);上海市徐汇区疾病预防控制中心慢病防治科(朱菁,顾海雁)
  • 出版日期:2022-06-15 发布日期:2022-06-30
  • 通讯作者: 邢唯杰,博士,副教授,E-mail:xingweijie@fudan.edu.cn
  • 作者简介:袁潇逸,硕士在读
  • 基金资助:
    国家自然科学基金青年科学基金项目(72004034);美国中华医学基金会公开竞争项目(20-371)

Status and influencing factors of cancer-related financial toxicity of breast cancer survivors

YUAN Xiaoyi, SUN Yanling, KUANG Yi, ZHU Jing, GU Haiyan, XING Weijie   

  1. School of Nursing, Fudan University, Shanghai, 200032, China
  • Online:2022-06-15 Published:2022-06-30
  • Contact: E-mail:xingweijie@fudan.edu.cn

摘要: 目的:调查乳腺癌生存者的经济毒性现状,并分析其影响因素。方法:采用方便抽样方法,应用一般资料调查表、慢性病治疗经济毒性功能评估综合评分量表、心理弹性量表、领悟社会支持量表和M.D. Anderson症状评估量表,于2021年6月—10月对上海市徐汇区3家社区卫生服务中心和1个患者团体组织的乳腺癌生存者进行横断面调查。结果:共纳入312名乳腺癌生存者,其经济毒性得分为(22.70±8.39)分。多元线性回归结果显示,乳腺癌生存者的年龄、受教育水平、化疗、独居、个人月总收入、家庭可支配存款、心理弹性、症状困扰程度是经济毒性的影响因素,可解释总变异的28.5%。结论:经济毒性在乳腺癌生存者中普遍存在,影响其生活质量。除人口学因素外,心理弹性、症状困扰程度与癌症相关经济毒性存在关系,这为今后开发针对经济毒性的干预策略提供了新的视角。

关键词: 乳腺癌;经济毒性;影响因素

Abstract: Objective: To investigate the current situation of cancer-related financial toxicity of breast cancer survivors, and analyze the influencing factors. Methods: Using the convenient sampling method, breast cancer survivors were investigated with the demographic and disease information questionnaire, COST-FACIT, CD-RISC 10, PSSS and MDASI in three community health centers and a cancer survivors group in Xuhui district, Shanghai. Results: The average score of COST-FACIT of 312 breast cancer patients was 22.70±8.39. The multivariate linear regression analysis showed that age, education, chemotherapy, living alone, personal monthly income, household savings, psychological resilience and symptoms were independent influencing factors of financial toxicity, which accounted 28.5% of the total variation. Conclusion: Financial toxicity is generally existent in breast cancer survivors, affecting their quality of life. In addition to demographic factors, breast cancer survivors' psychological resilience and symptoms are related to the cancer-related financial toxicity. The study provides a new perspective for the development of intervention for financial toxicity in the future.

Key words: breast cancer; financial toxicity; influencing factor

中图分类号:  R47,R197