ArticleBMC health services research2024
Experience of financial toxicity and coping strategies in young and middle-aged patients with stroke: a qualitative study.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Economic toxicity experience and coping strategies of parents of children with cancer: a systematic review of qualitative studies.BMC pediatrics · 2026Pooled it
- Economic toxicity and quality of life in stroke patients: a moderated mediation model of self-management and family function.Health and quality of life outcomes · 2026Article
- Latent profiles of social connectedness and associated factors in maintenance hemodialysis patients.Scientific reports · 2026Article
- ANGWC Nomogram for Predicting Poor 3-month Outcome after Intravenous Thrombolysis in Young and Middle-Aged Patients with First-Ever Stroke.Thrombosis and haemostasis · 2026Article
- Predicting Home Exercise Adherence after Ischemic Stroke: Development and Validation of a Web-Based Nomogram.Brain and behavior · 2026Article
- Impacts of Financial Toxicity on Patients Receiving Dialysis: An Exploratory Qualitative Study.Kidney360 · 2026Article
- Financial toxicity and exercise adherence in stroke patients: a parallel mediation model of perceived social support and self-efficacy.Frontiers in public health · 2026Article
- Family risk factors, dyadic coping, and family resilience in young stroke dyads: an actor-partner interdependence mediation model.Frontiers in psychiatry · 2026Article
- Nurse-Led Identification of Financial Toxicity in Stroke Patients Using Machine Learning: Development and Validation of an Associational Prediction Model.Journal of nursing management · 2026Article
- Research progress on social participation of young and middle-aged stroke survivors: a narrative review.Frontiers in psychiatry · 2026Review
- Current Status and Associated Factors of Treatment Burden in Stroke Patients: Mixed-Methods Research With a Convergent Parallel Design.Nursing research and practice · 2026Article
- Predictors of Return to Work After Stroke in Hungary: A Mixed-Methods Economic and Clinical Data Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Challenges faced by cardiac patients prior to coronary artery bypass grafting: a qualitative study.BMC cardiovascular disorders · 2025Article
- Exploring Barriers and Facilitators to Early Rehabilitation in Post-Stroke Hand Dysfunction: A Qualitative Study.Journal of multidisciplinary healthcare · 2025Article
- Experiences of Young and Middle-Aged Stroke Patients with Hemiplegia Who Actively Participate in Rehabilitation Exercises and Their Perceptions of Well-Being: A Descriptive Qualitative Study.Risk management and healthcare policy · 2025Article
- Status and influencing factors of pre-hospital delay in young and middle-aged Chinese patients with acute ischemic stroke.Frontiers in public health · 2025Article
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7 authors.
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Abstract
backgroundWhile financial toxicity (FT) is prevalent in patients with cancer, young and middle-aged patients with stroke are also affected by FT, which can exacerbate their physical and psychological challenges. Understanding the patient's experience and response measures can further understand the impact of FT on patients with stroke, to help alleviate FT. However, little is known concerning the experience of patients with stroke with FT or their coping strategies. Therefore, this study aimed to describe the experiences of FT in young and middle-aged patients with stroke and their coping strategies.
methodsA phenomenological method was utilized. Semi-structured interviews were conducted with 21 young and middle-aged stroke patients (aged 18-59) between October 2022 and March 2023. The participants were recruited from a tertiary hospital in Shanghai, China. The research team used NVivo 12.0 software. Giorgi's phenomenological analysis method was used to analyse the interview data.
resultsThe interview results were divided into two categories in terms of patients' experiences of FT and their coping strategies. Nine subthemes were constructed. The experience category included four subthemes: (1) taking on multifaceted economic pressure, (2) dual choice of treatment, (3) decline in material living standards, and (4) suffering from negative emotions such as anxiety and depression. The coping strategy category included five subthemes: (1) reducing expenses, (2) improving living habits, (3) proactive participation in medical decision-making, (4) making a job position choice, and (5) seeking social support.
conclusionsFT in young and middle-aged patients with stroke, which affected their physical and mental health, led them to implement strategies for dealing with FT. The Chinese government needs to broaden the reach of health insurance coverage and advance the fairness of healthcare policies. Healthcare professionals must pay active attention to FT in such patients in terms of strengthening their health education and considering their needs and preferences. Patients need to improve their sense of self-efficacy, actively reintegrate into society, and adhere to rehabilitation and treatment. Individuals at a high risk of stroke are recommended to purchase health insurance. Multifaceted efforts are needed to reduce the impact of FT in young and middle-aged patients with stroke.
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