中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
18期
2113-2116
,共4页
澈乐木格%马丽莉%左丽宏%杨芳宇
澈樂木格%馬麗莉%左麗宏%楊芳宇
철악목격%마려리%좌려굉%양방우
多发性骨髓瘤%希望水平%影响因素
多髮性骨髓瘤%希望水平%影響因素
다발성골수류%희망수평%영향인소
Multiple myeloma%Hope level%Influencing factors
目的 了解多发性骨髓瘤患者的希望水平,并探讨其影响因素.方法 通过便利抽样,对某三甲医院103例多发性骨髓瘤住院患者采用Herth希望量表和自制一般情况调查表进行调查.结果 多发性骨髓瘤患者的希望总分为23～48分,平均为(35.56±5.34)分,49.5％的患者处于低中等水平,对现实和未来的积极态度、采取积极的行动、与他人保持亲密的关系维度得分分别为8～16,6～16,8 ～16分；对自身疾病了解程度不同、当前所处疗效阶段不同、医疗费用对家庭影响不同患者希望水平差异有统计学意义(t分别为4.678,5.590,11.80;P ＜0.05)；不同婚姻状况、工作状况、睡眠质量患者及家属是否经常探望患者其希望水平差异均有统计学意义(t分别为3.012,5.583,9.701,3.135;P＜0.01)；MM患者的希望水平影响因素的多元回归分析显示,医疗费用对家庭的影响和自身睡眠质量是多发性骨髓癌患者希望水平的显著影响因子,可以解释希望水平29.1％的变异量医疗费用对家庭的影响和自身睡眠质量是多发性骨髓癌患者希望水平的显著影响因子,可以解释希望水平29.1％的变异量.结论 多发性骨髓瘤患者的希望水平处于中等水平.睡眠质量与医疗费用对家庭的影响是患者希望水平的预测因子,护士应充分评估这些因素,以便采取针对性心理护理措施,提高其希望水平.
目的 瞭解多髮性骨髓瘤患者的希望水平,併探討其影響因素.方法 通過便利抽樣,對某三甲醫院103例多髮性骨髓瘤住院患者採用Herth希望量錶和自製一般情況調查錶進行調查.結果 多髮性骨髓瘤患者的希望總分為23～48分,平均為(35.56±5.34)分,49.5％的患者處于低中等水平,對現實和未來的積極態度、採取積極的行動、與他人保持親密的關繫維度得分分彆為8～16,6～16,8 ～16分；對自身疾病瞭解程度不同、噹前所處療效階段不同、醫療費用對傢庭影響不同患者希望水平差異有統計學意義(t分彆為4.678,5.590,11.80;P ＜0.05)；不同婚姻狀況、工作狀況、睡眠質量患者及傢屬是否經常探望患者其希望水平差異均有統計學意義(t分彆為3.012,5.583,9.701,3.135;P＜0.01)；MM患者的希望水平影響因素的多元迴歸分析顯示,醫療費用對傢庭的影響和自身睡眠質量是多髮性骨髓癌患者希望水平的顯著影響因子,可以解釋希望水平29.1％的變異量醫療費用對傢庭的影響和自身睡眠質量是多髮性骨髓癌患者希望水平的顯著影響因子,可以解釋希望水平29.1％的變異量.結論 多髮性骨髓瘤患者的希望水平處于中等水平.睡眠質量與醫療費用對傢庭的影響是患者希望水平的預測因子,護士應充分評估這些因素,以便採取針對性心理護理措施,提高其希望水平.
목적 료해다발성골수류환자적희망수평,병탐토기영향인소.방법 통과편리추양,대모삼갑의원103례다발성골수류주원환자채용Herth희망량표화자제일반정황조사표진행조사.결과 다발성골수류환자적희망총분위23～48분,평균위(35.56±5.34)분,49.5％적환자처우저중등수평,대현실화미래적적겁태도、채취적겁적행동、여타인보지친밀적관계유도득분분별위8～16,6～16,8 ～16분；대자신질병료해정도불동、당전소처료효계단불동、의료비용대가정영향불동환자희망수평차이유통계학의의(t분별위4.678,5.590,11.80;P ＜0.05)；불동혼인상황、공작상황、수면질량환자급가속시부경상탐망환자기희망수평차이균유통계학의의(t분별위3.012,5.583,9.701,3.135;P＜0.01)；MM환자적희망수평영향인소적다원회귀분석현시,의료비용대가정적영향화자신수면질량시다발성골수암환자희망수평적현저영향인자,가이해석희망수평29.1％적변이량의료비용대가정적영향화자신수면질량시다발성골수암환자희망수평적현저영향인자,가이해석희망수평29.1％적변이량.결론 다발성골수류환자적희망수평처우중등수평.수면질량여의료비용대가정적영향시환자희망수평적예측인자,호사응충분평고저사인소,이편채취침대성심리호리조시,제고기희망수평.
Objective To investigate the hope level in patients with multiple myeloma and discuss its influencing factors.Methods 103 cases of patients with multiple myeloma were selected by convenience sampling and investigated with Herth Hope Scale and self-designed questionnaire.Results The total score of hope in patients with multiple myeloma was 23 ～ 48,and the average score was (35.56 ± 5.34).49.5％ patients were of the low or moderate level,and their scores in dimensions including positive attitude toward reality and future,positive effect,and intimate relationship with others were respectively 8 ～ 16,6 ～ 16 and 8 ～16.Patients with different understanding of their illness,different stages of curative effect and different influence of medical cost on families had significantly different hope level (t =4.678,5.590,11.80,respectively; P ＜0.05).Patients of different marriage status,working status,sleep quality and family visit also had significantly different hope level (t =3.012,5.583,9.701,3.135,respectively; P ＜ 0.01).Multiple linear regression analysis showed that influence of medical cost on families and sleep quality were the main influencing factor of the hope level in patients with multiple myeloma,which could explain 29.1％ of the hope level variation.Conclusions The hope level in patients with multiple myeloma is in the moderate level.Sleep quality and influence of medical cost on families are the influencing factors of their hope level,which nurses should assess carefully enough to take psychological nursing measures to improve their hope level.
