eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association
Research Paper

A qualitative study on the predicament and needs of patients with heart failure and their families in coping with financial toxicity

  • YANG Jing ,
  • LIANG Fang ,
  • LU Xiaoying ,
  • HUANG Yan ,
  • WANG Jinping
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  • Nursing Department,the First Affiliated Hospital of Naval Medical University,Shanghai,200433,China

Received date: 2024-08-19

  Online published: 2025-06-06

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.

Cite this article

YANG Jing , LIANG Fang , LU Xiaoying , HUANG Yan , WANG Jinping . A qualitative study on the predicament and needs of patients with heart failure and their families in coping with financial toxicity[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(6) : 653 -658 . DOI: 10.3761/j.issn.2096-7446.2025.06.002

References

[1] Yousuf Zafar S, Abernethy AP. Financial toxicity, Part I:a new name for a growing problem[J]. Oncology, 2013, 27(2):80-81,149.
[2] Patel MR, Zhang GH, Heisler M,et al. Measurement and validation of the comprehensive score for financial toxicity(COST) in a population with diabetes[J]. Diabetes Care, 2022, 45(11):2535-2543.
[3] Lee YS, Khan AA. Financial toxicity for female patients with urinary incontinence[J]. Curr Urol Rep, 2023, 24(1):33-39.
[4] Savarese G, Becher PM, Lund LH,et al. Global burden of heart failure:a comprehensive and updated review of epidemiology[J]. Cardiovasc Res, 2023, 118(17):3272-3287.
[5] 2017 Disease and Injury Incidence and Prevalence Collaborators GBD. Global,regional,and national incidence,prevalence,and years lived with disability for 354 diseases and injuries for 195 countries and territories,1990-2017:a systematic analysis for the Global Burden of Disease Study 2017[J]. Lancet, 2018, 392(10159):1789-1858.
[6] Chan RJ, Gordon LG, Tan CJ,et al. Relationships between financial toxicity and symptom burden in cancer survivors:a systematic review[J]. J Pain Symptom Manage, 2019, 57(3):646-660.e1.
[7] Ali HR, Javier VE, STEPHEN Y W,et al. Subjective financial hardship due to medical bills among patients with heart failure in the United States:the 2014-2018 medical expenditure panel survey[J]. J Card Fail, 2022, 28(9):1424-1433.
[8] Bradley CJ, Yabroff KR, Zafar SY,et al. Time to add screening for financial hardship as a quality measure?[J]. CA Cancer J Clin, 2021, 71(2):100-106.
[9] Altice CK, Banegas MP, Tucker-Seeley RD,et al. Financial hardships experienced by cancer survivors:a systematic review[J]. J Natl Cancer Inst, 2017, 109(2):djw205.
[10] Heidenreich PA, Bozkurt B, Aguilar D,et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure:a report of the American college of cardiology/American heart association joint committee on clinical practice guidelines[J]. J Am Coll Cardiol, 2022, 79(17):e263-e421.
[11] 胡雁, 王志稳. 护理研究[M]. 6版. 北京: 人民卫生出版社, 2022.
  Hu Y, Wang ZW. Nursing research[M]. 6th ed. Beijing: People’s Medical Publishing House, 2022.
[12] Wang H, Chai K, Du MH,et al. Prevalence and incidence of heart failure among urban patients in China:a national population-based analysis[J]. Circ Heart Fail, 2021, 14(10): e008406.
[13] Yu Y, Liu K, Zhang LH,et al. Perceived economic burden,mortality,and health status in patients with heart failure[J]. JAMA Netw Open, 2024, 7(3):e241420.
[14] Slavin SD, Khera R, Yousuf Zafar S, et al. Financial burden,distress,and toxicity in cardiovascular disease[J]. Am Heart J, 2021, 238:75-84.
[15] Weida EB, Phojanakong P, Patel F,et al. Financial health as a measurable social determinant of health[J]. PLoS One, 2020, 15(5):e0233359.
[16] López-Baamonde M, Arguis MJ, Navarro-Ripoll R,et al. Multimodal prehabilitation in heart transplant recipients improves short-term post-transplant outcomes without increasing costs[J]. J Clin Med, 2023, 12(11):3724.
[17] Greenup RA. Financial toxicity and shared decision making in oncology[J]. Surg Oncol Clin N Am, 2022, 31(1):1-7.
[18] Members WC, Members AJC. 2022 AHA/ACC/HFSA guideline for the management of heart failure[J]. J Card Fail,2022, 28(5):e1-e167.
[19] Cleland JFG, Clark RA. Telehealth:delivering high-quality care for heart failure[J]. Lancet, 2018, 392(10152):990-991.
[20] Sydow H, Prescher S, Koehler F,et al. Cost-effectiveness of noninvasive telemedical interventional management in patients with heart failure:health economic analysis of the TIM-HF2 trial[J]. Clin Res Cardiol, 2022, 111(11):1231-1244.
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