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

摘要： 目的：探讨恶性血液病患者症状管理自我效能感现状及其影响因素。方法：采用便利抽样法，选取天津市 3 所三级甲等医院血液科住院患者为研究对象，采用一般资料调查表、医院焦虑抑郁量表、中文版慢性病治疗功能评估-灵性量表和癌症症状管理自我效能感量表进行调查研究。结果：367 例恶性血液病患者症状管理自我效能感得分为 30~131[69.00（42.00，103.00）]分。多元线性回归分析显示，性别、年龄、疾病分期、病程、有无恶心呕吐、有无骨髓抑制、焦虑、抑郁、心理分期和灵性健康是影响恶性血液病患者症状管理自我效能感的主要因素（P<0.05）。结论：恶性血液病患者症状管理自我效能感有待提高，医护人员应重点关注患者的症状管理，重点改善患者负性情绪，采用认知行为干预策略制定护理措施，从而提升恶性血液病患者症状管理自我效能感水平。

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