关键词: 恶性血液病, 症状管理自我效能感, 灵性健康, 影响因素

Abstract: Objective: To investigate the current situation and influencing factors of symptom management self-efficacy in patients with malignant hematologic diseases. Methods: Convenience sampling method was used to select patients in Hematology Department of three tertiary grade A hospitals in Tianjin as research objects. General data questionnaire, Hospital Anxiety and Depression Scale(HADS),functional assessment of chronic illness therapy spiritual well-being, and Strategies Used by People to Promote Health were used to investigate. Results: The scores of symptom management self-efficacy of 367 patients with malignant hematological diseases were 30~131[69.00（42.00,103.00）] points. Multiple linear regression analysis showed that gender, age, disease stage, the course of disease, the presence of nausea and vomiting, the occurrence of bone marrow suppression, anxiety, depression, psychological stage, and spiritual health were the main influencing factors of symptom management self-efficacy in patients with malignant hematological diseases(P<0.05). Conclusion: The symptom management self-efficacy of patients with malignant hematological diseases needs to be improved. Medical staff should focus on the symptom management of patients, focus on improving patients' negative emotions, and adopt cognitive behavioral intervention strategies to develop nursing measures, so as to improve the level of patients with malignant hematological diseases symptom management self-efficacy.

Key words: Malignant hematological diseases, Symptom management self-efficacy, Spiritual health, Influencing factors