Study on the current status and influencing factors of economic toxicity in young and middle-aged patients with chronic renal failure undergoing hemodialysis
ZHOU Xueqin
ZHU Xiaoping
WANG Huajing
WAN Yujie
CHEN Lijun
LIN Jing
Abstract：Objective To understand the current situation of economic toxicity among young and middle-aged patients with chronic re-nal failure undergoing hemodialysis,analyze its influencing factors,and provide a basis for the development of intervention measures for clini-cal medical staff.Methods A questionnaire survey was conducted among 326 young and middle-aged patients with chronic renal failure un-dergoing hemodialysis in a tertiary class A hospital in Xiangyang City,using general information questionnaire,Comprehensive Scores for Fi-nancial Toxicity Based on the Patient-Reported Outcome Measures,Connor-Davidson Resilience Scale,and Kidney Disease Quality of Life-36.Results The total score of economic toxicity in young and middle-aged patients with chronic renal failure undergoing hemodialysis was 21.00(14.00,28.00)points.And it was positively correlated with both psychological resilience and quality of life(P＜0.01).Household month-ly per capita income,medical payment method,psychological resilience,and life were the main influencing factors of the patients'economic toxicity(P＜0.01).Conclusion Young and middle-aged patients with chronic renal failure undergoing hemodialysis is at a mild level of eco-nomic toxicity.Clinical medical staff can formulate effective intervention measures to improve their psychological resilience,reduce the patients'economic toxicity,and improve the quality of life of young and middle-aged hemodialysis patients.
Keywords：young and middle-aged peoplepatientschronic renal failurehemodialysiseconomic toxicitypsychological resiliencequality of life
Publication Date：2025-04-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 318-322 )