维持治疗期血液肿瘤患者述情障碍与社会支持现状研究  

Investigation on alexithymia and social support in patients with hematological malignancies during maintenance therapy

作　　者：陈斌[1] 毛培阳 许芳[1] 王书[1] 师秋梅[1] 王静[1] CHEN Bin;MAO Peiyang;XU Fang;WANG Shu;SHI Qiumei;WANG Jing(Department of Hematology,Mianyang Central Hospital,Mianyang 621000,China;School of Public Health and Management,Ningxia Medical University,Yinchuan 7500001 China)

机构地区：[1]四川省绵阳市中心医院血液内科,绵阳621000 [2]宁夏医科大学公共卫生与管理学院,银川750000

出　　处：《当代护士（下旬刊）》2022年第3期18-22,共5页Modern Nurse

基　　金：绵阳市卫健委科研课题(编号:201742)。

摘　　要：目的本研究旨在了解维持治疗期血液肿瘤患者是否存在述情障碍以及社会支持的现状,为优化血液肿瘤患者长期护理模式、改善血液肿瘤患者生活质量提供参考。方法采用便利抽样法,对川西北某大型三甲综合医院在院治疗的236名血液肿瘤患者采用一般资料调查表、多伦多述情障碍量表及社会支持评定量表进行问卷调查,对问卷结果进行统计分析。结果该地区维持治疗期血液肿瘤患者述情障碍总分平均为(54.76±10.64)分,在年龄、文化程度、婚姻状态、长期居住地、家庭总收入、医疗付费方式、疾病诊断7个变量上差异有统计学意义;社会支持总分平均为(41.35±8.21)分,在年龄、文化程度、工作状态、婚姻状况、家庭总收入5个变量上的差异有统计学意义;述情障碍与社会支持呈负相关,且相关性显著。结论维持治疗期血液肿瘤患者述情障碍处于中等偏高的状态,社会支持处于中等水平,社会支持利用度较低,不利于血液肿瘤患者的治疗及维持良好的生活质量,提示医务工作者及全社会应加强对血液肿瘤患者的关爱及社会支持。Objective To study the status quo of alexithymia and social support in patients with hematological malignancies during maintenance therapy, and to provide reference for optimizing the congerm nursing mode and improving the quality of life of patients with hematological cancer.Methods 236 patients with hematological malignancies during maintenance therapy in a large 3 A general hospital in northwest Sichuan province were investigated by using the general information questionnaire, Toronto Alexithymia Scale and social support revalued scale.Descriptive analysis and correlation analysis were conducted on the questionnaire results.Results The total score of patients with hematological malignancies during maintenance therapy period in alexithymia was 54.76±10.64,with 7 points in age, education, marital status, long-term residence, total family income, medical payment method and disease diagnosis, the difference in variables was statistically significant.The total social support score averaging 41.35±8.21 points, and the differences in age, education, work status, marital status and total family income were statistically significant.The score of the alexithymia and the score of social support were negatively correlated, and the correlation was significant.Conclusion The alexithymia of the hematological malignancies patients was in a moderately high state, social support was in a medium level, and the utilization of social support was low, which is not conducive to the treatment of the hematological malignancies patients and maintain a good quality of life, suggesting that medical workers and the whole society should strengthen the care and social support for the hematological malignancies patients.

关 键 词：血液肿瘤 维持治疗 述情障碍 社会支持 调查研究 

分 类 号：R473.73[医药卫生—护理学]