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患有血液性恶性瘤的患者的症状负担及其影响因素
Yuying Zhang1, Wei Zhang1, Weiguang Ma2
1School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Badachu Road #33, Beijing, 100144, China.
概括
患有血液性恶性瘤的患者经历了显著的身体症状负担,经常被低估的心理痛苦. 干预措施应侧重于对高风险个体进行准确的症状评估和早期查.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 症状管理 症状管理
背景情况:
- 血液性恶性瘤具有复杂的症状负担,影响患者的福祉.
- 了解身体和心理症状的相互作用对于有效的护理至关重要.
研究的目的:
- 评估血液恶性瘤患者的全球,身体和心理症状负担.
- 确定影响症状负担的因素.
主要方法:
- 405名患有血液性恶性瘤的患者的便利抽样.
- 使用了纪念症状评估尺度,癌症应对模式问卷和社会支持率尺度.
- 统计分析包括克鲁斯卡尔-瓦利斯H测试,曼-惠特尼U测试,斯皮尔曼相关性和通用线性建模.
主要成果:
- 身体症状负担 (0.44) 显著超过心理症状负担 (0.28).
- 缺乏能量是最常见的症状 (58.52%).
- 女性性别,较少的治疗次数和特定的应对方式 (辞职,幻想) 预测了更高的症状负担. 白血病,淋巴瘤,骨髓质疏松综合征和多发性骨髓瘤显示有保护作用.
结论:
- 患者面临着严重的身体症状负担,心理痛苦可能被低估.
- 需要对心理症状负担进行准确的评估系统.
- 建议采用标准化查机制,以便早期识别和干预.
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