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肺结核传染性强、疗程长，高昂的治疗护理费用与收入减少导致患者经济毒性加剧，严重影响其生活质量和心理健康，亟需社会关注与支持。文章从客观和主观两方面分析了肺结核患者经济毒性的研究现状，从人口学、疾病及治疗、社会等多角度综述了肺结核患者经济毒性的影响因素，并提出强化肺结核患者健康寻求行为与治疗依从性、完善肺结核全周期成本管理服务模式、完善肺结核防控的政府-社会协同支持机制等展望。旨在帮助医护人员更好地了解肺结核经济毒性，并为开展相关研究提供参考。
Abstract：Pulmonary tuberculosis is highly infectious and has a long course of treatment.The high cost of treatment and nursing and the reduction of income lead to the increase of Financial toxicity of patients, which seriously affects their quality of life and mental health, and urgently needs social attention and support.The paper analyzes the research status of economic toxicity among pulmonary tuberculosis patients from both objective and subjective perspectives.It reviews the influencing factors of economic toxicity in pulmonary tuberculosis patients from multiple angles, including demographics, disease and treatment, and social factors.Furthermore, it proposes future directions: strengthening health-seeking behavior and treatment adherence among pulmonary tuberculosis patients, improving the full-cycle cost management service model for pulmonary tuberculosis, and establishing a collaborative government-society support mechanism for pulmonary tuberculosis prevention and control.The aim is to help medical staff better understand the economic toxicity of tuberculosis and provide reference for future nursing research.
[1]赵莉，高良艺，张玉．肺结核首次就诊至疗程结束家庭负担现状分析[J]．社区医学杂志，2022,20(15):871-876.DOI:10.19790/j.cnki.JCM.2022.15.09．
[2]SALEEM S,MALIK A A,GHULAM A,et al.Health-related quality of life among pulmonary tuberculosis patients in Pakistan[J].Quality of Life Research,2018,27(12):3137-3143.DOI:10.1007/s11136-018-1954-9．
[3]MOHAMMEDHUSSEIN M,ALENKO A,TESSEMA W,et al.Prevalence and associated factors of depression and anxiety among patients with pulmonary tuberculosis attending treatment at public health facilities in southwest Ethiopia[J].Neuropsychiatric Disease and Treatment,2020,16:1095-1104.DOI:10.2147/ndt.S249431．
[4]ZAFAR S Y,ABERNETHY A P.Financial toxicity,Part I:a new name for a growing problem[J].Oncology-New York,2013,27(2):80-149.DOI:10.1634/theoncologist.2012-0279．
[5]张琳，许静，杜昕，等．陕西省结核病医疗保障现状调查分析[J]．华南预防医学，2024,50(12):1203-1206.DOI:10.12183/j.scjpm.2024.1203．
[6]黄爱菊，马晓雪，陈慧娟，等．2020年贵州省少数民族普通肺结核患者家庭灾难性支出情况及影响因素分析[J]．疾病监测，2024,39(11):1502-1508.DOI:10.3784/jbjc.202404240263．
[7]张广川．广州市耐多药肺结核经济负担及影响因素分析[D]．广州:广东药科大学，2021．
[8]陈良玉，林霏申，郭晶，等．初治肺结核550例的中断治疗率及其相关因素分析[J]．安徽医药，2025,29 (6):1213-1217.DOI:10.3969/j.issn.1009-6469.2025.06.030．
[9]周雪琴，朱小平，王华静，等．中青年慢性肾功能衰竭血液透析患者经济毒性现状及影响因素研究[J]．护理管理杂志，2025,25(4):318-322.DOI:10.3969/j.issn.1671-315x.2025.04.009．
[10]SUKUMAR S,WASFY J H,JANUZZI J L,et al.Financial toxicity of medical management of heart failure:JACC review topic of the week[J].Journal of the American College of Cardiology,2023,81(20):2043-2055.DOI:10.1016/j.jacc.2023.03.402．
[11]BERGERON M,ISHMAN S L.Persistent obstructive sleep apnea burden on family finances and quality of life[J].Otolaryngology-Head and Neck Surgery,2021,165 (3):483-489.DOI:10.1177/0194599820986566．
[12]李玲．安徽省肺结核流行特征与患者直接经济负担调查研究[D]．合肥:安徽医科大学，2020．
[13]KILALE A M,PANTOJA A,JANI B,et al.Economic burden of tuberculosis in Tanzania:a national survey of costs faced by tuberculosis-affected households[J].BMC Public Health,2022,22(1):600-611.DOI:10.1186/s12889-022-12987-3．
[14]黄莹莹，黄俊逸，何慧敏．广西某医院肺结核患者住院费用及影响因素分析[J]．大众科技，2022,24(10):162-165.DOI:10.3969/j.issn.1008-1151.2022.10.043．
[15]彭韫丽，刘慧梅，葛修茹，等．肺结核患者自我感受负担及影响因素研究[J]．护理管理杂志，2017,17 (4):235-237．
