Abstract：
BACKGROUND: Spiritual pain and financial distress are two important dimensions of cancer care that are often overlooked. Both dimensions can have a significant impact on the quality of life of patients with cancer and their families.
METHODS: This study conducted a cross-cultural adaptation, feasibility study, and psychometric properties of the Edmonton Symptom Assessment System-Financial and Spiritual (ESAS-FS) in a Spanish-speaking population with advanced cancer. The ESAS-FS is a patient-reported outcome measure that assesses 12 symptoms, including spiritual pain and financial distress.
RESULTS: In the cross-cultural adaptation process, the terms \"spiritual pain\" and \"financial distress\" were refined to \"sufrimiento espiritual\" and \"preocupación por asuntos económicos\" respectively, with strong professional consensus and high patients\' acceptancy (relevant questions 80%, appropriate terms 91%). A cohort of 100 onco-hematologic patients revealed that 70% experienced spiritual pain (mean 2.9/10), while 49% reported financial distress (mean 2.2/10). Symptomatic analyses illustrated significant associations of spiritual pain with various symptoms like fatigue, drowsiness, and depression. Similarly, financial distress correlated notably with drowsiness, depression, and anxiety. Moreover, a distinct correlation was observed between spiritual pain and financial distress.
CONCLUSIONS: The findings of this study suggest that the ESAS-FS is a valuable tool for assessing spiritual pain and financial distress in Spanish-speaking patients with advanced cancer. The tool can be used to identify patients who are experiencing these dimensions of distress and to provide them with appropriate care.
METHODS: This study conducted a cross-cultural adaptation, feasibility study, and psychometric properties of the Edmonton Symptom Assessment System-Financial and Spiritual (ESAS-FS) in a Spanish-speaking population with advanced cancer. The ESAS-FS is a patient-reported outcome measure that assesses 12 symptoms, including spiritual pain and financial distress.
RESULTS: In the cross-cultural adaptation process, the terms \"spiritual pain\" and \"financial distress\" were refined to \"sufrimiento espiritual\" and \"preocupación por asuntos económicos\" respectively, with strong professional consensus and high patients\' acceptancy (relevant questions 80%, appropriate terms 91%). A cohort of 100 onco-hematologic patients revealed that 70% experienced spiritual pain (mean 2.9/10), while 49% reported financial distress (mean 2.2/10). Symptomatic analyses illustrated significant associations of spiritual pain with various symptoms like fatigue, drowsiness, and depression. Similarly, financial distress correlated notably with drowsiness, depression, and anxiety. Moreover, a distinct correlation was observed between spiritual pain and financial distress.
CONCLUSIONS: The findings of this study suggest that the ESAS-FS is a valuable tool for assessing spiritual pain and financial distress in Spanish-speaking patients with advanced cancer. The tool can be used to identify patients who are experiencing these dimensions of distress and to provide them with appropriate care.
摘要：
背景：精神疼痛和财务困境是癌症治疗的两个重要方面，经常被忽视。这两个维度都会对癌症患者及其家人的生活质量产生重大影响。
方法：这项研究进行了跨文化适应，在讲西班牙语的晚期癌症患者中，埃德蒙顿症状评估系统-财务和精神（ESAS-FS）的可行性研究和心理测量特性。ESAS-FS是一种患者报告的结果指标，可评估12种症状，包括精神痛苦和财务困境。
结果：在跨文化适应过程中，术语“精神痛苦”和“财务困境”分别被细化为“susrimientoespiritary”和“preocupaciónporasuntoseconómicos”，具有强烈的专业共识和较高的患者接受度(相关问题80%，适当条款91%)。100名血液病患者的队列显示，70％的患者经历了精神疼痛（平均2.9/10），而49%的人报告了财务困境（平均2.2/10）。症状分析说明了精神疼痛与疲劳等各种症状的显着关联，困倦,和抑郁症。同样，财务困境尤其与嗜睡相关，抑郁症,和焦虑。此外，在精神痛苦和财务困境之间观察到明显的相关性。
结论：这项研究的结果表明，ESAS-FS是评估讲西班牙语的晚期癌症患者的精神痛苦和财务困境的有价值的工具。该工具可用于识别正在经历这些痛苦的患者，并为他们提供适当的护理。
方法：这项研究进行了跨文化适应，在讲西班牙语的晚期癌症患者中，埃德蒙顿症状评估系统-财务和精神（ESAS-FS）的可行性研究和心理测量特性。ESAS-FS是一种患者报告的结果指标，可评估12种症状，包括精神痛苦和财务困境。
结果：在跨文化适应过程中，术语“精神痛苦”和“财务困境”分别被细化为“susrimientoespiritary”和“preocupaciónporasuntoseconómicos”，具有强烈的专业共识和较高的患者接受度(相关问题80%，适当条款91%)。100名血液病患者的队列显示，70％的患者经历了精神疼痛（平均2.9/10），而49%的人报告了财务困境（平均2.2/10）。症状分析说明了精神疼痛与疲劳等各种症状的显着关联，困倦,和抑郁症。同样，财务困境尤其与嗜睡相关，抑郁症,和焦虑。此外，在精神痛苦和财务困境之间观察到明显的相关性。
结论：这项研究的结果表明，ESAS-FS是评估讲西班牙语的晚期癌症患者的精神痛苦和财务困境的有价值的工具。该工具可用于识别正在经历这些痛苦的患者，并为他们提供适当的护理。
