Application of abdominal rotation timing and positioning card in subcutaneous injection for patients with multiple myeloma
10.3760/cma.j.issn.1674-2907.2019.25.023
- VernacularTitle:腹部轮换定时定位注射卡在多发性骨髓瘤患者皮下注射中的应用
- Author:
Lu LIU
1
;
Kaiming JIANG
Author Information
1. 中南大学湘雅二医院临床护理学教研室
- Keywords:
Multiple myeloma;
Injection,subcutaneous;
Bortezomib;
Injection card
- From:
Chinese Journal of Modern Nursing
2019;25(25):3268-3271
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of abdominal rotation timing and positioning card on subcutaneous injection for patients with multiple myeloma (MM). Methods? Totally 90 MM patients hospitalized in the department of Hematology, the Second Xiangya Hospital of Central South University from July 2017 to July 2018 were selected and stratified into observation (n=45) and control (n=45) groups according to the random number table. Patients in both groups were injected with Bortezomib through the abdomen subcutaneously. Patients in the control group received conventional subcutaneous injection, while patients in subcutaneous injection using the abdominal rotation timing and positioning card. Visual Analogue Scale (VAS) scores, incidence rate of adverse effects at the injection site and time of single administration were compared between the two groups after 4 courses of treatment. Results? Totally 43 patients from the observation group and 42 patients from the control group completed the study. The VAS score was (3.69±0.93) in the observation group, lower than (4.99±1.27) in the control group, and there was statistically significant difference between the two groups post intervention (P<0.05). The incidence rate of adverse effects at the injection site was 6.20% (45/724) in the observation group, lower than 12.80%(89/696) in the control group, and there was statistically significant difference between the two groups post intervention (P<0.05). The time of single administration was (7.77±0.60) min in the observation group, shorter than (8.38±0.57) min in the control group, and there was statistically significant difference between the two groups post intervention (P<0.05). Conclusions? Compared with conventional abdominal subcutaneous injection, the use of the abdominal rotation timing and positioning card in subcutaneous injection for MM patients may reduce the sense of pain and the incidence of adverse effects at the injection site as well as the time for nursing operation, and improve nurses' working efficiency, which is easy to make and worthy promoting in clinical nursing practice.