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结直肠癌患者化疗期间的经济毒性体验:一项定性研究

The Financial Toxicity Experience of Patients with Colorectal Cancer During Chemotherapy: A Qualitative Study.

作者信息

Yao Yanli, Zhang Shijing, Yu Qun, Zhao Xia, Zhang Xinqiong

机构信息

School of Nursing, Anhui Medical University, Hefei 230032, China.

Department of Gastroenterology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.

出版信息

Curr Oncol. 2024 Dec 31;32(1):23. doi: 10.3390/curroncol32010023.

Abstract

BACKGROUND

This study aimed to explore the experience of financial toxicity in patients with colorectal cancer during chemotherapy and to inform the development of targeted interventions.

METHODS

A descriptive qualitative research method was used to conduct semi-structured interviews with a purposive sample of 15 patients with colorectal cancer undergoing chemotherapy who attended the Department of Medical Oncology of the First Affiliated Hospital of Anhui Medical University from March to June 2024, and the data were organized and analyzed using the Nvivo 11.0 qualitative data analysis software and the thematic analysis method.

RESULTS

Four themes were extracted: patients with chemotherapy-stage colorectal cancer bear direct and indirect multifaceted economic pressures, are affected by multidimensional risk factors, which cause multiple adverse outcomes, and cope with financial toxicity in various ways.

CONCLUSIONS

The experience of financial toxicity in colorectal cancer patients undergoing chemotherapy is presented in a multidimensional format, with multiple causes influencing their financial toxicity. In the future, healthcare professionals should identify patients at high risk for financial toxicity, provide financial toxicity interventions and support, and mitigate their exposure to financial toxicity.

摘要

背景

本研究旨在探讨结直肠癌患者化疗期间的经济毒性体验,并为针对性干预措施的制定提供依据。

方法

采用描述性定性研究方法,对2024年3月至6月在安徽医科大学第一附属医院肿瘤内科接受化疗的15例结直肠癌患者进行了有目的抽样的半结构式访谈,并使用Nvivo 11.0定性数据分析软件和主题分析法对数据进行整理和分析。

结果

提取了四个主题:化疗期结直肠癌患者承受着直接和间接的多方面经济压力,受到多维度风险因素的影响,这些因素导致多种不良后果,并以多种方式应对经济毒性。

结论

接受化疗的结直肠癌患者的经济毒性体验呈现出多维度形式,多种原因影响着他们的经济毒性。未来,医疗保健专业人员应识别经济毒性高风险患者,提供经济毒性干预和支持,并减轻他们面临经济毒性的程度。

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1
Influence of age on financial toxicity in cancer patients.年龄对癌症患者经济毒性的影响。
Asia Pac J Oncol Nurs. 2024 Jul 5;11(9):100552. doi: 10.1016/j.apjon.2024.100552. eCollection 2024 Sep.
2
Cancer incidence and mortality in China, 2022.2022年中国癌症发病率与死亡率
J Natl Cancer Cent. 2024 Feb 2;4(1):47-53. doi: 10.1016/j.jncc.2024.01.006. eCollection 2024 Mar.

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