多发性骨髓瘤患者情绪状态与应对方式社会支持的关系调查  

Relationship between emotional state and coping modes social support in patients with multiple myeloma

作　　者：刘丽 杜馨雯 巫涵 LIU Li;DU Xinwen;WU Han(Department of Hematology,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu,Sichuan 610047,China)

机构地区：[1]四川大学华西医院血液内科/四川大学华西护理学院,四川成都610047

出　　处：《公共卫生与预防医学》2025年第2期152-155,共4页Journal of Public Health and Preventive Medicine

基　　金：四川省科技计划项目(2023YFS0188)。

摘　　要：目的分析多发性骨髓瘤(multiple myeloma,MM)患者情绪状态与应对方式、社会支持的关系。方法回顾性收集2019年5月至2023年12月期间于四川大学华西医院接受治疗的285例MM患者的病历资料,通过心理弹性量表(CD-RISC)评分调查患者的情绪状态,并根据分值将患者分为情绪状态良好组(CD-RISC评分≥60分)173例,与情绪状态较差组(CD-RISC评分<60分)112例。比较两组患者的一般资料,分别采用医用应对方式问卷(Medical Coping Modes Questionnaire,MCMQ)和社会支持评价量表(Social Support Rating Scale,SSRS)评分,分析MM患者情绪状态与应对方式、社会支持的关系。结果纳入患者CD-RISC评分为(63.22±3.41)分。情绪状态良好组MCMQ评估结果为面对比例、SSRS中社会支持度较高比例均高于情绪状态较差组(P<0.05);经logistic回归分析显示,应对方式与社会支持均为影响MM患者情绪状态的独立因素(P<0.05);经Spearman相关性分析显示,MM患者情绪状态与其应对方式为面对及社会支持水平成正相关(P<0.05)。结论MM患者情绪状态受其应对方式与社会支持影响,将其应对方式转变为积极主动面对和提高其社会支持水平有利于改善和调节其情绪状态。Objective To investigate and analyze the relationship between emotional state and coping modes,social support in patients with multiple myeloma(MM).Methods The medical records of 285 patients with MM who were treated in the hospital from May 2019 to December 2023 were collected retrospectively.The Connor-Davidson Resilience Scale(CD-RISC)was used to investigate the patients′emotional state.The patients were divided into good emotional state group(CD-RISC score≥60,173 cases)and poor emotional state group(CD-RISC score<60,112 cases)according to the CD-RISC score.General information,Medical Coping Modes Questionnaire(MCMQ)scores and Social Support Rating Scale(SSRS)scores of the two groups were comparatively analyzed.The relationship between emotional state and coping modes,social support in patients with MM was discussed.Results The CD-RISC score in this study was(63.22±3.41).The proportions of facing in MCMQ and high social support in SSRS in the good emotional state group were higher than those in the poor emotional state group(P<0.05).Logistic regression analysis found that coping modes and social support were independent factors affecting the emotional state of patients with MM(P<0.05).Spearman correlation analysis found that emotional state of patients with MM was positively correlated with their coping modes and social support level.Conclusion Emotional state of patients with MM is affected by their coping modes and social support.Transforming their coping mode into facing actively and improving their social support level is beneficial for improving and regulating their emotional state.

关 键 词：多发性骨髓瘤 情绪状态 应对方式 社会支持 

分 类 号：R181[医药卫生—流行病学]