循证护理模式对多发性骨髓瘤不良反应干预调查及实践研究
The Effect of Evidence-Based Nursing on Multiple Myeloma and the Improvement of Adverse Reactions
DOI: 10.12677/NS.2022.114081, PDF,  被引量   
作者: 杨便红, 南 虹, 刘 爽, 刘 超*：首都医科大学附属北京朝阳医院血液科，北京市多发性骨髓瘤医疗研究中心，北京
关键词: 循证护理模式；多发性骨髓瘤；不良反应； Evidence-Based Care； Multiple Myeloma； Adverse Reactions
摘要: 目的：探究循证护理模式对多发性骨髓瘤的效果。方法：选取40例多发性骨髓瘤患者均分为观察组与对照组，各20例。对照组予以常规基础护理，观察组予以循证护理。观察两组护理干预前、后疼痛情况，不良反应情况、焦虑抑郁情况、营养情况以及护理满意度。结果：护理干预后，两组均较本组干预前疼痛情况显著改善，其中观察组干预后VRS疼痛评分、疼痛分级情况均显著优于对照组，P < 0.05；观察组非阿片类止痛药应用率显著高于对照组，P < 0.05；观察组不良反应发生率显著低于对照组，P < 0.05；观察组毒副反应情况显著优于对照组，P < 0.05；观察组SAS评分、SDS评分、营养状况均显著优于对照组，P < 0.05；观察组护理满意度显著高于对照组，P < 0.05。结论：循证护理模式应用于多发性骨髓瘤患者的护理，可显著改善患者疼痛、情绪以及不良反应发生情况，护理效果较常规护理模式显著，值得推广应用。
Abstract: Objective: To investigate the effect of evidence-based nursing on multiple myeloma and the improvement of adverse reactions. Methods: A total of 40 patients with multiple myeloma were selected and divided into observation group and control group, 20 cases in each group. The control group received routine basic nursing, and the observation group received evidence-based nursing. The pain, adverse reactions, anxiety and depression, nutrition and nursing satisfaction of the two groups were observed. Results: After nursing intervention, the pain situation of the two groups was significantly improved compared with that before intervention. The VRS pain score and pain grading of the observation group after intervention were significantly better than those of the control group, P < 0.05; the application rate of non-opioid painkillers in the observation group was significantly higher than that in the control group, P < 0.05; the incidence of adverse reactions in the observation group was significantly lower than that in the control group, P < 0.05; the toxic and side effects in the observation group were significantly better than those in the control group, P < 0.05; the SAS score, SDS score and nutritional status of the observation group were significantly better than those of the control group, P < 0.05; Nursing satisfaction in the observation group was significantly higher than that in the control group, P < 0.05. Conclusion: Evidence-based nursing applied in the nursing mode of patients with multiple myeloma can significantly improve the occurrence of pain, mood and adverse reactions. Also, the nursing effect is more significant than that of conventional nursing mode, which is worthy of promotion and application.
文章引用：杨便红, 南虹, 刘爽, 刘超. 循证护理模式对多发性骨髓瘤不良反应干预调查及实践研究[J]. 护理学, 2022, 11(4): 484-491. https://doi.org/10.12677/NS.2022.114081

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