目的 分析恶性血液病患者疾病获益感的影响因素.方法 2020年7月～2023年6月,选取112例恶性血液病患者,收集临床资料,采用中文调适版癌症患者疾病获益感量表(Ben-efit Finding Scale for Adults,BFS-A)、中文版癌症自我管理效能感量表(StrategiesUsed by People to Promote Health,SUPPH)、自我感受负担量表(Self-perceived Burden Scale,SPBS)评估疾病获益感、自我管理效能感、疾病负担,比较不同临床资料的BFS-A评分,分析BFS-A评分与SUPPH、SPBS评分的相关性,并采用多元线性回归分析疾病获益感的影响因素.结果 FFS-A、SUPPH、SPBS评分分别为(58.01±11.19)分、(68.00±19.97)分、(30.00±4.90)分.职业、家庭年收入、本次住院费用由谁支付、家人对待治疗的态度、化疗不良反应、是否患有慢病的FFS-A评分分析,均有统计学意义(P＜0.05),其余因素的FFS-A评分分析,均无统计学意义(P＞0.05).经Pearson分析,恶性血液病患者BFS-A评分与SUPPH评分呈正相关(P＜0.05),与SPBS评分呈负相关(P＜0.05).经多元线性回归显示,职业、家庭年收入、化疗不良反应、SUPPH、SPBS均会影响疾病获益感(P＜0.05),其中SUPPH为正向影响,职业、家庭年收入、化疗不良反应、SPBS为负向影响.结论 恶性血液病患者疾病获益感和职业、家庭年收入、化疗不良反应、SUPPH、SPBS有关.
The influencing factors of the sense of disease benefit in patients with malignant hematological diseases
Objective Analyze the influencing factors of disease benefit in patients with malignant hematological diseases.Methods From July 2020 to June 2023,112 patients with malignant hematological diseases were selected and clinical data were collected.The Chinese adapted version of the Cancer Patient Disease Benefit Scale(BFS-A),the Chinese version of the Cancer Self Management Efficacy Scale(SUPPH),and the Self Perceived Burden Scale(SPBS)were used to evaluate disease benefit,self-management efficacy,and disease burden.BFS-A scores were compared with different clinical data,and the correlation between BFS-A scores and SUPPH and SPBS scores was analyzed,And multiple linear regression was used to analyze the influencing factors of disease benefit.Result The scores of FFS-A,SUPPH,and SPBS were(58.01±11.19),(68.00±19.97),and(30.00±4.90),respectively.The FFS-A scores of occupation,family annual income,who paid for the hospitalization expenses,family attitude towards treatment,adverse reactions to chemotherapy,and whether they have chronic diseases were all statistically significant(P＜0.05),while the FFS-A scores of other factors were not statistically significant(P＞0.05).According to Pearson analysis,the BFS-A score of patients with malignant hematological diseases is positively correlated with the SUPPH score(P＜0.05),and negatively correlated with the SPBS score(P＜0.05).Multiple linear regression showed that oc-cupation,family annual income,adverse reactions to chemotherapy,SUPPH,and SPBS all had a positive impact on the sense of disease benefit(P＜0.05),with SUPPH being a positive impact and occupation,family annual income,adverse reactions to chemotherapy,and SPBS being a negative impact.Conclusion The sense of disease benefit in patients with malignant hematological diseases is related to their profession,annual family income,adverse reactions to chemotherapy,SUPPH,and SPBS.
Hematological diseasesSense of disease benefitSelf efficacySelf perceived burdenInfluencing factors
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