Effect of the behavioral change theory-based nursing model on pain and quality of life in patients with multiple myeloma
Objective To investigate the effect of the behavioral change theory-based nursing model on pain and quality of life in patients with multiple myeloma.Methods One hundred and thirty-three patients with multiple myeloma admitted to West China Hospital,Sichuan University from August 2021 to September 2022 were selected as the study participants and numbered sequentially following the order of admission,with odd numbers included in the observation group(n=67)and e-ven numbers included in the control group(n=66).Patients in the control group received routine nursing intervention and those in the observation group,behavioral change theory-based nursing model.The self-care ability,psychological status,pain,coping style,and quality of life were compared between the two groups.Results Before intervention,no significant difference was observed in the concept,knowledge,skills,and responsibility scores of the Exercise of Self-Care Agency(ESCA)scale between the two groups(P>0.05);after intervention,the scores of the four subscales of ESCA in the obser-vation group were significantly higher than those in the control group(P<0.05).Before intervention,no significant differ-ence was found in Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)scores between the two groups(P>0.05);after intervention,SDS and SAS scores in the observation group were significantly lower than those in the con-trol group(P<0.05).Before intervention,no significant difference was noted in the pain severity grade between the two groups(P>0.05);the pain severity grade in the observation group was significantly lower than that in the control group after intervention(P<0.05).Before intervention,no significant difference was observed in the scores of positive coping and negative coping of the Simple Coping Style Questionnaire(SCSQ)between the two groups(P>0.05);after intervention,the scores of positive coping dimension of the SCSQ questionnaire in the observation group were significantly higher than those in the control group,and the scores of negative coping dimension were significantly lower than those in the control group(P<0.05).Before intervention,no significant difference was found in the scores of physical function,role function,cognitive function,emotional function,and social function between the two groups(P>0.05);after intervention,the scores of the five dimensions of the Core Quality of Life questionnaire(QLQ-C30)in the observation group were significant-ly higher than those in the control group(P<0.05).Conclusion The behavioral change theory-based nursing model can improve the self-care ability and quality of life of patients with multiple myeloma,promote them to adopt an active coping style,improve their negative emotions,and reduce their pain.
Behavior change theoryMultiple myelomaPain severity gradeQuality of lifeNegative emotions
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