Abstract:

Objective To systematically review the qualitative research on coping strategies and real experience of cancer patients with economic toxicity，so as to provide a basis for better clinical nursing practice. Methods The Cochrane Library，PubMed，Web of Science，CINAHL，Embase，Scopus，CNKI，Wanfang Database，China Biology Medicine Disc，VIP database were searched. Qualitative studies on the coping strategies and real experience of cancer patients with economic toxicity were retrieved. The search time limit was from the establishment of the database to March 20，2023. The quality of the included literature was evaluated using the 2016 JBI Evidence-based Health Care Center Qualitative Research Quality evaluation criteria，and the research results were integrated using the Meta synthesis method. Results A total of ten studies were included，all quality grade of which were graded B. Forty-two pieces of results were extracted，and the similar results were summarized and combined into eight new categories，which were integrated into three new results，including cancer patients have complex emotional experience and coping styles，cancer patients have difficulty coping with the economic toxicity，and cancer patients lack social support and are eager to get outside support and help. Conclusion Medical staffs should pay more attention to the feelings and experiences of cancer patients experiencing economic toxicity. Based on the needs of patients，it is necessary to combine the national conditions of China and the health care environment in different regions to explore systematic strategies for the prevention and treatment of economic toxicity，so as to improve the treatment effect and quality of life of cancer patients.

Key words: Cancer, Economic toxicity, Experience, Meta synthesis