老年多发性骨髓瘤住院病人自我感受负担现状及其影响因素分析

doi:10.3969/j.issn.1003-9198.2021.10.022

摘要/Abstract

摘要： 目的探究老年多发性骨髓瘤住院病人自我感受负担状况并分析其影响因素。方法运用一般资料表、中文版自我感受负担量表(SPBS)、焦虑自评量表、Barthel指数量表及简易应对方式问卷对南京鼓楼医院血液科103例老年多发性骨髓瘤住院病人开展调查。采用多重线性逐步回归分析老年多发性骨髓瘤住院病人自我感受负担的影响因素。结果 103例老年多发性骨髓瘤住院病人均存在自我感受负担,SPBS平均分为(33.08±5.48)分,处于中度水平。多重线性逐步回归分析结果显示,临床分期、焦虑及消极应对方式是老年多发性骨髓瘤住院病人自我感受负担的主要影响因素。结论老年多发性骨髓瘤住院病人自我感受负担处于中度水平且普遍存在,因此,为了减轻病人的自我负担水平,医护人员可通过控制原发病、实施相应的心理护理、促进病人积极应对等进行针对性的干预。

关键词: 老年人, 多发性骨髓瘤, 自我感受负担, 影响因素, 住院病人

Abstract: Objective To explore the self-perceived burden of the elderly inpatients with multiple myeloma and to analyze its influencing factors. Methods A total of 103 elderly inpatients with multiple myeloma in Department of Haematology of Nanjing Drum Tower Hospital were surveyed by using general information questionnaire, Barthel Index scale, Self-rating Anxiety Scale, Self-Perceived Burden Scale (SPBS) Chinese version, and simple coping style questionnaire.The influencing factors for self-perceived burden of the elderly inpatients with multiple myeloma were analyzed by multiple linear stepwise regression analysis. Results All the inpatients had self-perceived burden, and the average score of SPBS was 33.08±5.48, which was at the middle level.Multiple linear stepwise regression analysis showed that clinical stage, anxiety and negative coping style were the main influencing factors for self-perceived burden of the elderly inpatients with multiple myeloma. Conclusions The self-perceived burden of the elderly inpatients with multiple myeloma is moderate and prevalent. Therefore, in order to reduce the self-perceived burden of the patients, medical staff could carry out targeted interventions by controlling the primary disease, implementing corresponding psychological nursing, and promoting patients to actively coping respond.

Key words: aged, multiple myeloma, self-perceived burden, influencing factor, inpatient

中图分类号:

R 473.73

褚红, 陈雁, 应秀华, 王蒨, 黄婷. 老年多发性骨髓瘤住院病人自我感受负担现状及其影响因素分析[J]. 实用老年医学, 2021, 35(10): 1087-1091.

CHU Hong, CHEN Yan, YING Xiu-hua, WANG Qian, HUANG Ting. The status of self-perceived burden in elderly inpatients with multiple myeloma and its influencing factors[J]. Practical Geriatrics, 2021, 35(10): 1087-1091.

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