血液系统恶性肿瘤患者自我效能感水平调查及相关因素研究

Self-efficacy level investigation on patients with hematologic malignancies and study on related factors

目的调查血液系统恶性肿瘤患者自我效能感水平并分析相关影响因素。方法采用自制患者一般资料调查问卷、癌症自我效能感量表、社会支持评定量表、健康调查量表、医院焦虑及抑郁量表等对浙江省两家三级甲等医院的79例急性白血病、恶性淋巴瘤、多发性骨髓瘤患者进行调查。结果血液系统恶性肿瘤患者自我效能感得分为(79.61±25.24)分。焦虑抑郁程度(t=-4.729,P=0.000)、急诊就诊次数(t=-2.082,P=0.041)、病程(t=-2.312,P=0.024)最终进入多元逐步回归方程式,可解释自我效能感水平全部变异的31.7%。结论血液系统恶性肿瘤患者自我效能感处于中等水平;焦虑抑郁越严重、病程越长、急诊就诊次数越多患者自我效能感越低。

Objective To investigate self-efficacy level of patients with hematologic malignancies and analyze related in-fluencing factors. Method Investigate 79 patients with acute leukemia, malignant lymphoma or multiple myeloma from twoGrade A Class Three hospitals of Zhejiang by self designed patients＇ general information questionnaire, self-efficacy scaleof cancer, social support rating scale （SSRS）, health survey scales and hospital anxiety and depression scale （HAD）.Result Score of self-efficacy for patients with hematologic malignancies is （79.61±25.24）. Anxiety and depression level（t=-4. 729, P=0. 000）, emergency times（t=-2. 082, P=0. 041）, disease duration（t=-2. 312, P=0. 024） were vari-ables in the multiple stepwise regression equation in the end. 31.7% of selfefficacy variation can be explained in the equation. Conclusion Self-efficacy level of patients with hematologic malignancies is in medium level. More serious anxiety anddepression, longer duration, more emergency times lead to lower self-efficacy level of patients.