【摘要】 目的探讨骨髓瘤患者领悟社会支持与生活质量的相关性分析。方法选取2018年6月—2019年5月本市三甲医院血液科收治的骨髓瘤患者350例作为研究对象。通过问卷调查的方式,收集研究对象领悟社会支持能力及生活质量现状。采用Pearson相关分析确定骨髓瘤患者领悟社会支持与生活质量的相关性,并制定相应的护理措施。结果本研究调查结果显示,350例骨髓瘤患者领悟社会支持能力总体处于中等水平,领悟社会支持量表PSSS总平均得分53.86±12.58分,其中家庭内支持平均得分22.43±5.27分,家庭外支持平均得分35.11±8.79分;生活质量(SF-36)总平均得分48.69±21.37分,总体处于较差水平。其中,生理机能平均61.21±2.45分、生理职能平均23.19±3.27分、一般健康状况平均55.07±3.42分、情感职能36.51±3.11分、躯体疼痛平均60.43±2.39分、精力平均45.62±2.35分、社会功能平均40.87±2.68分、精神健康平均58.45±2.66分;骨髓瘤患者领悟生活支持与生活质量呈正性相关(P<0.05)。结论骨髓瘤患者领悟社会支持能力总体处于中等水平,生活质量总体处于较差水平,其领悟社会支持能力与生活质量存在正性相关,良好的领悟社会支持能力对其生活质量的提升具有积极意义,而良好的生活质量又可提升患者的领悟社会支持能力,形成良性循环。因此,护理人员应尽量争取患者家庭内、外的充分支持,并运用自身专业知识及时缓解患者的心理压力,帮助其提升领悟社会支持能力,以充分发挥社会支持的最大价值,提升其生活质量。更多还原

【Abstract】 Objective To explore the correlation analysis between the perception of social support and quality of life in patients with myeloma. Methods To select 350 myeloma patients admitted in the department of hematology of the grade A class 3 hospitals in this city from June 2018 to May 2019 as the study objects. Through the questionnaire survey, the status quo of social support ability and quality of life understood by the study objects were collected. Pearson correlation analysis was used to determine the correlation between the perception of social support and quality of life in patients with myeloma, and to formulate corresponding nursing measures. Results The survey results of this study showed that 350 cases of patients with myeloma had an overall average level of comprehension of social support, and the total average perceived social support scale(PSSS) score was 53.86±12.58 points, of which the average score for family support was 22.43±5.27 points, and the average score for outside family support was 35.11±8.79 points. The quality of life(SF-36)total average score was 48.69±21.37 points, which was a poor level overall. Which the average score for physiological function was 61.21±2.45 points, the average score for physiological role was 23.19±3.27 points, the average score for general health was 55.07±3.42 points, the average score for emotional role was 36.51±3.11 points, the average score for body pain was 60.43±2.39 points, the average score for vitality was 45.62 ± 2.35 points, the average score for social function was 40.87 ± 2.68 points, and the average score for mental health was 58.45 ± 2.66 points. The perceived life support of myeloma patients was positively correlated with the quality of life(P<0.05). Conclusion The myeloma patients’ ability to perceive social support was generally on a moderate level, and their quality of life was generally on a poor level. The patients ability to perceive social support was positively correlated with their quality of life, and a good ability to perceive social support was positive for the quality of life. And good quality of life could enhance the patient’s ability to understand social support and form a virtuous circle. Therefore, nursing staff should try their best to strive for adequate support inside and outside the patients’ family, and use their professional knowledge to relieve the patient’s psychological pressure in a timely manner to help them improve the understanding of social support capabilities, so as to give full play to the maximum value of social support and improve the quality of life.更多还原