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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (10): 38-43.doi: 10.16460/j.issn1008-9969.2019.10.038

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Current Status of Psychological Resilience in Patients with Multiple Myeloma and Its Influence Factors: A 144-case Study

SUN Bo-wei1, FU Rong1, CHU Hong2, ZHU Fan3, CUI Bo4   

  1. 1. Dept. of Internal Medicine, Nanjing Drum Tower Hospital Clinical College of Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210008, China;
    2. Dept. of Hematology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008 , China;
    3. School of Nursing, Nanjing University of Chinese Medicine, Nanjing 210008, China;
    4. Medical School of Nanjing University, Nanjing 210008, China
  • Received:2019-01-25 Published:2020-07-17

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Abstract: Objective To investigate the status of psychological resilience in patients with multiple myeloma and to explore its influence factors. Methods With a cross-sectional survey method, 144 patients with multiple myeloma were investigated in the outpatient and inpatient department of a tertiary grade A hospital by using a general information questionnaire, Psychoelasticity Scale, Social Support Rating Scale and Medical Coping Modes Questionnaire. Factors affecting were analyzed by multiple linear regression analysis. Results The score of psychological resilience of patients with multiple myeloma was 56.24±16.22. Six factors of family monthly income, long-term residence, payment method of medical expense, subjective support, Objective support, and submissive coping style entered into the multiple regression equation, explaining 66.2% of the total variation. Conclusion The patients with multiple myeloma have poor psychological resilience. More attention should be paid to patients with lower monthly family income, those from remote areas, those with less subjective or Objective support and those with submissive coping style. Medical staff should take the influence factors into consideration and provide personalized medical treatment for the patients. More accompanying from family members, more social support and a positive coping style are helpful for improving the level of psychological resilience.

Key words: multiple myeloma, psychological elasticity, social support, medical coping modes

CLC Number: 

