首页|多发性骨髓瘤化疗患者的自我调节疲乏状况及其影响因素分析

多发性骨髓瘤化疗患者的自我调节疲乏状况及其影响因素分析

Analysis of self-regulated fatigue and its influencing factors in patients with multiple myeloma undergoing chemotherapy

扫码查看
目的 了解多发性骨髓瘤(multiple myeloma,MM)化疗患者自我调节疲乏的情况,并分析其影响因素,以期为临床提供更精细化的MM化疗患者管理策略.方法 整群抽样法选取 113 例MM化疗患者作为研究对象,采用一般资料调查问卷、自我调节疲乏量表(SRFS)、心理弹性量表(CD-RISC)、社会支持评定量表(SSRS)及疾病接受度量表(AIS)对其进行调查.采用Pearson相关性分析探讨MM化疗患者SRFS得分与其CD-RISC、SSRS、AIS得分的相关性;采用多因素Logistic回归分析影响MM化疗患者自我调节疲乏的相关因素.结果 106 例MM化疗患者的SRFS、CD-RISC、SSRS、AIS平均得分为(49.1±6.8)分、(57.3±10.8)分、(38.4±5.1)分、(22.5±5.3)分;Pearson相关性分析显示,MM化疗患者的SRFS评分与CD-RISC、SSRS、AIS评分均呈负相关(r=-0.167、-0.339、-0.426,均P<0.05).Logistic回归分析显示,文化程度、家庭经济年收入、社会支持水平、心理弹性水平、疾病接受度影响MM化疗患者的自我调节疲乏程度(P<0.05).结论 MM化疗患者的自我调节疲乏程度较高,与多种因素有关,建议临床制定个体化干预策略,引导患者构建牢固的社会网络,提高患者心理弹性水平及疾病接受度,以降低其自我调节疲乏程度.
Objective To understand the self-regulation of fatigue in patients with multiple myeloma(MM)undergoing chemotherapy,and to analyze the influencing factors,in order to provide a more refined management strategy for MM patients undergoing chemotherapy in clinical practice.Methods A total of 113 MM patients undergoing chemotherapy were selected using cluster sampling as the study subjects.General information questionnaires,the self-regulation of fatigue scale(SRFS),the Connor-Davidson resilience scale(CD-RISC),the social support rating scale(SSRS),and the acceptance of illness scale(AIS)were used to conduct surveys.Pearson correlation analysis was used to examine the correlation between SRFS scores of MM patients undergoing chemotherapy and their CD-RISC,SSRS,and AIS scores.Multiple Logistic regression analysis was employed to determine the factors influencing self-regulation of fatigue in MM chemotherapy patients.Results The average scores of SRFS,CD-RISC,SSRS,and AIS for 106 MM patients undergoing chemotherapy were(49.1±6.8),(57.3±10.8),(38.4±5.1),and(22.5±5.3)points,respectively.Pearson correlation analysis revealed that SRFS scores were negatively correlated with CD-RISC,SSRS,and AIS scores in MM chemotherapy patients(r=-0.167,-0.339,-0.426,all P<0.05).Logistic regression analysis indicated that educational level,annual family income,level of social support,level of psychological resilience,and acceptance of illness significantly influenced the self-regulation of fatigue in MM patients undergoing chemotherapy(P<0.05).Conclusions The self-regulation of fatigue in MM chemotherapy patients is relatively high and is associated with various factors.It is recommended that individualized intervention strategies be developed in clinical practice to guide patients in building strong social networks,enhancing their psychological resilience and acceptance of illness,in order to reduce their self-regulation of fatigue.

multiple myelomachemotherapyself-regulation of fatigueinfluencing factors

朱丽丽、蓝素琴、曾玉晓

展开 >

丽水市人民医院 血液科,浙江 丽水 323000

多发性骨髓瘤 化疗 自我调节疲乏 影响因素

2024

健康研究
杭州师范大学

健康研究

影响因子:0.823
ISSN:1674-6449
年,卷(期):2024.44(4)