Financial toxicity of informal caregivers of colorectal cancer patients: A cross-sectional study

作者：Menghan Zhang, Xiaokai Wang, Mengwei Shao, Ting Li, Shengjie Guo, Yi Yang, Lulu Yu, Bin Ma, Dunhui Li, Huiyue Zhou, Li-Qun Yao, Changying Chen, Tao Wang · 发表于：European Journal of Oncology Nursing · 年份：2024 · DOI：10.1016/j.ejon.2024.102519 · 被引用次数：13 · 研究领域：Economic and Financial Impacts of Cancer、Medication Adherence and Compliance、Health Systems, Economic Evaluations, Quality of Life

PURPOSE: To assess the level of financial toxicity of informal caregivers of colorectal cancer patients and explore the related key influencing factors. METHOD: A descriptive survey design was used in this study. Data were collected from 236 informal caregivers of colorectal cancer patients between March 2023 and July 2023 from a major hospital in central China (Henan province). Potential influence factors of financial toxicity, including basic information, perceived stress, and social support were analyzed using multivariate linear regression. RESULTS: The financial toxicity score of 236 caregivers of colorectal cancer patients was 19.42 ± 9.72. One hundred and fourteen caregivers (accounting for 48.31%) of colorectal cancer patients had high levels of financial toxicity. Financial toxicity scores of caregivers were negatively correlated with perceived stress (r = -0.421, P < 0.001) and positively correlated with social support (r = 0.416, P < 0.001). Our multivariate regression analysis identified some factors that directly affected caregivers' financial toxicity, including caregiver age (t = 2.105, P = 0.036), medical insurance (t = 2.462, P = 0.015), average household income (t = 2.995, P = 0.003), place of residence (t = 2.872, P = 0.004), perceived stress (t = -4.945, P < 0.001), and social support (t = 4.513, P < 0.001). CONCLUSIONS: Caregivers of colorectal cancer patients generally experience a higher level of financial toxicity, which could be eased by lower perceiv...