关键词: 恶性骨肿瘤, 经济毒性, 应对策略, 质性研究, 护理

Abstract: Objective: To understand the financial toxicity experience and coping strategies of patients with malignant bone tumors. Methods: The phenomenological research method was used to conduct semi-structured interviews with 13 patients with malignant bone tumors selected from a grade A tertiary hospital in Tianjin from February to May 2024 according to the purposive sampling method. The Colaizzi 7-step analysis method was used to analyze the data. Results: Two themes and seven sub-themes were summarized including financial toxicity experience (subjective and objective perception of heavy economic burden, fear of illness progression psychological dysfunction, and disruption of the famil's life rhythm), and constructive coping strategies (returning to work to increase income, reducing expenses and reducing costs, multi-subject cooperation to help reduce economic burden, and optimizing and adjusting medical insurance policies). Conclusion: Healthcare professionals should pay attention to the objective economic burden and subjective economic distress of patients with malignant bone tumors, guide patients to establish positive psychological construction, stimulate family resilience potential, integrate social forces, link resources, and build support networks. At the same time, relevant government departments should further optimize and adjust health insurance policies to relieve the financial toxicity of patients.

Key words: Malignant bone tumors, Financial toxicity, Coping strategies, Qualitative study, Nursing