«上一篇/Previous Article|本期目录/Table of Contents|下一篇/Next Article»

《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

28卷

期数:

2022年05期

页码:

549-554

栏目:

临床医学

出版日期:

2022-09-20

文章信息/Info

Title:

Construction of psychological model map for patients with hematological diseases based on comprehensive mental health assessment

文章编号:

1006-8147(2022)05-0549-06

作者:

高梦冉¹; 张薇²; 司纪剑³; 任建兰²; 刘洁²; 付蓉²

（1.天津医科大学研究生院，天津 300070；2.天津医科大学总医院血液科，天津 300052；3.天津医科大学总医院心理科，天津 300052）

Author(s):

GAO Meng-ran¹; ZHANG Wei²; SI Ji-jian³; REN Jian-lan²; LIU Jie²; FU Rong²

（1.Graduate School，Tianjin Medical University，Tianjin 300070，China；2.Department of Hematology，General Hospital，Tianjin Medical University，Tianjin 300052，China；3.Department of Psychology，General Hospital，Tianjin Medical University，Tianjin 300052，China）

关键词:

血液病; 心理社会肿瘤学; 心理模型图; 心理干预

Keywords:

hematopathy;  psycho-oncology;  mental model diagram;  psychological intervention

分类号:

R552+R749.2

DOI:

-

文献标志码:

A

摘要:

目的：探讨血液病患者心理状况及患者个人信息、疾病相关信息与心理状况的相关性，构建血液病患者不良心理模型图。方法：选取2020年11月—2021年3月天津医科大学总医院319例血液病患者为研究对象，采用GAD-7、PHQ-9、AIS、SCSQ、CD-RISC量表全方位评估患者心理状况，通过相关性分析明确患者个人信息、疾病相关信息与心理状况的相关性，整合数据构建心理模型图。结果：本研究共发放问卷328份，收回有效问卷319份。319例血液病患者不同程度焦虑、抑郁及失眠占比分别为39.5%、54.2%、57.7%，积极应对平均分中位数2.00，消极应对平均分中位数1.25，心理弹性总分中位数68.00。患者个人信息、疾病相关信息与心理量表部分因素相关，心理量表各因素彼此相关，均有统计学意义（P＜0.05）。结论：全方位评估并构建模型图，血液病患者心理状况表现为心理弹性差、焦虑抑郁交织、难以入眠、难以积极应对，部分个人信息、疾病相关信息与心理状况负相关。

Abstract:

Objective: To explore the psychological status of patients with hematological diseases，and the correlation between basic information，disease-related information and psychological status，and to construct the negative psychological model diagram of patients with blood diseases. Methods: From November 2020 to March 2021，319 patients with blood diseases in General Hospital of Tianjin Medical University were selected as the respondents. GAD-7，PHQ-9，AIS，SCSQ，CD-RISC scales were used to comprehensively assess patients′ psychological conditions. The correlation between personal information，disease-related information and psychological status was determined through correlation analysis，and a negative mental model graph was constructed by integrated data. Results: A total of 328 questionnaires were distributed and 319 valid questionnaires were recovered. The proportion of 319 patients with different degrees of anxiety，depression and insomnia in different degrees was 39.5%，54.2% and 57.7%，respectively. The median average scores of positive and negative coping styles were 2.00 and 1.25，and the median total score of resilience was 68.00. The patients′ personal information，disease-related information were related to some factors of the psychological scale，and the factors of the psychological scale were related to each other with statistical significance（P<0.05）. Conclusion: By comprehensive assessment and construction of model diagram，the psychological status of patients with blood diseases is manifested as poor resilience，anxiety and depression intertwined，difficult to sleep，difficult to actively cope. In addition，some personal information and disease related information are negatively related to psychological conditions.

