中华护理杂志 ›› 2022, Vol. 57 ›› Issue (8): 918-924.DOI: 10.3761/j.issn.0254-1769.2022.08.004
袁方(), 林梦月, 刘永珍, 施琳琳, 居海岭, 杨斌, 袁静()
收稿日期:
2021-09-08
出版日期:
2022-04-20
发布日期:
2022-04-06
通讯作者:
袁静,E-mail: 1002455925@qq.com作者简介:
袁方:女,本科,副主任护师,E-mail: rl0010@qq.com
基金资助:
YUAN Fang(), LIN Mengyue, LIU Yongzhen, SHI Linlin, JU Hailing, YANG Bin, YUAN Jing()
Received:
2021-09-08
Online:
2022-04-20
Published:
2022-04-06
摘要:
目的 了解前列腺癌患者经济负担(financial toxicity,FT)现状及影响因素,为降低前列腺癌患者FT水平提供依据。方法 采用便利抽样法,选取2020年1月—2021年8月入住上海市某三级甲等医院的281例前列腺癌患者为调查对象,采用一般资料调查表、癌症患者报告结局的经济毒性量表、医学应对方式问卷和一般自我效能感量表进行横断面调查。采用多元线性回归分析FT的影响因素。 结果 前列腺癌患者的经济负担得分为22.0(17.0,24.0)分。多元线性回归分析显示,疾病诊断是否影响其退休年龄、家庭人均月收入(元)、最近3个月以来治疗费用、医学应对方式屈服维度得分及自我效能感水平是影响其FT的主要因素(P<0.001),解释总变异的45.6%。 结论 前列腺癌患者FT处于中下水平,临床医务人员可通过实施有效的干预措施帮助其重返工作,评估患者经济状况选择个体化的治疗方案,鼓励其寻求更多的社会支持,引导其采取积极的应对方式和提升其自我效能水平以降低FT水平,提升其生活质量。
袁方, 林梦月, 刘永珍, 施琳琳, 居海岭, 杨斌, 袁静. 前列腺癌患者经济负担现状及影响因素分析[J]. 中华护理杂志, 2022, 57(8): 918-924.
YUAN Fang, LIN Mengyue, LIU Yongzhen, SHI Linlin, JU Hailing, YANG Bin, YUAN Jing. The analysis of the financial toxicity and its influencing factors in prostate cancer patients[J]. Chinese Journal of Nursing, 2022, 57(8): 918-924.
[1] |
Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018, 68(6):394-424.
DOI URL |
[2] |
Allemani C, Matsuda T, Di Carlo V, et al. Global surveillance of trends in cancer survival 2000-14(CONCORD-3):analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries[J]. Lancet,2018, 391(10125):1023-1075.
DOI URL |
[3] | Zafar SY, Abernethy AP.Financial toxicity,Part I:a new name for a growing problem[J]. Oncology, 2013, 27(2):80-81,149. |
[4] |
Bestvina CM, Zullig LL, Rushing C, et al. Patient-oncologist cost communication,financial distress,and medication adherence[J]. J Oncol Pract, 2014, 10(3):162-167.
DOI URL |
[5] |
Gordon LG, Merollini KMD, Lowe A, et al. A systematic review of financial toxicity among cancer survivors:we can’t pay the co-pay[J]. Patient, 2017, 10(3):295-309.
DOI URL |
[6] |
Park J, Look KA.Relationship between objective financial burden and the health-related quality of life and mental health of patients with cancer[J]. J Oncol Pract, 2018, 14(2):e113-e121.
DOI URL |
[7] |
Kent EE, Forsythe LP, Yabroff KR, et al. Are survivors who report cancer-related financial problems more likely to forgo or delay medical care?[J]. Cancer, 2013, 119(20):3710-3717.
DOI URL |
[8] |
Bhanvadia SK.Bladder cancer survivorship[J]. Curr Urol Rep, 2018, 19(12):111.
DOI PMID |
[9] |
Ramsey SD, Bansal A, Fedorenko CR, et al. Financial insolvency as a risk factor for early mortality among patients with cancer[J]. J Clin Oncol, 2016, 34(9):980-986.
DOI PMID |
[10] |
Sadigh G, Lava N, Switchenko J, et al. Patient-reported financial toxicity in multiple sclerosis:predictors and association with care non-adherence[J]. Mult Scler, 2021, 27(3):453-464.
DOI URL |
[11] |
Witte J, Mehlis K, Surmann B, et al. Methods for measuring financial toxicity after cancer diagnosis and treatment:a systematic review and its implications[J]. Ann Oncol, 2019, 30(7):1061-1070.
