多发性骨髓瘤患者生命质量现状分析及其影响因素研究

Analysis of the Quality of Life in Patients with Multiple Myeloma and Its Influencing Factors

目的:调查多发性骨髓瘤患者生命质量现状和影响因素,为制定提高多发性骨髓瘤患者生命质量的干预措施提供思路。方法:以青岛市某三甲医院195例多发性骨髓瘤患者为研究对象,采用自制一般资料调查表、健康调查简表(SF-36)、医学应对方式问卷(MCMQ)、Tilburg衰弱指数量表、焦虑自评量表(SAS)进行调查分析。结果:195名多发性骨髓瘤患者的生命质量总分为(51.44 ± 10.11)分,各维度得分明显低于常模水平(均p < 0.01),多发性骨髓瘤患者生命质量与医保类型、性别、居住状况、应对方式–面对、焦虑及衰弱有关(p < 0.05)。结论:多发性骨髓瘤患者生命质量水平低下,医护人员应该重视对该人群生命质量的评价,及时采取整体性干预措施,提高患者生命质量。

Objective: To understand the current situation of quality of life in patients with multiple myeloma and analyze its influencing factors, to provide basis for formulating intervention measures to im-prove quality of life in patients with multiple myeloma. Methods: 195 patients with multiple mye-loma from a third-class hospital in Qingdao were conveniently selected as the study subjects, and the general data questionnaire, Tilburg asthenia index scale, self-rating anxiety scale (SAS), medical coping style questionnaire (MCMQ), and health survey questionnaire (SF-36) were used for investi-gation. Results: The total score of quality of life of 195 patients with multiple myeloma was 51.44 ± 10.11, which was significantly lower than the norm (p < 0.01). The quality of life of multiple myelo-ma patients was related to gender, living status, medical insurance type, coping style-face, anxiety, and weakness (p < 0.05). Conclusion: The quality of life of patients with multiple myeloma is low, and medical staff should pay attention to the evaluation of the quality of life of the population, and take timely integrated intervention measures to improve the quality of life of patients.