Predictors of self-perceived burden among patients with cancer in Hebei, China

Introduction: Cancer is the leading cause of death worldwide. Both new cancer cases and deaths are rising annually. The high cost of cancer treatment and the guilt of being dependent on family members for a long time lead to patients with cancer's self-perceived burden (SPB). Previous studies h...

Full description

Bibliographic Details
Main Authors: Liu, Bing Yang, Sun, Chao, Zhang, Qiu Xia, Lim, Poh Ying, Lee, Khuan
Format: Article
Language:English
Published: Springer Science and Business Media Deutschland GmbH 2025
Online Access:http://psasir.upm.edu.my/id/eprint/120705/
http://psasir.upm.edu.my/id/eprint/120705/1/120705.pdf
_version_ 1848868220094644224
author Liu, Bing Yang
Sun, Chao
Zhang, Qiu Xia
Lim, Poh Ying
Lee, Khuan
author_facet Liu, Bing Yang
Sun, Chao
Zhang, Qiu Xia
Lim, Poh Ying
Lee, Khuan
author_sort Liu, Bing Yang
building UPM Institutional Repository
collection Online Access
description Introduction: Cancer is the leading cause of death worldwide. Both new cancer cases and deaths are rising annually. The high cost of cancer treatment and the guilt of being dependent on family members for a long time lead to patients with cancer's self-perceived burden (SPB). Previous studies have shown that different countries, populations, and cancer stages have different SPB levels. SPB is a psychological stressor, the high SPB may affect the medical treatment process and decision-making of patients with cancer, which may cause patients to refuse treatment and seriously cause suicidal ideation. Objective: This study aimed to determine the level of SPB and its predictors among patients with cancer in the Fourth Hospital of Hebei Medical University, China. Methods: A cross-sectional study of 977 patients with cancer was recruited by simple random sampling. A self-administered questionnaire was used. Multiple linear regression was used to investigate the predictors of SPB. Results: A total of 566 respondents participated in the study, with a response rate of 58.4%. A total of 88.0% had moderate to severe SPB. The mean ± standard deviation of SPB was 67.75 ± 15.69. The predictors of SPB were parents as caregivers, siblings as caregivers, occupational status before illness, duration of cancer, impact of cancer on the patient’s mobility, treatment of cancer (radiation and chemotherapy), type of cancer, stage of cancer, and coping strategies (confrontation, resignation, and fantasy). Conclusion: The prevalence of SPB is considered high, therefore, healthcare professionals should pay high attention to reducing the SPB of patients with cancer in clinical nursing work. It is recommended that effective intervention measures be implemented to lower the suicide rate among patients with cancer ultimately.
first_indexed 2025-11-15T14:48:55Z
format Article
id upm-120705
institution Universiti Putra Malaysia
institution_category Local University
language English
last_indexed 2025-11-15T14:48:55Z
publishDate 2025
publisher Springer Science and Business Media Deutschland GmbH
recordtype eprints
repository_type Digital Repository
spelling upm-1207052025-10-08T07:30:38Z http://psasir.upm.edu.my/id/eprint/120705/ Predictors of self-perceived burden among patients with cancer in Hebei, China Liu, Bing Yang Sun, Chao Zhang, Qiu Xia Lim, Poh Ying Lee, Khuan Introduction: Cancer is the leading cause of death worldwide. Both new cancer cases and deaths are rising annually. The high cost of cancer treatment and the guilt of being dependent on family members for a long time lead to patients with cancer's self-perceived burden (SPB). Previous studies have shown that different countries, populations, and cancer stages have different SPB levels. SPB is a psychological stressor, the high SPB may affect the medical treatment process and decision-making of patients with cancer, which may cause patients to refuse treatment and seriously cause suicidal ideation. Objective: This study aimed to determine the level of SPB and its predictors among patients with cancer in the Fourth Hospital of Hebei Medical University, China. Methods: A cross-sectional study of 977 patients with cancer was recruited by simple random sampling. A self-administered questionnaire was used. Multiple linear regression was used to investigate the predictors of SPB. Results: A total of 566 respondents participated in the study, with a response rate of 58.4%. A total of 88.0% had moderate to severe SPB. The mean ± standard deviation of SPB was 67.75 ± 15.69. The predictors of SPB were parents as caregivers, siblings as caregivers, occupational status before illness, duration of cancer, impact of cancer on the patient’s mobility, treatment of cancer (radiation and chemotherapy), type of cancer, stage of cancer, and coping strategies (confrontation, resignation, and fantasy). Conclusion: The prevalence of SPB is considered high, therefore, healthcare professionals should pay high attention to reducing the SPB of patients with cancer in clinical nursing work. It is recommended that effective intervention measures be implemented to lower the suicide rate among patients with cancer ultimately. Springer Science and Business Media Deutschland GmbH 2025 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/120705/1/120705.pdf Liu, Bing Yang and Sun, Chao and Zhang, Qiu Xia and Lim, Poh Ying and Lee, Khuan (2025) Predictors of self-perceived burden among patients with cancer in Hebei, China. Supportive Care in Cancer, 33 (7). art. no. 580. pp. 1-15. ISSN 0941-4355; eISSN: 1433-7339 https://link.springer.com/article/10.1007/s00520-025-09590-8?error=cookies_not_supported&code=10fe197b-3310-47e4-97b4-2f519ee17cb0 10.1007/s00520-025-09590-8
spellingShingle Liu, Bing Yang
Sun, Chao
Zhang, Qiu Xia
Lim, Poh Ying
Lee, Khuan
Predictors of self-perceived burden among patients with cancer in Hebei, China
title Predictors of self-perceived burden among patients with cancer in Hebei, China
title_full Predictors of self-perceived burden among patients with cancer in Hebei, China
title_fullStr Predictors of self-perceived burden among patients with cancer in Hebei, China
title_full_unstemmed Predictors of self-perceived burden among patients with cancer in Hebei, China
title_short Predictors of self-perceived burden among patients with cancer in Hebei, China
title_sort predictors of self-perceived burden among patients with cancer in hebei, china
url http://psasir.upm.edu.my/id/eprint/120705/
http://psasir.upm.edu.my/id/eprint/120705/
http://psasir.upm.edu.my/id/eprint/120705/
http://psasir.upm.edu.my/id/eprint/120705/1/120705.pdf