Phillips Farya, Prezio Elizabeth, Miljanic Mihailo, Henneghan Ashley, Currin-McCulloch Jen, Jones Barbara, Kvale Elizabeth, Goodgame Boone, Eckhardt S Gail
University of Texas Steve Hicks School of Social Work.
Dell Medical School.
J Psychosoc Oncol. 2022;40(2):247-262. doi: 10.1080/07347332.2021.1915441. Epub 2021 May 3.
The aim of this study was to identify correlates of quality of life (QOL) for socioeconomically disadvantaged cancer patients receiving care in the "safety net" health system.
This cross-sectional study used linear regressions to determine the effect of patient reported outcome measures (PRO) on QOL.Sample/Methods: Cancer patients ( = 115) receiving drug therapy completed a series of PROs including: Functional Assessment of Cancer Therapy (FACT-G), PROMIS (Anxiety, Depression, Fatigue, Pain Interference, and Physical Function), and the Comprehensive Score for Financial Toxicity.
More than 60% of patients reported an annual income below $24,999. Forty-five percent of patients were either uninsured or county-funded. Depression, pain, and financial toxicity were found to be consistently significant correlates of QOL.Implications: Cancer patients with existing financial strain have unique psychosocial stressors. This study provides insight into the relationship between these stressors, and the need for targeted screening and intervention that address such aspects of care.
本研究旨在确定在“安全网”卫生系统中接受治疗的社会经济弱势癌症患者的生活质量（QOL）相关因素。
这项横断面研究使用线性回归来确定患者报告结局指标（PRO）对生活质量的影响。样本/方法：接受药物治疗的癌症患者（n = 115）完成了一系列PRO，包括：癌症治疗功能评估（FACT-G）、PROMIS（焦虑、抑郁、疲劳、疼痛干扰和身体功能）以及财务毒性综合评分。
超过60%的患者报告年收入低于24,999美元。45%的患者未参保或由县资助。抑郁、疼痛和财务毒性被发现始终是生活质量的显著相关因素。启示：现有经济压力的癌症患者有独特的心理社会压力源。本研究深入探讨了这些压力源之间的关系，以及针对此类护理方面进行有针对性筛查和干预的必要性。
