Department of Public Service, The First Affiliated Hospital of China Medical University, No.155, Nanjing North Street, Heping District, Shenyang, Liaoning Province, China.
Support Care Cancer. 2024 Jul 3;32(7):484. doi: 10.1007/s00520-024-08698-7.
This article provided a comprehensive scoping review, synthesizing existing literature on the financial distress faced by breast cancer patients. It examined the factors contributing to financial distress, the impact on patients, coping mechanisms employed, and potential alleviation methods. The goal was to organize existing evidence and highlight possible directions for future research.
We followed the scoping review framework proposed by the Joanna Briggs Institute (JBI) to synthesize and report evidence. We searched electronic databases, including PubMed, Web of Science, Embase, and Cochrane Library, for relevant literature. We included English articles that met the following criteria: (a) the research topic was financial distress or financial toxicity, (b) the research subjects were adult breast cancer patients, and (c) the article type was quantitative, qualitative, or mixed-methods research. We then extracted and integrated relevant information for reporting.
After removing duplicates, 5459 articles were retrieved, and 43 articles were included based on the inclusion and exclusion criteria. The articles addressed four main themes related to financial distress: factors associated with financial distress, impact on breast cancer patients, coping mechanisms, and potential methods for alleviation. The impact of financial distress on patients was observed in six dimensions: financial expenses, financial resources, social-psychological reactions, support seeking, coping care, and coping lifestyle. While some studies reported potential methods for alleviation, few discussed the feasibility of these solutions.
Breast cancer patients experience significant financial distress with multidimensional impacts. Comprehensive consideration of possible confounding factors is essential when measuring financial distress. Future research should focus on exploring and validating methods to alleviate or resolve this issue.
本文进行了一次全面的范围综述，综合了现有的关于乳腺癌患者财务困境的文献。它考察了导致财务困境的因素、对患者的影响、患者所采用的应对机制以及可能的缓解方法。目的是组织现有的证据，并突出未来研究的可能方向。
我们遵循 Joanna Briggs 研究所（JBI）提出的范围综述框架来综合和报告证据。我们搜索了电子数据库，包括 PubMed、Web of Science、Embase 和 Cochrane Library，以获取相关文献。我们纳入了符合以下标准的英文文章：（a）研究主题是财务困境或财务毒性，（b）研究对象是成年乳腺癌患者，（c）文章类型是定量、定性或混合方法研究。然后，我们提取并整合了相关信息进行报告。
在去除重复项后，我们检索到了 5459 篇文章，并根据纳入和排除标准纳入了 43 篇文章。这些文章涉及财务困境的四个主要主题：与财务困境相关的因素、对乳腺癌患者的影响、应对机制以及潜在的缓解方法。财务困境对患者的影响在六个方面表现出来：财务支出、财务资源、社会心理反应、寻求支持、应对护理和应对生活方式。虽然一些研究报告了潜在的缓解方法，但很少讨论这些解决方案的可行性。
乳腺癌患者经历着严重的财务困境，对其产生多维度的影响。在衡量财务困境时，全面考虑可能的混杂因素至关重要。未来的研究应侧重于探索和验证缓解或解决这一问题的方法。
