目的:本文提供了一个全面的范围审查,综合有关乳腺癌患者面临的财务困境的现有文献。它研究了导致财务困境的因素,对患者的影响,采用的应对机制,和潜在的缓解方法。目标是组织现有的证据,并强调未来研究的可能方向。
方法:我们遵循JoannaBriggsInstitute(JBI)提出的范围审查框架来综合和报告证据。我们搜索了电子数据库,包括PubMed,WebofScience,Embase,和Cochrane图书馆,相关文献。我们纳入了符合以下标准的英文文章:(a)研究主题是财务困境或财务毒性,(二)研究对象是成年乳腺癌患者,(C)文章类型是定量的,定性,或混合方法研究。然后,我们提取并整合相关信息以进行报告。
结果:删除重复项之后,检索到5459篇文章,根据纳入和排除标准纳入43篇文章.这些文章涉及与财务困境相关的四个主要主题:与财务困境相关的因素,对乳腺癌患者的影响,应对机制,和潜在的缓解方法。从六个维度观察财务困境对患者的影响:财务费用、财政资源,社会心理反应,寻求支持,应对护理,和应对生活方式。虽然一些研究报告了潜在的缓解方法,很少有人讨论这些解决方案的可行性。
结论:乳腺癌患者经历了具有多维影响的重大财务困境。在衡量财务困境时,全面考虑可能的混杂因素至关重要。未来的研究应该集中在探索和验证缓解或解决这一问题的方法上。
OBJECTIVE: This article provided a comprehensive scoping review, synthesizing existing literature on the financial distress faced by breast cancer patients. It examined the factors contributing to financial distress, the impact on patients, coping mechanisms employed, and potential alleviation methods. The goal was to organize existing evidence and highlight possible directions for future research.
METHODS: We followed the scoping review framework proposed by the Joanna Briggs Institute (JBI) to synthesize and report evidence. We searched electronic databases, including PubMed, Web of Science, Embase, and Cochrane Library, for relevant literature. We included English articles that met the following criteria: (a) the research topic was financial distress or financial toxicity, (b) the research subjects were adult breast cancer patients, and (c) the article type was quantitative, qualitative, or mixed-methods research. We then extracted and integrated relevant information for reporting.
RESULTS: After removing duplicates, 5459 articles were retrieved, and 43 articles were included based on the inclusion and exclusion criteria. The articles addressed four main themes related to financial distress: factors associated with financial distress, impact on breast cancer patients, coping mechanisms, and potential methods for alleviation. The impact of financial distress on patients was observed in six dimensions: financial expenses, financial resources, social-psychological reactions, support seeking, coping care, and coping lifestyle. While some studies reported potential methods for alleviation, few discussed the feasibility of these solutions.
CONCLUSIONS: Breast cancer patients experience significant financial distress with multidimensional impacts. Comprehensive consideration of possible confounding factors is essential when measuring financial distress. Future research should focus on exploring and validating methods to alleviate or resolve this issue.