  • R473.5
[1] Kyle R A, Gertz M A, Witzig T E, et al.Review of 1027 Patients with Newly Diagnosed Multiple Myeloma[J]. Mayo Clin Proc, 2003, 78(1):21-33.DOI:10.4065/78.1.21.
[2] Kim K, Lee J H, Kim J S, et al.Clinical Profiles of Multiple Myeloma in Asia-an Asian Myeloma Network Study[J]. Am J Hematol, 2014, 89(7):751-756.DOI:10.1002/ajh.23731.
[3] Ludwig H, Bolejack V, Crowley J, et al.Survival and Years of Life Lost in Different Age Cohorts of Patients with Multiple Myeloma[J].J Clin Oncol, 2010, 28(9):1599-1605.DOI:10.1200/JCO.2009.25.2114.
[4] 朱水清,张琛,马朱林,等.我国多发性骨髓瘤治疗现状及药物经济学研究综述[J].中国医疗保险, 2015(9):57-59. DOI:10.369/j.issn.1674-3830.2015.9.17.
[5] 杨便红,刘爽,刘超.多发性骨髓瘤伴脊柱骨折病人心理特征的质性研究[J].护理研究,2015,29(16A):2006-2008.DOI:10.3969/j.issn.10096493.2015.16.030.
[6] 李华芳,刘春琴,厉萍.积极情绪在精神科护士心理弹性与职业倦怠关系中的中介作用[J].中华护理杂志,2015,50(9):1083-1086. DOI:10.3761/j.issn.0254-1769.2015.09.013.
[7] Stewart D E, Yuen T.A Systematic Review of Resilience in the Physically Ill[J]. Psychosomatics, 2011, 52(3):199-209.DOI:10.1016/j.psym.2011.01.036.
[8] Weidong J, Guangyao L, Hua T, et al.403-relationship Between Resilience and Social Support, Coping Style of Children in Middle School[J]. Eur Psychiat, 2013, 28(Suppl 1):1.DOI:10.1016/S0924-9338(13)75762-6.
[9] 黎华娇. 自我效能、社会支持与应对方式对老年急性心肌梗死患者心理弹性的影响[J].护理实践与研究, 2017, 14(2):16-18.DOI:10.3969/j.issn.1672-9676.2017.02.006.
[10] 许珂,任辉.临床护理人员心理弹性特点及其与社会支持和应对方式的关系[J].第三军医大学学报, 2017, 39(9):935-940.DOI:10.16016/j.1000-5404.201612108.
[11] 郑美娟. 大学生心理弹性和应对方式关系研究[J].淮阴师范学院学报(自然科学版), 2017, 16(2):177-179.
[12] Rajkumar S V, Dimopoulos M A, Palumbo A, et al.International Myeloma Working Group Updated Criteria for the Diagnosis of Multiple Myeloma[J]. Lancet Oncol, 2014, 15(12):538-548. DOI:10.1016/S1470-2045(14)70442-5.
[13] Connor K M, Davidson J R T. Development of A New Resilience Scale: The Connor-davidson Resilience Scale (CD-RISC)[J]. Depress Anxiety, 2003, 18(2):76-82.DOI:10.1002/da.10113.
[14] Yu X, Zhang J.Factor Analysis and Psychometric Evaluation of the Connor-davidson Resilience Scale (CD-RISC) with Chinese People[J]. Soc Behav Pers, 2007, 35(1):19-30.DOI:10.2224/sbp.2007.35.1.19.
[15] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志, 1994(2):98-100.
[16] Feifel H, Strack S, Nagy V T.Coping Strategies and Associated Features of Medically Ill Patients[J]. Psychosom Med,1987,49(6):616-625.DOI:10.1097/00006842-198711000-00007.
[17] 沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中华行为医学与脑科学杂志, 2000, 9(1):18-20.DOI:10.3760/cma.j.issn.1674-6554.2000.01.008.
[18] 陈瑜. 孤独症患儿家长复原力及相关因素研究[D].南京:南京师范大学, 2007.
[19] 李婷,王爱敏,李振云,等.血液透析患者创伤后成长与心理弹性及反刍性沉思的相关性分析[J].护理学报,2016,23(17):15-18.DOI:10.16460/j.issn1008-9969.2016.17.015.
[20] 张敏,王清,李红丽.急性脑卒中患者心理弹性现况及其影响因素研究[J].护理学报,2018,25(9):75-78.DOI:10.16460/j.issn1008-9969.2018.09.075.
[21] Tariman J, Love G E, Sandifer S.Peripheral Neuropathy Associated with Novel Therapies in Patients with Multiple Myeloma: Consensus Statement of the IMF Nurse Leadership Board[J]. Clin J Oncol Nurs, 2008, 12(3 Suppl):29-36. DOI:10.1188/08.CJON.S1.29-35.
[22] Raab M S, Podar K, Breitkreutz I, et al.Multiple Myeloma[J]. Lancet,2009, 374(9686):324-339.DOI:10.1016/S0140-6736(09)60221-X.
[23] 孙博玮,傅荣,褚红,等.多发性骨髓瘤患者治疗期间真实体验的质性研究[J].中国实用护理杂志, 2018,34(31):2445-2450.DOI:10.3760/cma.j.issn.1672-7088.2018.31.011.
[24] 赵振娟,刘莉莉,林平.急性心肌梗死患者的心理弹性现状及影响因素研究[J].护理学报, 2016, 23(14):67-70.DOI:10.16460/j.issn1008-9969.2016.14.067.
[25] 刘莉莉,林平,赵振娟.自我效能、社会支持及应对方式对急性心肌梗死患者心理弹性影响的路径分析[J].中华护理杂志, 2016, 51(1):21-25.DOI:10.3761/j.issn.0254-1769.2016.01.004.
[26] 张璠,孟鑫,叶萍.乳腺癌患者心理弹性及影响因素的研究[J].中华护理杂志, 2015, 50(9):1087-1090.DOI:10.3761/j.issn.0254-1769.2015.09.014.
[27] Lakey B, Orehek E.Relational Regulation Theory: A New Approach to Explain the Link between Perceived Social Support and Mental Health[J]. Psychol Rev, 2011,118(3):482-495.DOI:10.1037/a0023477.
[28] 梁景煜,陈芳,裴大军,等.高血压冠心病患者心理健康水平与社会支持的相关性研究[J].护理学报,2012,19(10):1-4.DOI:10.3969/j.issn.1008-9969.2012.10.001.
[29] 王秋萍,章新琼,丁金霞,等.化疗期消化道癌症患者心理弹性与疾病不确定感和应对方式的关系[J].广东医学,2017,38(3):487-490.DOI:10.3969/j.issn.1001-9448.2017.03.047.
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