Development of a nursing care guide for managing financial toxicity in the treatment of metastatic or recurrent breast cancer

2023 Fiscal Year Final Research Report

• Project/Area Number: 21K17358
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Osaka University
• Principal Investigator: Yamamoto Sena 大阪大学, 大学院医学系研究科, 准教授 (60796522)
• Project Period (FY): 2021-04-01 – 2024-03-31
• Keywords: 乳がん看護 / 経済毒性 / 副作用マネジメント / 外来看護

Outline of Final Research Achievements

This study employed a multicenter questionnaire survey involving oncology nurses to explore their perceptions and practices concerning the management of cancer treatment's financial toxicity. The findings indicate that nursing practices related to managing financial toxicity vary significantly in frequency and substance based on nurses' perceptions of their roles. Common barriers to nursing interventions aimed at addressing financial toxicity were identified, irrespective of the nurses' role perceptions, with the primary obstacle being a lack of knowledge about financial matters. It is crucial to organize and provide targeted educational resources to nurses, focusing on the terms often used by patients and their families when discussing financial challenges. This approach will aid in developing a practical nursing care guide that addresses financial toxicity effectively.

Free Research Field

臨床看護学

Academic Significance and Societal Importance of the Research Achievements

経済毒性は経済状況、就労、治療選択・医療ケア計画、社会資源の活用、ライフスタイル、家族の発達課題や将来設計、病状の進行やがん治療による心身への影響など複合的な課題である。しかし、転移・再発乳がんの治療は外来で行われることが一般的であるため、看護師は外来受診のタイミングを逃さず、瞬時に介入の必要性を見定め、意図的に患者に関わり、受診の短時間のうちに介入を実行する必要がある。本ガイドにより多領域にわたるリソースから複合的な課題に対応するための介入の糸口を示すことは、看護師が医療ケアチームの調整役として患者・家族を総合的にナビゲートすることを可能にすると期待される。