發(fā)布時間：2018-03-01 20:09

  本文關(guān)鍵詞： 急性白血病 自我感受負擔 自我管理效能感 相關(guān)性　出處：《大連醫(yī)科大學》2017年碩士論文　論文類型：學位論文

【摘要】：研究目的本研究旨在調(diào)查急性白血病(Acute Leukemia,AL)患者人口學資料、自我管理效能感、自我感受負擔現(xiàn)狀。分析AL患者人口學資料對自我管理效能感、自我感受負擔水平的影響,進一步探討AL患者自我管理效能感與自我感受負擔的關(guān)系。制定全面的護理方案提供給臨床護理人員,在AL患者生存質(zhì)量提升方面給予理論參考借鑒。研究方法采用便利抽樣法,研究對象為大連市某三甲醫(yī)院2016年5月至2016年9月期間住院的已確診為急性白血病的160位患者。采用自制的人口學資料調(diào)查表、漢化版自我管理效能感量表(Strategies by Used People to Health Promote,SUPPH)及漢化版自我感受負擔(Self-perceived Burden,SPB)量表做為研究工具,開展問卷調(diào)查。對數(shù)據(jù)加以收集與歸納,通過SPSS 22.0軟件實施數(shù)據(jù)分析,統(tǒng)計分析借助單因素方差分析以及多元逐步回歸分析完成。研究結(jié)果1.患者自我感受負擔量表總分(30.53±7.11)分;自我管理效能感量表總分(95.93±30.4)分。分析自我管理效能感量表28個條目得分與該量表三個維度的得分,正性態(tài)度和自我決策兩個維度得分較高,其中正性態(tài)度得分最高,而自我減壓維度得分最低。急性白血病患者的自我管理效能感水平多數(shù)屬于中等水平。從自我管理效能感量表各維度水平分析,急性白血病患者自我決策能力較弱,精神壓力是讓患者產(chǎn)生自我感受負擔的主要因素。大多數(shù)的急性白血病患者具有中度水平自我感受負擔。無明顯自我感受負擔水平的急性白血病患者具有最高水平的自我管理效能感。而隨著患者自我感受負擔水平的增高,急性白血病患者在自我管理效能感量表的3個維度中的得分也隨之下降。2.婚姻狀況與急性白血病患者的自我感受負擔量表得分有關(guān)。自我感受負擔量表的經(jīng)濟因素維度與急性白血病患者的職業(yè)變量存在相關(guān)性。在職患者較少出現(xiàn)經(jīng)濟方面的負擔。自我感受負擔量表的精神因素維度與婚姻狀況、主要照顧者因素存在相關(guān)性。當主要照顧者是固定的,且是患者較為親密的人時,患者的精神負擔明顯減輕。3.患者的文化程度與其自我管理效能感成正相關(guān)。SPBS的得分與患者的自我感受效能感得分相關(guān)性有統(tǒng)計學意義(P0.05)。統(tǒng)計分析結(jié)果顯示,職業(yè)、婚姻狀況、主要照顧者與患者的SPB水平存在相關(guān)性。文化程度與患者的自我管理效能感水平存在相關(guān)性。研究結(jié)論AL患者自我管理效能感及SPB水平普遍處于中等水平。急性白血病患者在自我管理效能感量表的3個維度中的得分率,在自我感受負擔水平提升下,得分率隨之慢慢降低。護理人員通過增強患者的自我感受效能感可以減輕患者的自我感受負擔水平,從而提高患者的生存質(zhì)量。
[Abstract]:Objective the purpose of this study was to investigate the demographic data, self-management efficacy and self-perceived burden of acute leukemia patients with acute leukemia, and to analyze the effect of demographic data on self-management efficacy and self-perceived burden level in patients with acute leukemia. To further explore the relationship between self-management efficacy and self-feeling burden of AL patients. To provide theoretical reference for improving the quality of life of AL patients. The subjects of the study were 160 patients with acute leukemia who were hospitalized in a third Class A Hospital in Dalian from May 2016 to September 2016. The self-made demographic information questionnaire was used. Chinese version of self-management efficacy scale: strategies by Used People to Health Promote.SupPHand Chinese-version Self-perceived Burden-Burden-SPBs as a research tool, the data were collected and summarized, and the data were analyzed by SPSS 22.0 software. The statistical analysis was completed by univariate ANOVA and multivariate stepwise regression analysis. The results were as follows: 1. The total score of the self-perceived burden scale was 30.53 鹵7.11; The total score of self-management efficacy scale was 95.93 鹵30.4. By analyzing the scores of 28 items of self-management efficacy scale and three dimensions of self-management efficacy scale, the scores of positive attitude and self-decision-making were higher, among which positive attitude had the highest score. But the score of self-decompression dimension was the lowest. The level of self-management efficacy of acute leukemia patients was mostly of moderate level. From the analysis of each dimension of self-management efficacy scale, the self-decision-making ability of acute leukemia patients was weak. Mental stress is the main factor that makes patients feel the burden of self-feeling. Most patients with acute leukemia have moderate level of self-feeling burden. Those with no significant level of self-feeling burden have the highest water. A level of self-management efficacy. And as the patient's self-perception burden level increases, The scores of acute leukemia patients in the three dimensions of self-management efficacy scale also decreased .2. marital status is related to the score of self-feeling burden scale in acute leukemia patients. There was a correlation between the factor dimension and the occupational variables of the patients with acute leukemia. There was less economic burden in the in-service patients, and the mental factor dimension of the self-feeling burden scale and the marital status. When the primary caretaker is fixed and close to the patient, The scores of SPBS and the scores of self-feeling efficacy were significantly correlated with the scores of self-feeling efficacy. The results of statistical analysis showed that occupation, marital status, and marital status were significantly related to the patients' mental burden. 3. The results of statistical analysis showed that there was a positive correlation between the educational level of the patients and their sense of self-management efficacy. The level of SPB was correlated with the level of SPB, and the level of self-management efficacy was correlated with the level of self-management efficacy. Conclusion the level of self-management efficacy and SPB in patients with AL is generally in the moderate level. The score rate of leukemia patients in three dimensions of self-management efficacy scale, With the improvement of the level of self-feeling burden, the score rate decreases gradually, and the nursing staff can lighten the level of self-feeling burden and improve the quality of life of the patients by enhancing the self-feeling efficacy of the patients.
【學位授予單位】：大連醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R473.73

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