多维自我效能干预对多发性骨髓瘤化疗患者血液透析依从性及负性情绪的影响

Effect of multi-dimensional self-efficacy intervention on hemodialysis compliance and negative emotions in patients with multiple myeloma undergoing chemotherapy

目的探讨多维自我效能干预对多发性骨髓瘤(MM)化疗患者血液透析依从性及负性情绪的影响。方法根据干预方式的不同将40例行血液透析治疗的MM化疗患者分为对照组(n=19)和观察组(n=21),对照组患者接受常规干预,观察组患者在对照组的基础上接受多维自我效能干预。比较两组患者的血液透析依从性、负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、不良反应发生情况及满意情况。结果观察组患者血液透析总依从率、总满意度均高于对照组,不良反应总发生率低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SDS、SAS评分均低于本组干预前,观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05)。结论多维自我效能干预可以提高MM化疗患者的血液透析依从性,缓解负性情绪,并且提高患者的满意度。

Objective To investigate the effect of multi-dimensional self-efficacy intervention on hemodialysis compliance and negative emotions in patients with multiple myeloma(MM)undergoing chemotherapy.Method A total of 40 patients with MM who underwent chemotherapy and hemodialysis treatment were divided into control group(n=19)and observation group(n=21)according to different intervention methods.The control group received routine intervention,and the observation group received multi-dimensional self-efficacy intervention on the basis of the control group.The hemodialysis compliance,negative emotions[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],incidence of adverse reactions and satisfaction of the two groups were compared.Result The total hemodialysis compliance rate and total satisfaction rate in observation group were higher than those in control group,the total incidence of adverse reactions was lower than that in control group,and the differences were statistically significant(P<0.05).After intervention,the SDS and SAS scores in two groups were lower than those before intervention,the SDS and SAS scores in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).Conclusion Multi-dimensional self-efficacy intervention can improve the hemodialysis compliance of MM patients undergoing chemotherapy,relieve negative emotions,and improve patients’satisfaction.