Financial Hardship Factors affecting the Cancer Patient's Quality of Life

Youngsun Rhee, Su-yeon Kim, Jeongok Park
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引用次数: 2

Abstract

Purpose: The purpose of this study was to investigate the financial hardships affecting the quality of life of cancer survivors. Method: Data were collected from five convalescent hospitals using self-administered questionnaires, and 422 questionnaires were used for the final analysis. We used a 5-step hierarchical multiple-regression analysis by entering each sociodemographic variable, medical variable, and three types of financial hardship (a material situation, the psychological response, and coping behavior coming from cancer treatment cost) into each step. Results: The results of statistical analysis indicate that the most influential factor in the quality of life was the financial difficulty, which was the frustration that they could not work as usual or support their family financially. In addition, the performance of physical activity, accompanying diseases, women patients, psychological burden on cancer treatment cost, the satisfaction of communication with medical staff for medical expenses, and the feeling unsuccessful financial coping strategy were predictors for the quality of life of cancer survivors. Conclusion: This study provides a blueprint for the development of intervention programs in practice to improve the quality of life of cancer patients, clinical intervention plans, and health policies.
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影响癌症患者生活质量的经济困难因素
目的:本研究的目的是调查经济困难对癌症幸存者生活质量的影响。方法:采用自填问卷收集5家康复医院的资料,共422份问卷进行最终分析。我们采用5步分层多元回归分析,将每个社会人口变量、医疗变量和三种类型的经济困难(物质状况、心理反应和来自癌症治疗费用的应对行为)输入每一步。结果:统计分析结果显示,影响生活质量最大的因素是经济困难,即无法正常工作或经济上支持家庭的挫折感。此外,身体活动表现、伴随疾病、女性患者、癌症治疗费用心理负担、与医务人员就医疗费用沟通的满意度、财务应对策略的感觉不成功是癌症幸存者生活质量的预测因子。结论:本研究为改善癌症患者生活质量的干预方案、临床干预方案和卫生政策的制定提供了参考。
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