医学新知2025，Vol.35Issue(11)：1294-1302,9.DOI:10.12173/j.issn.1004-5511.202410017
株洲市农村老年高血压患者经济毒性现状及影响因素评估
Assessment of current status and influencing factors of financial toxicity among elderly hypertensive patients in rural Zhuzhou
摘要
Abstract
Objective To explore the status of financial toxicity and its influencing factors among elderly hypertensive patients in rural areas,and to provide a reference for implementing effective interventions.Methods Using a random number table method,registered elderly hypertensive patients from a rural area of Zhuzhou,Hunan Province,were selected as the study subjects.The Incharge Financial Distress/Financial Well-being Scale,the Hypertensive Patients Self-management Behavior Scale,the Morisky Medication Adherence Scale,and the EuroQol Five Dimensions(EQ-5D)Health Questionnaire were used for assessment.A random forest model was employed to identify the importance of influencing factors,combined with Lasso regression and multiple linear regression to determine the main influencing factors.Results A total of 240 valid questionnaires were collected.The mean total financial toxicity score was(4.96±1.46)points,with 64.6%of patients experiencing moderate financial toxicity and 22.5%experiencing high financial toxicity.The random forest model indicated that variables such as self-rated health status,medication adherence,and self-management behaviors significantly influenced financial toxicity.Multiple linear regression analysis further identified self-rated health status,medication adherence,self-management behaviors,hypertensive complications,daily exercise time,duration of having a family-contracted doctor,and serum total cholesterol as the main influencing factors for financial toxicity(P<0.05),collectively explaining 51.3%of the total variance.Conclusion The level of financial toxicity is relatively high among elderly hypertensive patients in rural Zhuzhou.Healthcare professionals should develop targeted intervention strategies based on the related influencing factors to improve patients'financial toxicity levels.关键词
老年高血压/经济毒性/自我管理行为/影响因素/随机森林模型Key words
Elderly hypertension/Financial toxicity/Self-management behavior/Influencing factors/Random forest model分类
医药卫生引用本文复制引用
张珍,魏诗意,田艳珍,吴衍娴,王浪,张世纪,冯妮娜..株洲市农村老年高血压患者经济毒性现状及影响因素评估[J].医学新知,2025,35(11):1294-1302,9.基金项目
湖北省自然科学基金面上项目(2023JJ31019) （2023JJ31019）
