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基于网络平台的延续性护理在多发性骨髓瘤患者中的应用效果

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目的:观察基于网络平台的延续性护理在多发性骨髓瘤(MM)患者中的应用效果.方法:选取2021年5月至2023年5月该院收治的82例MM患者进行前瞻性研究,依照随机数字表法将其分为对照组与观察组各41例.对照组采用常规延续性护理,观察组在对照组基础上采用基于网络平台的延续性护理.比较两组护理前后疾病知识掌握度、自我管理效能[中文版癌症自我管理效能感量表(C-SUPPH)]、生命质量[健康调查简表(SF-36)]和遵医行为评分.结果:护理后,两组发病原因、症状表现、治疗方法、日常护理等疾病知识掌握度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组自我减压、正面态度、自我决策等C-SUPPH评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组生理职能、躯体疼痛、活力、情感职能、躯体功能、社会功能、心理健康、总体健康等SF-36评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组适当运动、按时服药、规律饮食、定期复诊等遵医行为评分均高于对照组,差异有统计学意义(P<0.05).结论:在常规延续性护理基础上采用基于网络平台的延续性护理可提高MM患者疾病知识掌握度、自我管理效能、生命质量和遵医行为评分的效果优于单纯常规延续性护理.
Application effects of continuous nursing based on network platform in patients with multiple myeloma
Objective:To observe application effects of continuous nursing based on network platform in patients with multiple myeloma (MM). Methods:A prospective study was conducted on 82 patients with MM admitted to the hospital from May 2021 to May 2023. According to the random number table method,they were divided into control group and observation group,41 cases in each group. The control group was given routine continuous nursing,while the observation group was given the continuous nursing based on network platform on the basis of that of the control group. The scores of disease knowledge mastery,self-management efficacy[Chinese strategies used by people to promote health (C-SUPPH)],quality of life[the MOS 36-item short form health survey (SF-36)]before and after the nursing,and compliance behavior were compared between the two groups. Results:After the nursing,the scores of disease causes,symptom manifestation,treatment methods,daily nursing and other disease knowledge mastery in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05). After the nursing,the C-SUPPH scores of self-decompression,positive attitude and self-decision-making in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05). After the nursing,the SF-36 scores of physiological function,physical pain,vitality,emotional function,physical function,social function,mental health and overall health in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05). Further,the scores of appropriate exercise,timely medication,regular diet,regular follow-up and other compliance behaviors in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05). Conclusions:On the basis of the routine continuous nursing,the continuous nursing based on network platform can improve the disease knowledge mastery scores,the self-management efficacy scores,the quality of life scores and the compliance behavior scores of the MM patients. Moreover,it is superior to simple routine continuous nursing.

Multiple myelomaNetwork platformContinuous nursingDisease knowledge masterySelf-management efficacyCompliance behaviorQuality of life

杨金焕

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濮阳市人民医院血液科,河南 濮阳 457000

多发性骨髓瘤 网络平台 延续性护理 疾病知识掌握度 自我管理效能 遵医行为 生活质量

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(23)