【摘要】 目的 研究按疾病及诊断相关分组医疗付费背景下卵巢恶性肿瘤患者经济毒性特征，并分析影响因素。方法 采用一般资料调查表、癌症患者报告结局经济毒性综合评分量表、家庭亲密度和适应性量表作为调查工具，采用便利抽样法，抽取2022年1月1日—2023年12月31日3所三级综合医院收治的288名卵巢恶性肿瘤患者作为调查对象。结果 共纳入279名调查对象，卵巢恶性肿瘤患者经济毒性阳性率为84.58%，经济毒性均分为（12.89±1.32）分。DRG付费方式、受教育程度、过去一年家庭可支配存款、DRG组别、治疗方案决策、病程、适应性、亲密度是卵巢恶性肿瘤患者经济毒性的影响因素。结论 卵巢恶性肿瘤经济毒性具有普遍性与严重性的特点，虽然DRG付费可降经济毒性，但NA1、NA2、RG1病组患者仍面临较高的经济毒性；可通过提升家庭亲密度和适应性降低经济毒性。更多还原

【Abstract】 Objectives This study aims to investigate the financial toxicity characteristics of ovarian malignant tumor patients under the medical payment system based on disease and diagnosis-related groups(DRGs) in China, and to analyze the influencing factors.Methods This study utilized the General Information Questionnaire, the Comprehensive Score for Financial Toxicity(COST) scale for cancer patient-reported outcomes, and the Family Adaptability and Cohesion Scale(FACES) as research instruments.Using convenience sampling method, 288 ovarian cancer patients admitted to three tertiary general hospitals between January 1, 2022 and December 31, 2023 were selected as study subjects.Results A total of 279 survey subjects were included, and the positive rate of economic toxicity in ovarian malignant tumor patients was 84.58%, with an average economic toxicity score of 12.89 ± 1.32.Whether DRG payment was made, education level, disposable household savings in the past year, DRG group, treatment plan decision, disease duration, adaptability, and intimacy were factors that affect the economic toxicity of ovarian cancer patients.Conclusions Financial toxicity of ovarian malignancies is characterized by universality and severity. Although DRG payment can reduce financial toxicity, patients with NA1, NA2 and RG1 disease still face higher financial toxicity. It can reduce financial toxicity by promoting family closeness and adaptability.更多还原