输尿管皮肤造口患者经济毒性状况及影响因素分析
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女,硕士在读,学生

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江西省科技厅重点研发计划一般项目(20192BBG70019);江西省科技厅重点研发计划一般项目(20202BBGL73090)


Financial toxicity status and its influencing factors among patients undergoing cutaneous ureterostomy
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    摘要:

    目的 了解膀胱癌输尿管皮肤造口患者经济毒性现状并分析其影响因素,为探索干预策略提供参考。方法 采用便利抽样法抽取就诊于伤口造口门诊的130例输尿管皮肤造口患者,采用一般资料调查表、患者报告结局的经济毒性综合评分量表、恐惧疾病进展简化量表、患者健康问卷抑郁量表进行调查。结果 输尿管皮肤造口患者经济毒性发生率为86.15%,经济毒性总分为23.00(17.00,25.00)分;相关性分析结果显示,恐惧疾病进展水平、抑郁水平与经济毒性呈正相关(均P<0.01);多元线性回归结果显示,恐惧疾病进展、抑郁、年龄、家庭人均月收入、医保类型、到达医疗机构的乘车时间是患者经济毒性的影响因素(P<0.05,P<0.01)。结论 输尿管皮肤造口患者经济毒性阳性率较高,在临床工作中应特别关注年轻、低收入、未参保、到达医疗机构的乘车时间较长的输尿管皮肤造口患者经济毒性的评估,对高危患者进行早期干预,防止因经济毒性引起不良结局事件。

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    Objective To investigate the financial toxicity and its influencing factors among bladder cancer patients undergoing cutaneous ureterostomy, so as to provide reference for exploring intervention strategy. Methods A total of 130 outpatients undergoing cutaneous ureterostomy in wound stomy clinic were conveniently selected, then they were investigated by utilizing the general data questionnaire, the Comprehensive Scores for Financial Toxicity based on the Patient-Reported Outcome Measures (COST-PROM), the Fear of Progression Questionnaire-Short Form (FoP-Q-SF) and the Patient Health Questionnaire-9 (PHQ-9). Results The incidence of financial toxicity in the participants was 86.15%, and the total score of COST-PROM was 23.00(17.00,25.00). The results of correlation analysis showed that, the level of fear disease progression and depression were positively correlated with financial toxicity (P<0.01 for both). The results of multiple linear regression indicated that, the level of fear disease progression and depression, age, personal monthly income in family, type of medical insurance and time required arriving at medical institutions by car were the influencing factors of financial toxicity (P<0.05, P<0.01). Conclusion The positive rate of financial toxicity among patients undergoing cutaneous ureterostomy is high, in clinical work, special attention should be paid to the assessment of financial toxicity for the young, low income, uninsured patients and those who lived far away from medical institutions, and conduct early intervention for the high-risk patients to prevent adverse outcome events due to financial toxicity.

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沈雅琳,汤利萍,曹英,张宝珍,熊柱凤,王敏.输尿管皮肤造口患者经济毒性状况及影响因素分析[J].护理学杂志,2022,27(10):26-29

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  • 收稿日期:2021-11-01
  • 最后修改日期:2022-02-12
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  • 在线发布日期: 2023-08-28