恶性淋巴瘤住院患者心理弹性与生命质量的关系  

Relationship between resilience and quality of life among inpatient with malignant lymphoma

作　　者：李姗姗[1] 朱秋明[1] 姜晓松 王春红 Li Shanshan;Zhu Qiuming;Jiang Xiaosong;Wang Chunhong(A Ward of Oncology First Affiliated Hospital of Harbin Medical University,Harbin 150000,China)

机构地区：[1]哈尔滨医科大学附属第一医院肿瘤一科,150000

出　　处：《中国实用护理杂志》2019年第5期356-361,共6页Chinese Journal of Practical Nursing

摘　　要：目的 了解恶性淋巴瘤住院患者的心理弹性和生命质量的水平,并进一步探讨二者的关系。 方法 2017年3月至2018年3月,选择137例恶性淋巴瘤住院患者作为研究对象,采用自编的一般资料问卷、心理弹性量表和生命质量核心问卷分别评估患者的一般资料、心理弹性及生命质量。 结果 患者心理弹性评分为(21.0 ± 4.9)分,生命质量总体健康评分为(48.7 ± 24.8)分;Pearson相关分析结果显示,恶性淋巴瘤患者心理弹性与生命质量各维度均呈正相关(r=0.209-0.395,P<0.01);多元逐步回归分析结果显示,年龄、体质量指数(BMI)分组、肿瘤分型、疼痛感受和心理弹性能够显著预测生活各维度评分(均P<0.05)。 结论 恶性淋巴瘤患者心理弹性水平和生命质量及其各维度密切相关;年龄、BMI分组、肿瘤分型、疼痛感受和心理弹性是恶性淋巴瘤患者生命质量的重要影响因素。通过干预患者心理弹性可能是提高患者生命质量的有效措施。Objective To investigate the level of resilience and quality of life among inpatient with malignant lymphoma, and to examine the relationship between resilience and quality of life. Methods A convenience samples of 137 patients with malignant lymphoma was selected from March 2017 to March 2018. Self-designed questionnaires, Connor-Davidson Resilience Scale (CD-RISC10), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-core (EORTC QLQ-C30) were used to assess the social-demographic and clinical related information, resilience and quality of life. Results The score of CD-RISC10 was (21.0±4.9) points, and the score general health of EORTC QLQ-C30 was (48.7±24.8) points;Pearson analysis showed that resilience was significantly positively associated with quality of life (r=0.209-0.395, P<0.01). Multiple stepwise regression analysis showed that age, BMI, tumor types, pain, and resilience could significantly predict variance of QOL (P<0.05). Conclusions The resilience was positively correlated with quality of life among patients with malignant lymphoma;age, BMI, tumor types, pain, and resilience were significant influence factor of QOL. It might provide a new sight to improve quality of life by resilience training for clinical interventions among patients with malignant lymphoma.

关 键 词：生活质量 恶性淋巴瘤 心理弹性 相关关系 

分 类 号：R473.73[医药卫生—护理学]