参考文献/References:

[1] ZALETA A K，MILLER M F，OLSON J S，et al. Symptom burden，perceived control，and quality of life among patients living with multiple myeloma[J]. J Natl Compr Canc Netw，2020，18（8）：1087-1095.
[2] LOTFI-JAM K，GOUGH K，SCHOFIELD P，et al. A longitudinal study of four unique trajectories of psychological distress in cancer survivors after completing potentially curative treatment[J]. Acta Oncol，2019，58（5）：782-789.
[3] BONANNO G A. Loss，trauma，and human resilience： have we underestimated the human capacity to thrive after extremely aversive events?[J]. Am Psychol，2004，59（1）：20-28.
[4] BONANNO G A，WESTPHAL M，MANCINI A D. Resilience to loss and potential trauma[J]. Annu Rev Clin Psychol，2011，7：511-535.
[5] SAGAR S M. Integrative oncology：are we doing enough to integrate psycho-education?[J]. Future Oncol，2016，12（24）：2779-2783.
[6] de GROOT J，BULTZ B D. 心理社会肿瘤学在中国的发展现状——机会与挑战（英文）[J]. Chin Germ J Clin Oncol，2009，8（3）：123-128.
[7] SPITZER R L，KROENKE K，WILLIAMS J B，et al. A brief measure for assessing generalized anxiety disorder： the GAD-7[J]. Arch Intern Med，2006，166（10）：1092-1097.
[8] KROENKE K，SPITZER R L，WILLIAMS J B. The PHQ-9： validity of a brief depression severity measure[J]. J Gen Intern Med，2001， 16（9）：606-613.
[9] STEEL Z，MARNANE C，IRANPOUR C，et al. The global prevalence of common mental disorders： a systematic review and meta-analysis 1980-2013[J]. Int J Epidemiol，2014，43（2）：476-493.
[10] MITCHELL A J，CHAN M，BHATTI H，et al. Prevalence of depression，anxiety，and adjustment disorder in oncological，haematological，and palliative-care settings： a meta-analysis of 94 interview-based studies[J]. Lancet Oncol，2011，12（2）：160-174.
[11] VLISEN A K，JAKOBSEN L H，KRAGHOLM K H，et al. Depression and anxiety in Hodgkin lymphoma patients： a Danish nationwide cohort study of 945 patients[J]. Cancer Med，2020，9（12）：4395-4404.
[12] BROCHMANN N，FLACHS E M，CHRISTENSEN A I，et al. Anxiety and depression in patients with Philadelphia-negative myeloproliferative neoplasms： a nationwide population-based survey in Denmark[J]. Clin Epidemiol，2019，11：23-33.
[13] EL-JAWAHRI A，ABEL G A，TRAEGER L，et al. Quality of life and mood of older patients with acute myeloid leukemia（AML） receiving intensive and non-intensive chemotherapy[J]. Leukemia，2019，33（10）：2393-2402.
[14] SOGAWA R，KIMURA S，YAKABE R，et al. Anxiety and depression associated with tyrosine kinase inhibitor discontinuation in patients with chronic myeloid leukemia[J]. Int J Clin Oncol，2018，23（5）：974-979.
[15] FALTER T，B?魻SCHEN S，SCHEPERS M，et al. Influence of personality，resilience and life conditions on depression and anxiety in 104 patients having survived acute autoimmune thrombotic thrombocytopenic purpura[J]. J Clin Med，2021，10（2）：365.
[16] RIVA S，MANCINI I，MAINO A，et al. Long-term neuropsychological sequelae，emotional wellbeing and quality of life in patients with acquired thrombotic thrombocytopenic purpura[J]. Haematologica，2020，105（7）：1957-1962.
[17] TORRES-ORTU ?譙 O A，CUESTA-BARRIUSO R，NIETO-MUNUERA J，et al. Coping strategies in young and adult haemophilia patients：a tool for the adaptation to the disease[J]. Haemophilia，2019，25（3）：392-397.
[18] ZOLALY M A，ZOLALY F M，AL BELOWI L，et al. Depression，anxiety，and stress symptoms in patients with beta thalassemia major in Almadinah Almunawwarah，Saudi Arabia[J]. Cureus，2020，12（11）：e11367.
[19] AL-HAKEIM H K，NAJM A H，AL-DUJAILI A H，et al. Major depression in children with transfusion-dependent thalassemia is strongly associated with the combined effects of blood transfusion rate，iron overload，and increased pro-inflammatory cytokines[J]. Neurotox Res，2020，38（1）：228-241.

相似文献/References:

备注/Memo

备注/Memo:

作者简介 高梦冉（1995-），女，硕士在读，研究方向：血液病及心理社会肿瘤学；通信作者：付蓉，E-mail：furong8369@tmu.edu.cn。

常用功能

更新日期/Last Update: 2022-09-20