دورية أكاديمية
أعرض في EDS

Exploring the economic toxicity experiences and coping styles of patients with colorectal cancer fistula in Jiangsu province, China: a qualitative study.

التفاصيل البيبلوغرافية
العنوان: Exploring the economic toxicity experiences and coping styles of patients with colorectal cancer fistula in Jiangsu province, China: a qualitative study.
المؤلفون: Zhao W; Lianyungang Clinical College of Nanjing Medical University /The First People's Hospital of Lianyungang, Lianyungang, Jiangsu, China., Xu Q; School of Nursing, Nanjing Medical University, 101Longmian Avenue,Jiangning District,Nanjing, 211166, China qinxu@njmu.edu.cn., Zhou X; School of Nursing, Nanjing Medical University, 101Longmian Avenue,Jiangning District,Nanjing, 211166, China., Liu C; School of Nursing, Nanjing Medical University, 101Longmian Avenue,Jiangning District,Nanjing, 211166, China., Ding L; Department of Colorectal Surgery, The First Affiliated Hospital With Nanjing Medical University, Nanjing, 210000, China.
المصدر: BMJ open [BMJ Open] 2024 Jun 19; Vol. 14 (6), pp. e082308. Date of Electronic Publication: 2024 Jun 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Adaptation, Psychological* , Colorectal Neoplasms*/psychology , Colorectal Neoplasms*/economics , Qualitative Research* , Quality of Life*, Humans ; Male ; Female ; Middle Aged ; China ; Aged ; Adult ; Cost of Illness ; Interviews as Topic
مستخلص: Objectives: In recent years, economic toxicity has significantly affected the physical and mental health as well as the quality of life of patients with colorectal cancer. However, this issue has not garnered adequate attention from healthcare professionals. This study aims to investigate the experiences of economic toxicity and coping strategies among patients with colorectal cancer fistula. The findings are intended to inform the development of suitable and effective intervention programmes to address economic toxicity within this patient population.
Design: A descriptive phenomenological approach was employed in this qualitative research, using a semistructured method for data collection and analysis of interview data. Traditional content analysis methods were applied, encompassing coding, categorisation and theme distillation. Data analysis continued until thematic saturation was achieved, with no new themes emerging.
Setting: Nanjing Medical University Lianyungang Clinical Medical College.
Participants: A total of 21 patients with colorectal cancer fistula were selected as interview subjects through purposive sampling. The selection took place from May 2022 to May 2023, involving patients during their stay at a tertiary hospital in Lianyungang city, Jiangsu province, China.
Results: In total, three pieces and eight subthemes were distilled: subjective feelings (worries about treatment costs, concerns about uncertainty about the future, worries about daily life), coping styles (coping alone, unwillingness to help, prepurchased insurance, dealing with illness, giving up treatment, inability to afford costs) and needs and aspirations (need for health policies, need for social support).
Conclusions: Patients with colorectal cancer fistulae experience economic toxicity, leading to significant impairment in both physical and mental health. Despite employing various coping strategies, healthcare professionals must prioritise addressing the economic toxicity issue in patients. Implementing rational and effective interventions can greatly assist patients in effectively managing economic toxicity.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: HEALTH ECONOMICS; Health economics; ONCOLOGY; QUALITATIVE RESEARCH
تواريخ الأحداث: Date Created: 20240621 Date Completed: 20240621 Latest Revision: 20240623
رمز التحديث: 20240623
مُعرف محوري في PubMed: PMC11191830
DOI: 10.1136/bmjopen-2023-082308
PMID: 38904140
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2023-082308