目的 探索年轻女性乳腺癌生存者应对经济毒性的特征和需求,为构建此类人群经济毒性的干预策略提供建议.方法 目的抽样法选取上海市某三级甲等肿瘤医院29例年轻女性乳腺癌生存者进行半结构式访谈,采用内容分析法分析资料并提炼主题.结果 年轻女性乳腺癌生存者经济毒性的应对策略可归纳为以下5个主题:以"坚强"为特征的独立应对、以"开源节流"为特征的理性应对、以"依从治疗"为特征的科学应对、以"未雨绸缪"为特征的预判性应对、应对经济毒性的需求与期望.结论 医护人员应关注年轻女性乳腺癌群体应对经济毒性的特点与需求,提供充足信息,增强社会支持,从而帮助其更好地应对经济毒性.

Objective:To explore the causes and influencing factors of financial toxicity in young breast cancer survivors, and to provide evidence for intervention program development to improve financial toxicity in young breast cancer survivors.Methods:Using descriptive qualitative research methods, 29 young breast cancer patients from September to December 2021 in Breast Surgery Follow-up Clinic of Fudan University Shanghai Cancer Center were interviewed. The Nvivo 12.0 qualitative data analysis software was used to analyze the data.Results:Four themes were extracted as following, direct cost of cancer treatment was the primary cause of financial toxicity, indirect costs related to cancer and treatment cannot be ignored, long-term effects of cancer and treatment further exacerbated financial toxicity, and cancer-related financial toxicity was also influenced by a variety of other factors.Conclusions:Multiple causes affected the experience of financial toxicity in young breast cancer survivors. The occurrence and risks of financial toxicity in young breast cancer survivors should be assessed. Intervention and support should be provided to meet the needs of young breast cancer survivors.