Abstract:

Objective To explore predicament and needs of coping financial toxicity in heart failure patients and families based on the three-dimensional conceptual framework of financial hardship，in order to provide reference for identifying financial toxicity and developing intervention strategies. Methods From March to May 2024，21 heart failure families from a tertiary class A hospital in Shanghai were selected to participate in the semi-structured interview by the principle of maximum differentiation. NVivo Plus 12.2 software was used to manage the text data and Colaizzi 7-step analysis method was used for data analysis and topic extraction. Results 3 themes were condensed，including financial toxicity-related experience and the change of economic status during the treatment of heart failure，financial concerns and psychological pressure during the treatment of heart failure，behavioral coping strategies and adaptation in the treatment of heart failure. Conclusion Medical staff should concern to the plight and needs of heart failure patients in coping with financial toxicity，and increase psychological intervention，provide educational programs，conduct cost dialogues to help them better cope with financial toxicity.

Key words: Heart Failure, Financial Toxicity, Coping Status, Conceptual Framework of Financial Hardship, Qualitative Study