Hematology study coordinator, Departure of Hematology, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea.
College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Secho-gu, Seoul, 06591, South Korea.
Support Care Cancer. 2020 Apr;28(4):1783-1791. doi: 10.1007/s00520-019-04984-x. Epub 2019 Jul 18.
The present study is a descriptive survey conducted to identify factors influencing supportive care needs of patients with multiple myeloma treated with chemotherapy.
A structured questionnaire was provided to 141 patients with multiple myeloma who were treated as inpatients or outpatients at Seoul St. Mary's Hospital of the Catholic University of Korea. Data were analyzed with t test, ANOVA, Scheffe's test, correlational analysis, and linear regression analysis using SPSS version 21.0.
The mean score of supportive care needs of patients with multiple myeloma was 1.51 out of 4 points. Of supportive care needs, information on future disease outcome scored the highest, with a mean score of 2.12, followed by easy and candid explanation by health care staff (2.11), and information on foods that are healthy for cancer patients (2.02). The mean score of disease-related knowledge was 0.52 of 1 point, and diagnostic test results scored the lowest among the subdomains of disease-related knowledge. The mean score of emotional state was 1.13 out of 3 points, mean anxiety score was 1.01 out of 3 points, and mean depression score was 1.26 out of 3 points. Anxiety and depression were identified as factors influencing supportive care needs of patients with multiple myeloma.
The present study demonstrated that the supportive care needs of patients with multiple myeloma are associated with their emotional state. The supportive care needs of patients with multiple myeloma should be identified at an individual level, and should be addressed to reduce anxiety and depression.
本研究为描述性调查，旨在确定影响接受化疗的多发性骨髓瘤患者支持性护理需求的因素。
向在韩国天主教大学首尔圣玛丽医院接受住院或门诊治疗的 141 名多发性骨髓瘤患者提供了一份结构化问卷。使用 SPSS 版本 21.0 进行 t 检验、方差分析、Scheffe 检验、相关分析和线性回归分析。
多发性骨髓瘤患者支持性护理需求的平均得分为 4 分中的 1.51 分。在支持性护理需求中，未来疾病结局的信息得分最高，平均得分为 2.12，其次是医护人员的简单坦率的解释（2.11）和适合癌症患者的健康食品信息（2.02）。疾病相关知识的平均得分为 1 分中的 0.52，诊断测试结果在疾病相关知识的子领域中得分最低。情感状态的平均得分为 3 分中的 1.13，焦虑的平均得分为 3 分中的 1.01，抑郁的平均得分为 3 分中的 1.26。焦虑和抑郁被确定为影响多发性骨髓瘤患者支持性护理需求的因素。
本研究表明，多发性骨髓瘤患者的支持性护理需求与其情绪状态有关。应在个体层面识别多发性骨髓瘤患者的支持性护理需求，并应解决这些需求，以减轻焦虑和抑郁。
