结直肠癌患者决策自我效能及智谋对其经济毒性的影响
The impact of decision self-efficacy and resourcefulness on financial toxicity in patients with colorectal cancer
季静芬 1黎萌 1伍雅琴 2何云辉 3伍紫琼 4刘燕芳5
作者信息
- 1. 410011,长沙市,中南大学湘雅二医院临床护理学教研室
- 2. 410011,长沙市,中南大学湘雅二医院临床护理学教研室;410013,长沙市,湖南师范大学医学院护理系
- 3. 410011,长沙市,中南大学湘雅二医院研究生部
- 4. 610059,成都市,成都理工大学机电工程学院
- 5. 410008,长沙市,中南大学湘雅医院临床护理学教研室
- 折叠
摘要
目的 调查结直肠癌患者的经济毒性现状,分析其影响因素.方法 采用一般资料调查表、癌症患者报告结局的经济毒性量表、中文版决策自我效能量表、智谋量表对长沙市某三级甲等医院 255 例结直肠癌患者进行调查.结果 结直肠癌患者的经济毒性得分为 18.00(13.00,23.00)分;决策自我效能、智谋的得分均与经济毒性得分呈正相关(P＜0.01);多元线性回归分析结果显示,确诊疾病前职业、家庭人均月收入、决策自我效能、智谋是结直肠癌患者经济毒性的主要影响因素(P＜0.01 或 P＜0.05).结论 结直肠癌患者经济毒性处于轻度水平,可针对决策自我效能低、智谋低等影响因素制订个性化干预措施,以缓解结直肠癌患者的经济毒性,促进心理健康,改善疾病预后.
Abstract
Objective To investigate the status and influencing factors of financial toxicity in patients with colorectal cancer.Methods A total of 255 patients with colorectal cancer were surveyed using a general data questionnaire,the financial toxicity scale of reported outcomes of cancer patients,the Chinese version of decision-making self-efficacy scale,and the resourcefulness scale in a Class A tertiary hos-pital in Changsha City.Results The financial toxicity score of patient with colorectal cancer was 18.00(13.00,23.00).The scores of decision self-efficacy and resourcefulness were positively correlated with the financial toxicity scores(P＜0.01).Multiple linear regression analysis showed that occupation,family per capita monthly income,decision-making self-efficacy and resourcefulness were the main influencing factors of financial toxicity in colorectal cancer patients(P＜0.01 or P＜0.05).Conclusion The financial toxicity of patients with colorectal cancer is at a mild level.Individualized intervention measures should be taken to alleviate the financial toxicity of patients with colorectal cancer,promote mental health and improve the disease prognosis,especially for those with low decision-making self-efficacy and low resourcefulness.
关键词
结直肠癌/经济毒性/决策自我效能/智谋Key words
colorectal cancer/financial toxicity/decision self-efficacy/resourcefulness引用本文复制引用
基金项目
2022年度湖南省卫生健康委员会科研立项课题(202214023433)
出版年
2024
NETL
NSTL
万方数据