Abstract
The present study aimed to explore the self-esteem level of patients with hematology malignancies and the associated factors. In this cross-sectional study, we screened patients with hematologic malignancies treated in the Department of Hematology of Aerospace Center Hospital between November 2019 and June 2020. We included 157 eligible patients by convenience sampling. The participants completed questionnaires covering demographic characteristics, loneliness, the coping styles, hope, five personality traits, and self-esteem level. We applied t-test, analysis of variance, simple linear regression, and multiple stepwise regression to explore the factors associated with patients' self-esteem. The mean self-esteem score of hematology tumor patients was 26.86 ± 2.34, which was lower than the national norm (P < 0.01). The multiple stepwise regression analysis identified maintaining close relationships with others, conscientiousness, extroversion, agreeableness, and positive coping style as factors independently associated with the self-esteem of hematology tumor patients. Patients with hematologic malignancies experience low self-esteem. Factors including maintaining close relationships with others, conscientiousness, extraversion, agreeableness, and active coping style were found to be independently associated with the self-esteem level of these patients. For patients with hematologic malignancies, health providers should apply patient-centered and targeted interventions to improve patients' self-esteem, reduce adverse psychological emotions, and improve their quality of life.
Highlights
Hematologic malignancies are malignant clonal diseases originating from hematopoietic tissue and have become the fourth most common malignant tumor worldwide [1, 2]
The present study aimed to explore the self-esteem levels of Chinese patients with hematology malignancies and the associated factors to provide a reference for the development of further targeted measures to improve patients’ quality of life
Among the 157 included patients with hematologic cancer, the mean self-esteem score was 26.86 ± 2.34, which was lower than the national norm (28.75 ± 4.86; P < 0.01) [23]
Summary
Hematologic malignancies are malignant clonal diseases originating from hematopoietic tissue and have become the fourth most common malignant tumor worldwide [1, 2]. This disease is among the top 10 high-incidence tumors in China, with leukemia being the 9th leading cause of cancer-related deaths after significant increases in its incidence [3, 4]. Due to the progression of the disease and anti-neoplastic treatments, patients with hematological malignancies always experience significant symptoms, including hair loss, vomiting, fatigue, insomnia, dizziness, pain, and even neuropathy [5]. All of the above factors can seriously affect the diagnosis, treatment, and prognosis of the disease, as well as the patient’s mood, beliefs, and behavior [7,8,9].
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