血液学的悪性腫瘍の患者における金融毒性の潜在的プロフィール分析とその不安とうつとの関連
Guiyuan Ma1,2, Nannan Long1,3, Ping Mao1
1Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, China.
Asia-Pacific journal of oncology nursing
|September 2, 2025
まとめ
血液がん患者における財政的毒性は,個人的および臨床的要因によって変化します. 経済的負担が大きくなると 不安や鬱も増し ターゲットに絞った支援が必要になります
科学分野:
- 腫瘍学
- 健康 経済
- 心理学
背景:
- 血液学的悪性腫瘍の患者にとって,財政的毒性は重要な懸念事項である.
- 金融毒性のサブグループと予測要因を理解することは 患者のケアに不可欠です
- 経済的毒性と心理的苦痛の関係については さらに調査が必要です
研究 の 目的:
- 血液学的悪性腫瘍の患者で 異なる金融毒性のサブグループを特定する.
- これらのサブグループに関連した社会統計学的および臨床的予測要因を調べる.
- 金融の有毒性と 鬱病の症状の関連性を調べるため
主な方法:
- 中国で血液学的悪性腫瘍を患った486人の患者を対象とした横断的な研究.
- 金融の毒性のサブグループを特定するための潜伏プロフィール分析 (LPA)
- マルチノミアル・ロジスティック・リグレーションと クルスカル・ワリステストで 予測要因と心理的苦痛を分析する.
主要な成果:
- 3つの金融毒性プロファイルが特定されました.ゼロ (13.99%),軽度 (38.68%),中度 (47.33%).
- 社会人口学的要因 (性別,収入,居住地) と臨床的要因 (治療段階,保険) が毒性のレベルを予測した.
- 経済的毒性の高さは,不安やうつ病のスコアの増加と有意に関連していました.
結論:
- 血液学的悪性腫瘍患者の経済的毒性は異質であり,個人的および臨床的要因に関連しています.
- 経済的毒性が増加すると 心理的苦痛が増加します
- 介入は経済的負担を軽減し,患者の改善のための心理的支援を強化すべきです.
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