在患有晚期癌症的患者中,金融困境的频率和相关性
Jacqueline Tschanz1, Rida Khan1, Maxine De La Cruz1
1Department of Palliative Care, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Journal of palliative medicine
|December 31, 2025
概括
在晚期癌症患者中,财务困难很常见,影响25%. 高度的财务困难与年龄较小,收入较低和生活质量降低有关,需要在癌症护理中进行常规监测.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 心理社会瘤学
背景情况:
- 由于医疗费用造成的经济困难,可能导致护理延迟,心理困扰和破产.
- 癌症治疗是昂贵的,而患者的财务困难并非常规评估.
- 了解财务困境的患病率和相关情况对于支持性癌症护理至关重要.
研究的目的:
- 确定晚期癌症患者高财务困难的频率.
- 确定高财务困境与临床/人口特征之间的关联.
- 探索金融困境,症状负担和生活质量之间的关系.
主要方法:
- 负责人金融困境/财务幸福度表 (IFDFW) 用于评估财务困境 (平均得分≤4.0定义为高).
- 使用ESAS-FS,FACT-G和金融毒性综合评分来评估生活质量.
- 人口统计数据和临床特征是通过问卷和图表审查收集的.
主要成果:
- 25% (35/140) 的晚期癌症患者报告了高度的财务困境.
- 高度的财务困境与年轻的年龄 (p=0.04),未婚状态 (p=0.002),较低的全职就业 (p=0.001) 和较低的家庭收入 (p<0.001) 有关.
- 在财务困境,症状负担和生活质量下降之间发现了显著的关联.
结论:
- 高度的财务困难在晚期癌症患者中很普遍.
- 财务困境与年轻的年龄,单身婚姻状况,增加的症状负担和生活质量的降低有关.
- 财务困境的常规监测应纳入支持性癌症护理协议.
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