Liu Bing Yang, Sun Chao, Zhang Qiu Xia, Lim Poh Ying, Lee Khuan
Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM, Serdang, Selangor, Malaysia.
Department of Medicine, Shijiazhuang Vocational College of Engineering, 169 Xuefu Road, Xinhua District, Shijiazhuang City, Hebei Province, China.
Support Care Cancer. 2025 Jun 14;33(7):580. doi: 10.1007/s00520-025-09590-8.
Cancer is the leading cause of death worldwide. Both new cancer cases and deaths are rising annually. The high cost of cancer treatment and the guilt of being dependent on family members for a long time lead to patients with cancer's self-perceived burden (SPB). Previous studies have shown that different countries, populations, and cancer stages have different SPB levels. SPB is a psychological stressor, the high SPB may affect the medical treatment process and decision-making of patients with cancer, which may cause patients to refuse treatment and seriously cause suicidal ideation.
This study aimed to determine the level of SPB and its predictors among patients with cancer in the Fourth Hospital of Hebei Medical University, China.
A cross-sectional study of 977 patients with cancer was recruited by simple random sampling. A self-administered questionnaire was used. Multiple linear regression was used to investigate the predictors of SPB.
A total of 566 respondents participated in the study, with a response rate of 58.4%. A total of 88.0% had moderate to severe SPB. The mean ± standard deviation of SPB was 67.75 ± 15.69. The predictors of SPB were parents as caregivers, siblings as caregivers, occupational status before illness, duration of cancer, impact of cancer on the patient's mobility, treatment of cancer (radiation and chemotherapy), type of cancer, stage of cancer, and coping strategies (confrontation, resignation, and fantasy).
The prevalence of SPB is considered high, therefore, healthcare professionals should pay high attention to reducing the SPB of patients with cancer in clinical nursing work. It is recommended that effective intervention measures be implemented to lower the suicide rate among patients with cancer ultimately.
癌症是全球主要的死亡原因。每年新增癌症病例和死亡人数都在上升。癌症治疗费用高昂以及长期依赖家庭成员所带来的愧疚感导致癌症患者产生自我感知负担（SPB）。先前的研究表明，不同国家、人群和癌症阶段的SPB水平有所不同。SPB是一种心理压力源，高SPB可能会影响癌症患者的治疗过程和决策，这可能导致患者拒绝治疗并严重引发自杀念头。
本研究旨在确定中国河北医科大学第四医院癌症患者的SPB水平及其预测因素。
通过简单随机抽样招募了977名癌症患者进行横断面研究。采用自填式问卷。使用多元线性回归研究SPB的预测因素。
共有566名受访者参与了研究，回复率为58.4%。共有88.0%的患者有中度至重度SPB。SPB的均值±标准差为67.75±15.69。SPB的预测因素包括作为照顾者的父母、作为照顾者的兄弟姐妹、患病前的职业状况、癌症病程、癌症对患者活动能力的影响、癌症治疗（放疗和化疗）、癌症类型、癌症分期以及应对策略（对抗、顺从和幻想）。
SPB的患病率较高，因此，医护人员在临床护理工作中应高度重视降低癌症患者的SPB。建议实施有效的干预措施以最终降低癌症患者的自杀率。
