144例多发性骨髓瘤患者心理弹性现状及影响因素分析  

Current Status of Psychological Resilience in Patients with Multiple Myeloma and Its Influence Factors:A 144-case Study

作　　者：孙博玮 傅荣[1] 褚红[2] 朱帆[3] 崔博 SUN Bo-wei;FU Rong;CHU Hong;ZHU Fan;CUI Bo(Dept. of Internal Medicine,Nanjing Drum Tower Hospital Clinical College of Traditional Chinese and Western Medicine,Nanjing University of Chinese Medicine,Nanjing 210008,China;Dept. of Hematology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008 ,China;School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210008,China;Medical School of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京中医药大学中西医结合鼓楼临床医学院内科,江苏南京210008 [2]南京大学医学院附属鼓楼医院血液科,江苏南京210008 [3]南京中医药大学护理学院,江苏南京210008 [4]南京大学医学院,江苏南京210008

出　　处：《护理学报》2019年第10期38-43,共6页Journal of Nursing（China）

基　　金：国家临床重点专科项目[卫办医政函(2011)872]

摘　　要：目的调查多发性骨髓瘤患者心理弹性现状,并探讨其影响因素。方法采用横断面调查法,应用一般资料调查表、心理弹性量表、社会支持评定量表及医学应对问卷对某三级甲等医院血液科门诊及住院的144例多发性骨髓瘤患者进行问卷调查。采用多元线性回归分析多发性骨髓瘤患者心理弹性的影响因素。结果多发性骨髓瘤患者心理弹性得分为(56.24±16.22)分;多元线性回归结果显示:家庭人均月收入、长期居住地、医疗费用支付方式、主观支持、客观支持和屈服应对6个因子进入回归方程,共解释总变异的66.2%。结论多发性骨髓瘤患者心理弹性处于较低水平,医护人员应重点关注家庭人均月收入低、农村合作医疗、长期居住在偏远地区、主观支持或客观支持较少、习惯以屈服的方式应对的患者,依据患者实际情况,提供最优的就医方案,缓解患者的负性情绪;指导家属,多鼓励和陪伴患者,细心照料,加强社会支持;正确引导其以积极的方式应对疾病,改善患者的心理弹性。Objective To investigate the status of psychological resilience in patients with multiple myeloma and to explore its influence factors. Methods With a cross-sectional survey method, 144 patients with multiple myeloma were investigated in the outpatient and inpatient department of a tertiary grade A hospital by using a general information questionnaire, Psychoelasticity Scale,Social Support Rating Scale and Medical Coping Modes Questionnaire. Factors affecting were analyzed by multiple linear regression analysis. Results The score of psychological resilience of patients with multiple myeloma was 56.24 ±16.22. Six factors of family monthly income, long-term residence, payment method of medical expense, subjective support, objective support, and submissive coping style entered into the multiple regression equation, explaining 66.2% of the total variation. Conclusion The patients with multiple myeloma have poor psychological resilience. More attention should be paid to patients with lower monthly family income,those from remote areas, those with less subjective or objective support and those with submissive coping style. Medical staff should take the influence factors into consideration and provide personalized medical treatment for the patients. More accompanying from family members, more social support and a positive coping style are helpful for improving the level of psychological resilience.

关 键 词：多发性骨髓瘤 心理弹性 社会支持 医学应对模式 

分 类 号：R473.[医药卫生—护理学]