DOI PMID |
[12] | 许可, 张楠, 刘金辉, 等.肺癌患者经济毒性及影响因素分析[J]. 中华肿瘤防治杂志, 2021, 28(20):1578-1582. |
Xu K, Zhang N, Liu JH, et al. Analysis of financial toxicity and influencing factors of lung cancer patients[J]. Chin J Can Preven Treat, 2021, 28(20):1578-1582. | |
[13] | 景静凤, 高晋南, 李冬, 等.乳腺癌经济毒性研究进展[J]. 中国医药导报, 2019, 16(32):30-33. |
Jing JF, Gao JN, Li D, et al. Progress of research on financial toxicity of breast cancer[J]. Chin Med Herald, 2019, 16(32):30-33. | |
[14] |
Mottet N, van den Bergh RCN, Briers E, et al. EAU-EANM-ESTRO-ESUR-SIOG guidelines on prostate cancer-2020 update. Part 1:screening,diagnosis,and local treatment with curative intent[J]. Eur Urol,2021, 79(2):243-262.
DOI URL |
[15] |
Souza DE, Yap BJ, Hlubocky FJ, et al. The development of a financial toxicity patient-reported outcome in cancer:the COST measure[J]. Cancer, 2014, 120(20):3245-3253.
DOI URL |
[16] |
于慧会, 毕雪, 刘运泳.中文版癌症患者报告结局的经济毒性量表信度和效度研究[J]. 中华流行病学杂志, 2017, 38(8):1118-1120.
PMID |
Yu HH, Bi X, Liu YY.Reliability and validity of the Chinese version on Comprehensive Scores for Financial Toxicity Based on the Patient-Reported Outcome Measures[J]. Chin J Epidemiol, 2017, 38(8):1118-1120.
DOI PMID |
|
[17] |
Feifel H, Strack S, Nagy VT.Degree of life-threat and differential use of coping modes[J]. J Psychosom Res, 1987, 31(1):91-99.
PMID |
[18] | 沈晓红, 姜乾金.医学应对方式问卷中文版701例测试报告[J]. 中国行为科学, 2000, 9(1):22-24. |
Shen XH, Jiang QJ.Report of 701 cases of Medical Coping Style Questionnaire[J]. Chin Behav, 2000, 9(1):22-24. | |
[19] | Schwarzer R, Born A.Optimistic self-beliefs:assessment of general perceived self-efficacy in thirteen cultures[J]. Word Psychology, 1997, 3(1/2):177-190. |
[20] | 王才康, 胡中锋, 刘勇.一般自我效能感量表的信度和效度研究[J]. 应用心理学, 2001, 7(1):37-40. |
Wang CK, Hu ZF, Liu Y.Evidences for reliability and validity of the Chinese version of General Self-Efficacy Scale[J]. Chin J Appl Psych, 2001, 7(1):37-40. | |
[21] | Gorsuch RL.Factor analysis[M]. Hillsdale, NJ: Lawrence Erlbaum Associates, 1983. |
[22] |
Bauer AG, Jefferson M, Nahhas GJ, et al. Financial toxicity and strain among men receiving prostate cancer care in an equal access healthcare system[J]. Cancer Med, 2020, 9(23):8765-8771.
DOI URL |
[23] |
Jing J, Feng R, Zhang X, et al. Financial toxicity and its associated patient and cancer factors among women with breast cancer:a single-center analysis of low-middle income region in China[J]. Breast Cancer Res Treat, 2020, 181(2):435-443.
DOI URL |
[24] |
Imber BS, Varghese M, Ehdaie B, et al. Financial toxicity associated with treatment of localized prostate cancer[J]. Nat Rev Urol,2020, 17(1):28-40.
DOI URL |
[25] |
Pearce A, Tomalin B, Kaambwa B, et al. Financial toxicity is more than costs of care:the relationship between employment and financial toxicity in long-term cancer survivors[J]. J Cancer Surviv, 2019, 13(1):10-20.
DOI URL |
[26] |
Min HS, Yang HK, Park K.Supporting low-income cancer patients:recommendations for the public financial aid program in the republic of Korea[J]. Cancer Res Treat, 2018, 50(4):1074-1083.
DOI URL |
[27] |
Schröder SL, Schumann N, Fink A, et al. Coping mechanisms for financial toxicity:a qualitative study of cancer patients’ experiences in Germany[J]. Support Care Cancer, 2020, 28(3):1131-1139.
DOI PMID |
[28] | 司龙妹, 张佩英, 张萌, 等.盆底肌训练防治前列腺癌根治术后尿失禁的最佳证据总结[J]. 中华护理杂志, 2020, 55(12):1859-1863. |
Si LM, Zhang PY, Zhang M, et al. Evidence summary of pelvic floor muscle training applied in prevention and treatment of post-prostatectomy incontinence[J]. Chin J Nurs, 2020, 55(12):1859-1863. | |
[29] |
Thom B, Benedict C.The impact of financial toxicity on psychological well-being,coping self-efficacy,and cost-coping behaviors in young adults with cancer[J]. J Adolesc Young Adult Oncol, 2019, 8(3):236-242.
DOI URL |
[30] |
Banduta A.Self-efficacy:toward a unifying theory of behavioral change[J]. Psychol Rev, 1977, 84(2):191-215.
DOI URL |
[31] |
Yildiz E, Karaka ͑ SA, Güngörmü͑ Z, et al. Levels of care burden and self-efficacy for informal caregiver of patients with cancer[J]. Holist Nurs Pract, 2017, 31(1):7-15.
