自我效能改善白血病晚期患者生活质量的应用

目的：在自我效能理论指导下对白血病晚期患者改进护理措施，改善其生活质量。方法：采用目的性抽样，对2010年1月至2012年5月间异常的患者，通过gses表格内容，supph测评内容评估，在临床医生和心理医生的指导下改善传统护理方法，对每个患者出现的不适症状分别对待，使患者意识到需要接受挑战而坚持到底的毅力，使患者相信自身对疾病的可控感。结果：根据护理评价结果建立新措施体系，结果显示抑郁得分显著高于国内常模，自我效能总分与抑郁总分无明显线性相关；作出决策维度与躯体性障碍存在负相关性（r=-0．319，P〈0．05：）；积极态度分别与抑郁总分（r=0．345，P〈0．05）、躯体性障碍（r=0．322，P〈0．05）存在正相关性。自我效能可改善白血病晚期患者生活质量，测评结果显示及专业医生的积极评价说明其具有可信度。结论：异常变化的micro RNA可能对高糖诱导的腹膜间皮细胞EMT具有重要调控作用。

Application of Self-efficacy in Improving the Quality of Life in Patients with Advanced Leukemia

Objective： Using advanced mtrsing interventions treat with Leukemia patients under the guidance of self-efficacy theory, to improve their quality of life. Methods： Among patients between January of 2010 and May of 2012, to improve the traditional methods of care under the guidance of clinicians and psychiatrist using the purposive sampling, by gses table of contents, supph evaluation assessment. Discriminating treatment make the patients be aware of the need of challenges and persistence, and the control performance to diseases. Results： According to the the nursing evaluation results to create a new system of measures. The results indicated that the scores of depression was high significantly than the national norm. No significant difference was found between the scores of selfefficacy and that of depression. Negative correlation was found between making decision and somatic disorder （r =-0. 319, P〈0.05 ）. Positive correlative property was seen between positive attitude and the scorse of depression （r=0.345, P〈0.05 ）, somatic disorder（r= 0.322, P〈0.05 ）. Conclusion： Evaluati on results show that high and professional medical evaluation system, credible.