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Abstract：
BACKGROUND: Psychological problems are becoming increasingly prominent among older patients with leukemia, with patients potentially facing stigmatization after diagnosis. However, there is limited research on the stigma experienced by these patients and the factors that may contribute to it.
OBJECTIVE: To investigate the stigma faced by older patients after being diagnosed with leukemia and to analyze the potential influencing factors.
METHODS: A retrospective analysis was conducted using clinical data obtained from questionnaire surveys, interviews, and the medical records of older patients with leukemia admitted to the Hengyang Medical School from June 2020 to June 2023. The data obtained included participants\' basic demographic information, medical history, leukemia type, family history of leukemia, average monthly family income, pension, and tendency to conceal illness. The Chinese versions of the Social Impact Scale (SIS), Perceived Social Support Scale (PSSS), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were used to assess indicators related to stigma, social support, and mental health status. We used Pearson\'s correlation coefficient to analyze the strength and direction of the relationship between the scores of each scale, and regression analysis to explore the factors related to the stigma of older patients with leukemia after diagnosis.
RESULTS: Data from 120 patients with leukemia aged 65-80 years were analyzed. The total score on the SIS and PSSS was 43.60 ± 4.07 and 37.06 ± 2.87, respectively. The SAS score was 58.35 ± 8.32 and the SDS score was 60.58 ± 5.97. The stigma experienced by older leukemia patients was negatively correlated with social support (r = -0.691, P < 0.05) and positively correlated with anxiety and depression (r = 0.506, 0.382, P < 0.05). Age, education level, smoking status, average monthly family income, pension, and tendency to conceal illness were significantly associated with the participants\' level of stigma (P < 0.05). Age, smoking status, social support, anxiety, and depression were predictive factors of stigmatization among older leukemia patients after diagnosis (all P < 0.05), with a coefficient of determination (R2) of 0.644 and an adjusted R2 of 0.607.
CONCLUSIONS: Older patients commonly experience stigmatization after being diagnosed with leukemia. Factors such as age, smoking status, social support, and psychological well-being may influence older patients\' reported experience of stigma.
OBJECTIVE: To investigate the stigma faced by older patients after being diagnosed with leukemia and to analyze the potential influencing factors.
METHODS: A retrospective analysis was conducted using clinical data obtained from questionnaire surveys, interviews, and the medical records of older patients with leukemia admitted to the Hengyang Medical School from June 2020 to June 2023. The data obtained included participants\' basic demographic information, medical history, leukemia type, family history of leukemia, average monthly family income, pension, and tendency to conceal illness. The Chinese versions of the Social Impact Scale (SIS), Perceived Social Support Scale (PSSS), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were used to assess indicators related to stigma, social support, and mental health status. We used Pearson\'s correlation coefficient to analyze the strength and direction of the relationship between the scores of each scale, and regression analysis to explore the factors related to the stigma of older patients with leukemia after diagnosis.
RESULTS: Data from 120 patients with leukemia aged 65-80 years were analyzed. The total score on the SIS and PSSS was 43.60 ± 4.07 and 37.06 ± 2.87, respectively. The SAS score was 58.35 ± 8.32 and the SDS score was 60.58 ± 5.97. The stigma experienced by older leukemia patients was negatively correlated with social support (r = -0.691, P < 0.05) and positively correlated with anxiety and depression (r = 0.506, 0.382, P < 0.05). Age, education level, smoking status, average monthly family income, pension, and tendency to conceal illness were significantly associated with the participants\' level of stigma (P < 0.05). Age, smoking status, social support, anxiety, and depression were predictive factors of stigmatization among older leukemia patients after diagnosis (all P < 0.05), with a coefficient of determination (R2) of 0.644 and an adjusted R2 of 0.607.
CONCLUSIONS: Older patients commonly experience stigmatization after being diagnosed with leukemia. Factors such as age, smoking status, social support, and psychological well-being may influence older patients\' reported experience of stigma.
摘要：
背景：老年白血病患者的心理问题日益突出，患者在诊断后可能面临污名化。然而,关于这些患者所经历的病耻感以及可能导致病耻感的因素的研究有限。
目的：了解老年白血病患者确诊后的病耻感，并分析其影响因素。
方法：使用问卷调查获得的临床数据进行回顾性分析，采访,和2020年6月至2023年6月衡阳医学院收治的老年白血病患者的病历。获得的数据包括参与者的基本人口统计信息，病史,白血病类型,白血病家族史,家庭月平均收入,养老金,和隐瞒疾病的倾向。社会影响量表(SIS)的中文版，感知社会支持量表(PSSS)，焦虑自评量表(SAS),和抑郁自评量表(SDS)用于评估与病耻感相关的指标，社会支持,和心理健康状况。采用皮尔逊相关系数分析各量表得分之间的关系强度和方向,回归分析探讨老年白血病患者确诊后病耻感的相关因素。
结果：分析了120例65-80岁白血病患者的数据。SIS和PSSS总分分别为43.60±4.07和37.06±2.87。SAS评分为58.35±8.32,SDS评分为60.58±5.97。老年白血病患者病耻感与社会支持呈负相关(r=-0.691,P<0.05),与焦虑、抑郁呈正相关(r=0.506、0.382,P<0.05)。年龄,教育水平,吸烟状况,家庭月平均收入,养老金,和隐瞒疾病的倾向与参与者的病耻感水平显着相关（P<0.05）。年龄,吸烟状况,社会支持,焦虑,抑郁是老年白血病患者确诊后污名化的预测因素(均P<0.05),决定系数（R2）为0.644，调整后的R2为0.607。
结论：老年患者在被诊断为白血病后通常会经历污名化。年龄等因素,吸烟状况,社会支持,和心理健康可能会影响老年患者报告的耻辱经历。
目的：了解老年白血病患者确诊后的病耻感，并分析其影响因素。
方法：使用问卷调查获得的临床数据进行回顾性分析，采访,和2020年6月至2023年6月衡阳医学院收治的老年白血病患者的病历。获得的数据包括参与者的基本人口统计信息，病史,白血病类型,白血病家族史,家庭月平均收入,养老金,和隐瞒疾病的倾向。社会影响量表(SIS)的中文版，感知社会支持量表(PSSS)，焦虑自评量表(SAS),和抑郁自评量表(SDS)用于评估与病耻感相关的指标，社会支持,和心理健康状况。采用皮尔逊相关系数分析各量表得分之间的关系强度和方向,回归分析探讨老年白血病患者确诊后病耻感的相关因素。
结果：分析了120例65-80岁白血病患者的数据。SIS和PSSS总分分别为43.60±4.07和37.06±2.87。SAS评分为58.35±8.32,SDS评分为60.58±5.97。老年白血病患者病耻感与社会支持呈负相关(r=-0.691,P<0.05),与焦虑、抑郁呈正相关(r=0.506、0.382,P<0.05)。年龄,教育水平,吸烟状况,家庭月平均收入,养老金,和隐瞒疾病的倾向与参与者的病耻感水平显着相关（P<0.05）。年龄,吸烟状况,社会支持,焦虑,抑郁是老年白血病患者确诊后污名化的预测因素(均P<0.05),决定系数（R2）为0.644，调整后的R2为0.607。
结论：老年患者在被诊断为白血病后通常会经历污名化。年龄等因素,吸烟状况,社会支持,和心理健康可能会影响老年患者报告的耻辱经历。