PMID |
[32] | Owens OL, Wooten NR, Tavakoli AS.Adaptation and initial psychometric evaluation of an informed prostate cancer screening decision self-efficacy scale for african-american men[J]. J Racial Ethn Health Disparities, 2020, 7(4):746-759. |
[33] | 莫阔, 唐棠, 陈珑, 等.肿瘤患者创伤后成长与情感情绪调节和自我效能的关系[J]. 中华护理杂志, 2013, 48(4):334-336. |
Mo K, Tang T, Chen L, et al. The relationships among posttraumatic growth,affect and emotion regulation and self-efficacy in cancer patients[J]. Chin J Nurs, 2013, 48(4):334-336. |
[1] | 刘美华, 彭剑雄, 罗翠, 郑焱, 朱丽辉, 肖政辉, 张新萍, 李庆博, 熊亮. 机械通气患儿早期活动方案的构建及应用研究[J]. 中华护理杂志, 2022, 57(8): 901-907. |
[2] | 李梦婷, 陈朔晖, 陈晓飞, 程晓英, 罗飞翔, 梅伶俐, 周金燕. 医护人员对新生儿安宁疗护感受和经验的质性研究[J]. 中华护理杂志, 2022, 57(8): 908-913. |
[3] | 广东省医学会泌尿外科学分会, (执笔:孙红玲, 刘丽欢, 刘春香, 马啸吟, 张敏, 张苏迎, 黄敬烨, 钟文, 刘永达, 曾国华). 尿路结石腔内碎石患者围手术期并发尿脓毒症护理专家共识[J]. 中华护理杂志, 2022, 57(8): 914-917. |
[4] | 周瑶, 王薇, 陈敏娜, 张若林, 洪美容, 高雅婷, 林颖, 楼妍. 前列腺癌患者疾病体验质性研究的Meta整合[J]. 中华护理杂志, 2022, 57(8): 925-931. |
[5] | 胡紫燕, 陈亚萍, 张静, 蔡一波. 网络技术在前列腺癌患者个案管理中的研究进展[J]. 中华护理杂志, 2022, 57(8): 932-936. |
[6] | 唐蓉, 周丽琼, 宋文, 赵丹. 简易版健康评估量表的汉化及在神经源性膀胱患者中的应用[J]. 中华护理杂志, 2022, 57(8): 937-941. |
[7] | 卢佳美, 李维, 廖金莲, 黄晓君, 胡凯, 汤秋明, 梁丽敏, 冯燕, 杨桂荣, 杨丽. 鼻咽癌放化疗患者健康教育效果评价指标体系的构建[J]. 中华护理杂志, 2022, 57(8): 942-949. |
[8] | 李雪苹, 王磊, 张淮, 邢爱珍, 陈朝红, 尹志勤. Stanford A型主动脉夹层患者术后谵妄风险预测评分模型的构建与效果验证[J]. 中华护理杂志, 2022, 57(8): 950-957. |
[9] | 徐园, 吴欣娟, 杨旭, 王钰, 庞冬, 王晓杰, 刘佳, 尚高鹏, 姜英, 朱丽筠, 马玉芬. 护士应用预防关节置换术后深静脉血栓形成最佳证据的障碍因素研究[J]. 中华护理杂志, 2022, 57(8): 958-963. |
[10] | 岳岚, 许妍, 李珍, 杨长永, 古钰君, 王梦, 李蕾蕾. 肿瘤患者医用粘胶相关性皮肤损伤风险评估量表的编制及信效度检验[J]. 中华护理杂志, 2022, 57(8): 964-969. |
[11] | 杨丹华, 方桂珍, 孙敏, 王燕. 升阳举陷法艾灸在肾阳虚型压力性尿失禁老年女性患者中的应用研究[J]. 中华护理杂志, 2022, 57(8): 970-976. |
[12] | 丛胜楠, 张爱霞, 刘颖, 曾丽华, 樊雪梅, 王瑞, 沙利娟, 朱珠, 周晖, 湛洁. 江苏省妇产专科医院护士共情疲劳的影响因素及路径分析[J]. 中华护理杂志, 2022, 57(8): 977-984. |
[13] | 林晓露, 周春兰, 肖秀英, 陶艳玲, 孙梅花, 吴艳妮, 杨玲莉, 张咪, 王润, 杨丽潇, 叶孝灵, 赵慧慧. 失能老年人及其配偶健康素养、赋能水平与生活质量的关系研究[J]. 中华护理杂志, 2022, 57(8): 985-991. |
[14] | 孙丽, 胡成文, 刘群慧, 方敏, 顾道琴, 许宝惠. 1例急性白血病患儿的安宁疗护实践[J]. 中华护理杂志, 2022, 57(8): 992-995. |
[15] | 傅来建, 卢芳燕. 1例肝移植术后肺部卡氏肺孢子感染并发颅内出血患儿的护理[J]. 中华护理杂志, 2022, 57(8): 996-1000. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||