目的:探讨前列腺癌社会支持与经济毒性、自我效能的关系.方法:选取本院2021年3月至2023年3月收治的 82 例前列腺癌患者作为前列腺癌组,另选取本院同期 82 例健康体检志愿者作为健康对照组.采用社会支持评定量表(Social Support Rating Scale,SSRS)、经济毒性综合评分量表(Comprehensive scores for financial toxicity based on the patient-reported outcome measures,COST-PROM)、一般自我效能感量表(General Self-Efficacy Scale,GSES)分别评价两组的社会支持与经济毒性、自我效能.并应用Pearson相关分析法评价前列腺癌社会支持与经济毒性、自我效能的关系.结果:前列腺癌组 SSRS 量表中主观支持、客观支持、支持利用度维度得分及总分均较健康对照组低(P<0.05).前列腺癌组COST-PROM量表中消极心理社会反应、积极财富状况维度得分及总分均较健康对照组低(P<0.05).前列腺癌组 GSES 量表中疾病共性管理自我效能、症状管理自我效能维度得分及总分均较健康对照组低(P<0.05).Pearson相关分析显示:前列腺癌社会支持维度得分及总分与经济毒性、自我效能维度得分及总分均呈正相关性关系(P<0.05).结论:前列腺癌社会支持与经济毒性、自我效能均密切相关,临床应加强措施,提升社会支持水平,进而升高经济毒性、自我效能水平.
Social Support in Relation to Financial Toxicity and Self-Efficacy in Prostate Cancer Patients
Objective:To investigate the correlation of social support with the financial toxicity and self-efficacy in prostate cancer patients.Methods:Eighty-two prostate cancer patients admitted to our hospital from March 2021 to March 2023 were selected as prostate cancer group,and another 82 healthy individuals attending health checkups were concurrently enrolled as control group.All participants were subjected to complete the Social Support Rating Scale(SSRS),Comprehensive Scores for Financial Toxicity Based on the Patient-Reported Outcome Measures(COST-PORM),and General Self-Efficacy Scale(GSES).Then Pearson correlation analysis was utilized to discuss the correlation of social support with financial toxicity and self-efficacy in prostate cancer patients.Results:Prostate cancer group obtained lower scores than control group based on SSRS subjective support,objective support,utilization of social support and total score(P<0.05).The COST-PROM negative psychosocial reactions,positive wealth status and total scores were notably lower in prostate cancer group than in control group(P<0.05).Prostate cancer group scored lower on GSES symptom management,general disease commonness management and total score than control group(P<0.05).Pearson correlation analysis denoted that the SSRS dimension and total score of prostate cancer were positively correlated with the COST-PROM and GSES dimension and total score(P<0.05).Conclusion:The social support of prostate cancer is closely related to financial toxicity and self-efficacy,and clinical measures should be strengthened to enhance the level of social support,thereby elevating the level of economic toxicity and self-efficacy.