Application effect of health belief model intervention combined with psychological guidance in hemodialysis patients with multiple myeloma
Objective To explore the application effect of health belief model intervention combined with psychologi-cal guidance in hemodialysis patients with multiple myeloma(MM).Method According to different intervention meth-ods,96 hemodialysis patients with MM were divided into control group(n=47,conventional intervention combined with psychological guidance)and observation group(n=49,health belief model intervention combined with psychological guidance).The psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],self-care ability[exercise of self-care agency(ESCA)],complications and satisfaction were compared between the two groups.Result After intervention,the SDS and SAS scores in both groups were lower than those before intervention,the ESCA scores were higher than those before intervention,and the SDS and SAS scores in observation group were lower than those in control group,the ESCA score was higher than that in control group,and the differences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that in control group,and the total satis-faction rate was higher than that in control group,and the differences were statistically significant(P<0.05).Conclusion Health belief model intervention combined with psychological guidance can improve the psychological status of hemodi-alysis patients with MM,improve self-care ability and satisfaction,and reduce the incidence of complications.
multiple myelomahemodialysishealth belief model interventionpsychological guidancepsychologi-cal statusself-care ability
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