Application of continuous nursing based on multi-disciplinary cooperation in patients with multiple myeloma
10.3760/cma.j.issn.1674-2907.2017.14.004
- VernacularTitle:多学科合作延续护理在多发性骨髓瘤患者中的应用效果
- Author:
Yan YAN
1
;
Chuanying GENG
;
Lihong ZUO
Author Information
1. 首都医科大学附属北京朝阳医院血液科
- Keywords:
Multiple myeloma;
Multi-disciplinary cooperation;
Continuous nursing
- From:
Chinese Journal of Modern Nursing
2017;23(14):1843-1847
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effects of continuous nursing based on multi-disciplinary cooperation in patients with multiple myeloma.MethodsA total of 108 patients with multiple myeloma hospitalized in Beijing Chao-Yang Hospital Affiliated to Capital Medical University from January 2015 to June 2016 were included and randomly divided into two groups, 54 cases respectively. In the control group, patients received the routine oral and written discharge guidance. The continuous nursing based onmulti-disciplinary cooperation was performed in the intervention group. Self-care ability, bone pain related health knowledge,pain relief and satisfaction of patients before and 6 months after the intervention were compared between two groups.ResultsBefore the intervention, there were no significant differences in self-care knowledge, self concept, self-care skills, self-care responsibility, the score of bone pain control health knowledge, patient numbers of bone pain relief and percentage of bone pain relief between two groups(t/χ2/Z=0.518,0.361,1.587,0.325,0.475,0.609,0.905;P>0.05). At 6 months after the intervention, the score of self-care knowledge(44.5±7.0), self concept(17.6±5.1), self-care skills(23.1±6.1), self-care responsibility (14.7±4.2), the score of bone pain control health knowledge(93.0±7.0), patient numbers of bone pain relief and percentage of bone pain relief(88.9%)in the intervention group were significantly better than those in the control group(t/χ2/Z=6.582,3.973,4.548,3.606,9.973,7.542,5.655;P<0.05). Nursing satisfaction in guidance, non-specialized service support, convenient service channels and available health service resources. Conclusions Extended nursing specially designed for empty nesters should be equipped with extended psychological nursing, daily nursing and other nursing services, and personalized services should be provided to empty nesters in effective forms of extended nursing. Meanwhile, community hospitals' functions as well as cooperation between hospitals and communities should be strengthened to improve extended nursing services.
