Summary of the best evidence for home self-management in patients with multiple myeloma
10.3760/cma.j.cn115682-20230307-00848
- VernacularTitle:多发性骨髓瘤患者居家自我管理的最佳证据总结
- Author:
Shiyu HAN
1
;
Hong CHU
;
Xiuhua YING
;
Lihui WANG
Author Information
1. 南京鼓楼医院血液科,南京 210008
- Keywords:
Multiple myeloma;
Home management;
Evidence summary;
Evidence-based nursing;
Self-management
- From:
Chinese Journal of Modern Nursing
2023;29(31):4246-4253
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the evidence on home self-management in patients with multiple myeloma (MM) both domestically and internationally, and provide evidence-based basis for clinical development of home self-management plans.Methods:Through evidence-based nursing, articles on home health management, home exercise management, home medication management, home diet management, continuing nursing, and self-management of MM patients were systematically searched on guideline websites, professional association websites, and integrated databases both domestically and internationally. The types of articles included best practices, recommended practices, clinical practice guidelines, expert consensus, evidence summary, systematic review, Meta-analysis and so on. The search period was from the establishment of the database to February 28, 2023. Two researchers independently evaluated the methodological quality of the article, extracting and summarizing the best evidence.Results:A total of 15 articles were included, including 3 clinical practice guidelines, 9 expert consensuses, and 3 systematic reviews. A total of 30 pieces of evidence were summarized from 8 aspects, including home assessment, self-protection management, diet management, psychological cognition management, exercise management, medication management, health education, and follow-up and seeking medical advice.Conclusions:The best evidence for home self-management in MM patients is comprehensive and can provide reference for clinical workers to develop intervention plans. It is recommended that medical and nursing staff develop personalized home self-management plans based on specific clinical scenarios and patient lifestyle habits.