摘要
目的探讨乳腺癌患者及家庭照顾者电子健康素养对经济毒性的作用。方法便利选取乳腺癌患者及家庭照顾者265对作为研究对象,使用电子健康素养量表、患者报告结局的经济毒性综合评分量表及癌症家庭照顾者经济毒性量表进行调查,构建电子健康素养对经济毒性的主客体互倚模型。结果乳腺癌患者及家庭照顾者的电子健康素养得分分别为(29.92±8.00)、(30.63±7.36)分;经济毒性得分分别为(23.24±7.49)、(53.88±12.11)分。主客体互倚模型显示,乳腺癌患者及家庭照顾者电子健康素养均负向影响自身及对方的经济毒性(P<0.01),主客体效应显著。结论乳腺癌患者及家庭照顾者的电子健康素养与经济毒性具有二元交互作用。医护人员应关注和提高乳腺癌患者及家庭照顾者的电子健康素养,以缓解二者的经济毒性。
Objective To explore the effects of eHealth literacy on financial toxicity among breast cancer patients and their family caregivers.Methods A total of 265 pairs of breast cancer patients and their family caregivers were conveniently selected and surveyed using the eHealth Literacy Scale,the Comprehensive Score for Financial Toxicity based on Patient-Reported Outcomes,and the Financial Toxicity Scale for Cancer Family Caregivers.An actor-partner interdependence model(APIM)was constructed to examine the effects of eHealth literacy on financial toxicity.Results The eHealth literacy scores of breast cancer patients and family caregivers were(29.92±8.00)and(30.63±7.36),respectively.The financial toxicity scores were(23.24±7.49)for patients and(53.88±12.11)for caregivers.The APIM analysis showed that eHealth literacy in both breast cancer patients and family caregivers negatively affected their own financial toxicity as well as that of the other party(P<0.01),with significant actor and partner effects.Conclusion eHealth literacy and financial toxicity exhibit a bidirectional interactive relationship between breast cancer patients and their family caregivers.Healthcare professionals should pay attention to and enhance eHealth literacy in both patients and caregivers in order to alleviate financial toxicity in both groups.
作者
李俊宜
丁丽
张照莉
王力
李荣
LI Junyi;DING Li;ZHANG Zhaoli;WANG Li;LI Rong(Department of Nursing,Chongqing University Cancer Hospital,Chongqing 400030,China;Breast Cancer Center,Chongqing University Cancer Hospital,Chongqing 400030,China)
出处
《现代医药卫生》
2026年第1期38-42,共5页
Journal of Modern Medicine & Health
基金
重庆市卫生健康委员会科卫联合医学科研项目(2023MSXM130)
中华护理学会2023年度科研课题(ZHKY202311)
重庆市沙坪坝区技术创新项目(2024145
2024149)。
关键词
乳腺癌
家庭照顾者
电子健康素养
经济毒性
主客体互倚模型
Breast cancer
Family caregiver
eHealth literacy
Financial toxicity
Actor-partner interdependence model
