The experience of subjective financial distress on cancer patients in China: A qualitative study.

IF 2.8 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Supportive Care in Cancer Pub Date : 2025-05-13 DOI:10.1007/s00520-025-09498-3

Tianying Yao, Linglong Liu, Xiaoxuan Li, Mingxia Chen, Lihua Lu

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引用次数: 0

Abstract

Purpose: To explore the experience of Chinese cancer patients with SFD (Subjective Financial Distress), and add new evidence to studies on the SFD of cancer.

Methods: Cancer patients and caregivers hospitalized in the oncology department of a Grade A hospital in Jiangsu Province from August 2022 to October 2022 were recruited as participants for semi-structured interviews using purposeful sampling and the maximum variation principle. The themes were extracted using Colaizzi's phenomenological data analysis method.

Results: The interview involved 24 participants who qualified, comprising 15 patients and 9 caregivers. A total of 3 themes and 9 sub-themes were extracted from interviews: (1) financial risk perception (increasing objective financial burden, decreasing financial accessibility); (2) coping behaviors (changes in daily consumption patterns, changes in work status, changes in treatment plans, and seeking support); (3) negative psychological response (personal dimension, family dimension, and social dimension).

Conclusion: SFD is widely present in Chinese cancer families and is being dealt with passively, which adversely affects the lives or work of cancer families. Healthcare professionals should pay attention to this phenomenon and conduct early and comprehensive assessments so that future interventions can be implemented to alleviate their SFD.

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中国癌症患者的主观经济困境体验：一项定性研究。

目的：探讨中国癌症患者的主观财务窘迫（SFD）经历，为癌症的SFD研究增加新的证据。方法：采用有目的抽样和最大变异原则，对2022年8月至2022年10月在江苏省某三甲医院肿瘤科住院的肿瘤患者及护理人员进行半结构化访谈。主题提取采用Colaizzi现象学数据分析方法。结果：本次访谈共涉及24名符合条件的参与者，包括15名患者和9名护理人员。访谈共提取了3个主题和9个子主题：(1)财务风险感知（客观财务负担增加，财务可及性降低）；(2)应对行为（日常消费模式改变、工作状态改变、治疗方案改变、寻求支持等）；(3)消极心理反应（个人维度、家庭维度和社会维度）。结论：SFD在中国癌症家庭中广泛存在，并处于被动处理状态，对癌症家庭的生活或工作产生不利影响。医护人员应注意这一现象，及早进行全面评估，以便日后采取干预措施，减轻他们的SFD。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Supportive Care in Cancer 医学-康复医学

CiteScore

5.70

自引率

9.70%

发文量

751

审稿时长

3 months

期刊介绍： Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.