[16]易凤莲，周燕，周美兰，等．武汉市复治涂阳肺结核患者焦虑、抑郁状况及影响因素分析[J]．中国社会医学杂志，2021,38(6):644-647.DOI:10.3969/j.issn.1673-5625.2021.06.013．
[17]杨坤云，易恒仲，唐志冈，等．78例耐多药肺结核患者治疗依从性分析[J]．实用预防医学，2012,19(6):846-847．
[18]舒薇，刘宇红．精进臻善惟实励新:世界卫生组织《2022年全球结核病报告》解读[J]．中国防痨杂志，2023,45(5):454-457.DOI:10.19982/j.issn.1000-6621.20230102．
[19]SEIFERT M,AUNG H T,BESLER N,et al.Age and sex distribution of mycobacterium tuberculosis infection and rifampicin resistance in Myanmar as detected by Xpert MTB/RIF[J].BMC Infectious Diseases,2021,21 (1):781-789.DOI:10.1186/s12879-021-06296-0．
[20]LIU K,AI L,PAN J,et al.Survival analysis and associated factors for pulmonary tuberculosis death:evidence from the information system of tuberculosis disease and mortality surveillance in China[J].Risk Management and Healthcare Policy,2022,15:1167-1178.DOI:10.2147/rmhp.S368593．
[21]车贝贝，王小平，邱青，等．2009-2020年江苏省南通市耐多药/利福平耐药肺结核诊疗服务特征的纵向研究[J]．中国防痨杂志，2023,45(9) 864-871.DOI:10.19982/j.issn.1000-6621.20230058．
[22]胡元霞，王芸，方世林，等．贵州省老年结核病患者多重用药负担及影响因素分析[J]．中国药房，2023,34(9):1126-1130.DOI:10.6039/j.issn.1001-0408.2023.09.19．
[23]SHEN T,LIU Y,SHANG J,et al.Incidence and etiology of drug-induced liver injury in mainland China[J].Gastroenterology,2019,156(8):2230-2241.e11.DOI:10.1053/j.gastro.2019.02.002．
[24]谢芳晖，雷丽梅，赵霞，等．含贝达喹啉治疗方案的耐药结核病患者抑郁、焦虑情况调查[J]．临床肺科杂志，2022,27(4):586-590.DOI:10.3969/j.issn.1009-6663.2022.04.022．
[25]郝冬青，李涛，黄飞，等．我国西部地区肺结核患者家庭经济负担现况调查[J]．中国防痨杂志，2023,45(11):1021-1030.DOI:10.19982/j.issn.1000-6621.20230137．
[26]杨鑫．2017-2019年沈阳市某专科医院肺结核患者住院费用结构变动及影响因素研究[D]．沈阳:沈阳医学院，2021．
[27]YANG T,CHEN T,CHE Y,et al.Factors associated with catastrophic total costs due to tuberculosis under a designated hospital service model:a cross-sectional study in China[J].BMC Public Health,2020,20(1):1009-1022.DOI:10.1186/s12889-020-09136-z．
[28]谢芳晖，雷丽梅，赵霞，等．肺结核患者社会疏离感与领悟社会支持的相关性分析[J]．现代临床医学，2022,48(3):166-169.DOI:10.11851/j.issn.1673-1557.2022.03.002．
[29]谢芳晖，姚蓉，万彬，等．肺结核患者社会疏离感现状及影响因素研究[J]．护理管理杂志，2023,23 (7):556-560.DOI:10.3969/j.issn.1671-315x.2023.07.010．
[30]JIANG Y,LUO L,GUI M,et al.Duration and determinants of delayed diagnosis with tuberculosis in Shenzhen,China:a cross-sectional study[J].Risk Management and Healthcare Policy,2022,15:1473-1481.DOI:10.2147/rmhp.S367998．
[31]郑海伦，李亚敏，孙闪华，等．317例肺结核患者中断治疗影响因素分析[J]．中国防痨杂志，2024,46 (4):467-472.DOI:10.19982/j.issn.1000-6621.20240044．
[32]王芸，方世林，禄晓龙，等．中国结核病患者三类延迟现况及其与经济因素关联的Meta分析[J]．中国循证医学杂志，2022,22(7):791-798.DOI:10.7507/1672-2531.202112089．
[33]YEZEFSKI T,STEELQUIST J,WATABAYASHI K,et al.Impact of trained oncology financial navigators on patient out-of-pocket spending[J].The American Journal of Managed Care,2018,24 (5):S74-S79.DOI:10.37765/ajmc.2018.42840．
[34]章敏，孙付坤，蔡玉娟，等．基于信息传递模型的“互联网+”母婴居家护理接单流程再造[J]．护理管理杂志，2025,25(5):378-382.DOI:10.3969/j.issn.1671-315x.2025.05.003．
[35]聂菲菲，矫晓克，雷国华，等．结核病健康管理护理工作室的构建及运行效果评价[J]．中国护理管理，2025,25(3):450-454.DOI:10.3969/j.issn.1672-1756.2025.03.024．
[36]姜男，白锦兵，魏思琪，等．癌症患者经济毒性的影响因素及管理策略研究进展[J]．解放军护理杂志，2020,37(9):62-64.DOI:10.3969/j.issn.1008-9993.2020.09.016．
[37]李改云，吴杨昊天，丁明峰，等．取消药品加成政策前后肺结核患者住院费用的中断时间序列分析[J]．中国防痨杂志，2022,44(10):1071-1078.DOI:10.19982/j.issn.1000-6621.20220220．
[38]宋丹红，赵方辉，张勇．我国癌症经济负担的成因与思考[J]．中国公共卫生，2023,39(2):137-140.DOI:10.11847/zgggws1139301．
[39]NADON H,DMELLO M K,SHETTY S.Factors determining family and social support among pulmonary tuberculosis patients in East Khasi Hills,Meghalaya:a cross-sectional study[J].Journal of Public Health,2023,45 (3):e542-e550.DOI:10.1093/pubmed/fdad063.
基本信息:
DOI：
中图分类号:R473.5
引用信息:
[1]丁加琪,闻俊,孙馨等.肺结核患者经济毒性的研究进展[J].护理管理杂志,2025,25(08):668-671+685.
基金信息:
镇江市社会发展指导性科技计划项目(FZ2023076); 镇江市重点研发科技计划(SH2023094)