摘要
目的:探讨循证护理模式对多发性骨髓瘤患者疾病疼痛程度及生活质量的影响。方法:选择2020年1月-2022年6月于莆田市第一医院接受治疗的多发性骨髓瘤患者90例为研究对象,按照随机数字表法分成试验组和对照组,每组45例。对照组给予常规护理模式,试验组给予循证护理模式。比较两组干预前后骨痛程度、自我护理能力测定量表(ESCA)评分、负性心理情绪及生活质量。结果:干预后,试验组骨痛程度显著低于对照组(P<0.05);干预后,试验组ESCA各维度评分均显著高于对照组(P<0.05);干预后,试验组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均显著低于对照组(P<0.05);干预后,试验组健康调查简表(SF-36)各维度评分均显著高于对照组(P<0.05)。结论:循证护理模式应用于多发性骨髓瘤患者中效果较好,可以有效地减轻骨痛程度,加强患者自我护理能力,减轻负性心理,提升生活质量。
Objective:To explore the effect of evidence-based nursing model on the degree of disease pain and quality of life in patients with multiple myeloma.Method:A total of 90 patients with multiple myeloma who received treatment in the First Hospital of Putian City from January 2020 to June 2022 were selected as research objects,and were divided into the experimental group and the control group according to random number table method,with 45 patients in each group.The control group was given routine nursing mode,and the experimental group was given evidence-based nursing mode.The degree of bone pain,exercise of self-care agency scale(ESCA)scores,negative psychological emotion and quality of life scores were compared between the two groups before and after intervention.Result:After intervention,the degree of bone pain in the experimental group was significantly lower than that in the control group(P<0.05).After intervention,the scores of each dimension of ESCA in the experimental group were significantly higher than those in the control group(P<0.05).After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the experimental group were significantly lower than those in the control group(P<0.05).After intervention,the scores of each dimension of the MOS 36-item short-form health survey(SF-36)in the experimental group were significantly higher than those in the control group(P<0.05).Conclusion:Evidence-based nursing model is effective in patients with multiple myeloma,which can effectively reduce the degree of bone pain,strengthen the self-care ability of patients,alleviate negative psychology and improve the quality of life.
作者
谢雪茹
朱敬森
陈秀丽
庄培敏
XIE Xueru;ZHU Jingsen;CHEN Xiuli;ZHUANG Peimin(The First Hospital of Putian City,Fujian Province,Putian 351100,China)
出处
《中国医学创新》
CAS
2023年第17期91-95,共5页
Medical Innovation of China
关键词
多发性骨髓瘤
循证护理模式
骨痛程度
自我护理能力
心理状态
生活质量
Multiple myeloma
Evidence-based nursing model
Degree of bone pain
Self care ability
Psychology
Quality of life
