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论著·调查与研究 | 更新时间:2024-08-05
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肝动脉插管化疗栓塞术患者的经济毒性现状及其影响因素分析
Current statues of economic toxicity in patients with transcatheter arterial chemoembolization and its influencing factors: an analytic study

广西医学 页码:882-888

作者机构:吴隆燕,本科,主管护师,研究方向为日间手术护理、护理管理。

基金信息:广西医疗卫生适宜技术开发与推广应用项目(S2022069);广西壮族自治区卫生健康委员会自筹经费科研课题(Z⁃A20230538)

DOI:10.11675/j.issn.0253-4304.2024.06.16

  • 中文简介
  • 英文简介
  • 参考文献

目的 调查肝动脉插管化疗栓塞术(TACE)患者的经济毒性现状并分析其影响因素。方法 选取251例TACE患者作为研究对象,采用一般资料调查表、癌症患者报告结局的经济毒性量表、癌症患者恐惧疾病进展简化量表进行调查,采用多元线性回归模型分析TACE患者经济毒性的影响因素。结果 TACE患者经济毒性得分为(15.52±6.62)分,其中高经济毒性患者占比为79.3%。多元线性回归结果显示,职业、对治疗费用的了解程度、恐惧疾病进展总分、文化程度是TACE患者经济毒性的影响因素(P<0.05)。结论 TACE患者经济毒性普遍存在且处于高水平。临床医护人员应针对高风险人群及时进行经济毒性评估,为其制订早期、有效、个性化的干预策略,从而降低其经济毒性,提高生活质量。

Objective To investigate the current statues of economic toxicity in patients with transcatheter arterial chemoembolization (TACE), and to analyze its influencing factors. Methods A total of 251 TACE patients were selected as the research subjects. The general data inventory, economic toxicity scale of outcomes reported by cancer patients, simplified scale of cancer patients fear disease progression were used to perform investigation. The multiple linear regression model was employed to analyze the influencing factors for economic toxicity in TACE patients. Results The score of economic toxicity in TACE patients was 15.52±6.62, therein the proportion of patients with high economic toxicity accounted for 79.3%. The results of multiple linear regression revealed that occupation, knowledge of treatment expense, total score of fear disease progression, educational level were the influencing factors for economic toxicity in TACE patients (P<0.05). Conclusion Economic toxicity is common and at a high level in TACE patients. Clinical medical and nursing personnel should targetedly evaluate economic toxicity of high-risk population in time, and formulate early, effective and personalized intervention strategies for high-risk population, so as to reduce their economic toxicity, and improve their quality of life.

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