袁小茜, 魏兴玲. 多发性骨髓瘤化疗病人癌因性疲乏与社会支持及希望水平的相关性分析[J]. 蚌埠医科大学学报, 2023, 48(10): 1445-1450. DOI: 10.13898/j.cnki.issn.1000-2200.2023.10.026
    引用本文: 袁小茜, 魏兴玲. 多发性骨髓瘤化疗病人癌因性疲乏与社会支持及希望水平的相关性分析[J]. 蚌埠医科大学学报, 2023, 48(10): 1445-1450. DOI: 10.13898/j.cnki.issn.1000-2200.2023.10.026
    YUAN Xiao-xi, WEI Xing-ling. Relationship between cancer-related fatigue and levels of social support and hope in multiple myeloma patients undergoing chemotherapy[J]. Journal of Bengbu Medical University, 2023, 48(10): 1445-1450. DOI: 10.13898/j.cnki.issn.1000-2200.2023.10.026
    Citation: YUAN Xiao-xi, WEI Xing-ling. Relationship between cancer-related fatigue and levels of social support and hope in multiple myeloma patients undergoing chemotherapy[J]. Journal of Bengbu Medical University, 2023, 48(10): 1445-1450. DOI: 10.13898/j.cnki.issn.1000-2200.2023.10.026

    多发性骨髓瘤化疗病人癌因性疲乏与社会支持及希望水平的相关性分析

    Relationship between cancer-related fatigue and levels of social support and hope in multiple myeloma patients undergoing chemotherapy

    • 摘要:
      目的研究多发性骨髓瘤化疗病人癌因性疲乏与社会支持及希望水平的相关性。
      方法选择178例多发性骨髓瘤化疗病人为研究对象, 调查病人一般资料, 采用癌因性疲乏量表(cancer fatigue scale, CFS)、Herth希望量表(Herth hope index, HHI)、社会支持评定量表(social support rate scale, SSRS)评估病人的癌因性疲乏程度、希望水平及社会支持情况, 采用Pearson分析法和logistic回归分析法分析癌因性疲乏和其他指标的关系。
      结果病人一般资料中, 性别、居住地、经济收入、贫血程度、治疗方式对CFS评分影响均具有统计学意义(P < 0.01);病人CFS、HHI、SSRS量表评分分别为(25.46±3.35)分、(35.75±4.39)分、(21.46±3.21)分; 相关性分析结果显示, 癌因性疲乏与希望水平和社会支持总体支持、主观支持、支持利用度均呈负相关关系(r=-0.268、-0.795、-0.795、-0.695, P < 0.05)。logistic回归分析显示, 积极行动、主观支持和客观支持均与癌因性疲乏呈负相关关系(P < 0.05~P < 0.01)。
      结论多发性骨髓瘤化疗病人癌因性疲乏处于中等程度, 希望水平和社会支持度较低; 可通过提高病人的希望水平和社会支持程度, 以缓解或避免病人癌因性疲乏情况。

       

      Abstract:
      ObjectiveTo investigate the relationship between cancer-related fatigue and social support and hope levels in patients with multiple myeloma undergoing chemotherapy.
      MethodsA total of 178 patients with multiple myeloma chemotherapy were chosen as the research objects.The patients' general information was investigated, and cancer fatigue scale (CFS), Herth hope index (HHI), social support rate scale (SSRS) were used to evaluate the cancer related fatigue degree, level of hope and social support of patients.Pearson analysis and logistic regression analysis were used to analyze the relationship between cancer induced fatigue and other indicators.
      ResultsIn the general data of patients, gender, residence, economic income, anemia degree and treatment methods had statistically significant effects on CFS scores (P < 0.01).The scores of CFS, HHI and SSRS were (25.46±3.35) points, (35.75±4.39) points and (21.46±3.21) points, respectively.The correlation analysis results showed that cancer related fatigue was negatively correlated with the level of hope, overall support, subjective support and utilization of social support (r=-0.268, -0.795, -0.795, -0.695, P < 0.05).Logistic regression analysis showed that positive action, subjective support and objective support were negatively correlated with cancer related fatigue (P < 0.05 to P < 0.01).
      ConclusionsThe patients with multiple myeloma undergoing chemotherapy were mostly in the middle level of cancer related fatigue, with low level of hope and social support, the patient's hope level and social support can be improved to alleviate or avoid cancer related fatigue.

       

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