Abstract：
OBJECTIVE: To explore the process of coping with financial toxicity among young women with breast cancer and formulate a grounded theory that serves as a foundation for creating intervention strategies aimed at supporting cancer survivors.
METHODS: A qualitative study using the Corbin and Strauss variant of grounded theory. A series of in-depth interviews were carried out with young women with breast cancer (n = 29) using the theoretical sampling method. We analyzed data by coding core categories in the patients\' coping processes and developing theory around these categories. Data collection and analysis were performed simultaneously.
RESULTS: A substantial theory of the process of coping with financial toxicity among young female breast cancer survivors was constructed. Two core concepts, suffering and adjustment, were identified. Young women with breast cancer suffered from financial toxicity, which was related to risk factors, coping resources, and unmet needs. To overcome financial toxicity, young women with breast cancer adjusted by reshaping consumption concept, re-dividing of family functions, re-planning of occupation career, and rebuilding life confidence.
CONCLUSIONS: This qualitative study constructed a theory delineating the coping strategies employed by young women with breast cancer in response to financial toxicity, offering profound insights into the intricacies of cancer-related financial toxicity. Identifying risk factors, enhancing coping resources, and meeting unmet needs would be helpful to patients\' adjustment to financial stress.
METHODS: A qualitative study using the Corbin and Strauss variant of grounded theory. A series of in-depth interviews were carried out with young women with breast cancer (n = 29) using the theoretical sampling method. We analyzed data by coding core categories in the patients\' coping processes and developing theory around these categories. Data collection and analysis were performed simultaneously.
RESULTS: A substantial theory of the process of coping with financial toxicity among young female breast cancer survivors was constructed. Two core concepts, suffering and adjustment, were identified. Young women with breast cancer suffered from financial toxicity, which was related to risk factors, coping resources, and unmet needs. To overcome financial toxicity, young women with breast cancer adjusted by reshaping consumption concept, re-dividing of family functions, re-planning of occupation career, and rebuilding life confidence.
CONCLUSIONS: This qualitative study constructed a theory delineating the coping strategies employed by young women with breast cancer in response to financial toxicity, offering profound insights into the intricacies of cancer-related financial toxicity. Identifying risk factors, enhancing coping resources, and meeting unmet needs would be helpful to patients\' adjustment to financial stress.
摘要：
目的：探讨年轻乳腺癌女性应对经济毒性的过程，并制定一个扎根的理论，作为制定旨在支持癌症幸存者的干预策略的基础。
方法：使用扎根理论的Corbin和Strauss变体进行的定性研究。使用理论抽样方法对患有乳腺癌的年轻女性（n=29）进行了一系列深入访谈。我们通过对患者应对过程中的核心类别进行编码并围绕这些类别发展理论来分析数据。同时进行数据收集和分析。
结果：建立了应对年轻女性乳腺癌幸存者经济毒性过程的实质性理论。两个核心概念，痛苦和适应，已确定。患有乳腺癌的年轻女性患有经济毒性，这与风险因素有关，应对资源，和未满足的需求。为了克服金融毒性，通过重塑消费观念来调整患有乳腺癌的年轻女性，重新划分家庭功能，重新规划职业生涯，重建生活信心。
结论：这项定性研究构建了一个理论，描述了年轻乳腺癌女性为应对经济毒性而采用的应对策略。对癌症相关的金融毒性的复杂性提供了深刻的见解。识别风险因素，增强应对资源，满足未满足的需求将有助于患者适应经济压力。
方法：使用扎根理论的Corbin和Strauss变体进行的定性研究。使用理论抽样方法对患有乳腺癌的年轻女性（n=29）进行了一系列深入访谈。我们通过对患者应对过程中的核心类别进行编码并围绕这些类别发展理论来分析数据。同时进行数据收集和分析。
结果：建立了应对年轻女性乳腺癌幸存者经济毒性过程的实质性理论。两个核心概念，痛苦和适应，已确定。患有乳腺癌的年轻女性患有经济毒性，这与风险因素有关，应对资源，和未满足的需求。为了克服金融毒性，通过重塑消费观念来调整患有乳腺癌的年轻女性，重新划分家庭功能，重新规划职业生涯，重建生活信心。
结论：这项定性研究构建了一个理论，描述了年轻乳腺癌女性为应对经济毒性而采用的应对策略。对癌症相关的金融毒性的复杂性提供了深刻的见解。识别风险因素，增强应对资源，满足未满足的需求将有助于患者适应经济压力。
