Department of Nursing, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, 43400 UPM, Serdang, Selangor, Malaysia.
Department of Hepatobiliary Surgery, The Fourth Hospital of Hebei Medical University, 12 Jiankang Road, Shijiazhuang, Hebei Province, China.
Support Care Cancer. 2022 Oct;30(10):8417-8428. doi: 10.1007/s00520-022-07129-9. Epub 2022 May 21.
Cancer is the leading cause of death in the world. There was a high prevalence of high self-perceived burden (SPB) among cancer patients and this could bring adverse consequences to the physical and mental health of cancer patients, which can lead to suicide if not treated well. This review aims to determine the prevalence of SPB among cancer patients and its risk factors.
Published journals before September 2021, from five databases (PubMed, ScienceDirect, Springer, Cochrane, and CNKI) were retrieved according to the keywords. The keywords used included cancer patients, terminally ill patients, cancer, SPB, self-perceived burden, self-burden, self-perceived, factor, predictor, associated factor, determinants, risk factor, prognostic factor, covariate, independent variable, and variable. The quality of the inclusion and exclusion criteria was independently reviewed by three researchers.
Out of 12,712 articles, there are 22 studies met the eligibility criteria. The prevalence of SPB among cancer patients ranged from 73.2 to 100% in Malaysia, China, and Canada. Most of them had moderate SPB. Out of the reported factors, age, gender, marital status, ethnicity, residence, educational level, occupational status, family income, primary caregiver, payment methods, disease-related factors, psychological factors, and physical factors were mostly reported across the studies.
In conclusion, SPB prevalence is high in cancer patients. Therefore, hospitals, non-governmental organizations, relevant policymakers, and communities can provide special programs for high-risk groups to provide psychological guidance or design corresponding interventions to reduce the SPB level of patients and improve the quality of life.
癌症是世界上主要的死亡原因。癌症患者中普遍存在较高的自我感知负担（SPB），这可能给癌症患者的身心健康带来不良后果，如果得不到妥善处理，可能导致自杀。本综述旨在确定癌症患者中 SPB 的流行程度及其危险因素。
根据关键词，从前瞻性队列研究和病例对照研究中检索了截至 2021 年 9 月发表的文献，检索了五个数据库（PubMed、ScienceDirect、Springer、Cochrane 和中国知网）。使用的关键词包括癌症患者、晚期患者、癌症、SPB、自我感知负担、自我负担、自我感知、因素、预测因子、相关因素、决定因素、风险因素、预后因素、协变量、自变量和变量。三位研究人员独立对纳入和排除标准的质量进行了审查。
在 12712 篇文章中，有 22 项研究符合纳入标准。马来西亚、中国和加拿大的癌症患者中 SPB 的流行率从 73.2%到 100%不等。他们大多有中度的 SPB。在所报道的因素中，年龄、性别、婚姻状况、种族、居住地、教育水平、职业状况、家庭收入、主要照顾者、支付方式、疾病相关因素、心理因素和身体因素在大多数研究中都有报道。
总之，癌症患者的 SPB 流行率较高。因此，医院、非政府组织、相关政策制定者和社区可以为高危人群提供专门的方案，提供心理指导或设计相应的干预措施，降低患者的 SPB 水平，提高生活质量。
