70例多发性骨髓瘤终末期患者的护理  

Nursing Problems of 70 Cases of Terminal Stage Patients with Multiple Myeloma

作　　者：杨便红[1] 王兵[1] 陈煦[1] 

机构地区：[1]首都医科大学附属北京朝阳医院血液科,北京市100020

出　　处：《中国病案》2016年第3期86-88,共3页Chinese Medical Record

摘　　要：目的通过分析多发性骨髓瘤终末期护理病案书写的特点,为更好的提高护理质量提供依据。方法回顾性分析我院血液科2003年-2013年收治的70例多发性骨髓瘤终末期患者,总结护理过程中易出现的问题。结果 43例(61.4%)的多发性骨髓瘤终末期患者以"骨痛"为主,60例(85.7%)的终末期患者存在感染,最常见的感染部位是肺部、消化道与泌尿系统,70例(100%)终末期患者均存在血红蛋白减少及低蛋白血症。结论护理的重点在于观察与评估患者的病情变化,规范化的专业护理记录,细致的基础护理、健康指导等在一定程度上可以改善多发性骨髓瘤终末期患者的生活质量,延长其生存期。Objective To analyze the writing characteristics of nursing medical records of terminal stage patients with multiple myeloma, and provide evidence for the improvement of nursing quality. Methods 70 cases of terminal stage patients with multiple myeloma admitted in the hematology department of our hospital from 2003 to 2013 were retrospectively analyzed, and summarized the problems easily emerged in the nursing process. Results 43 patients （64. 1%） had the main symptoms of bone pain, and 60 patients （85.7%） complicated with infection which emerged mostly in lung, digestive tract, and urinary system. All 70 patients （100%） had decreased hemoglobin and hypoproteinemia. Conclusions The key points of nursing included observation, assessment on the diseases changes of the patients, standardized professional nursing records, carefully basic nursing and health education, which might improve the living quality of terminal stage patients with multiple myeloma and prolong their survival time.

关 键 词：多发性骨髓瘤 终末期 护理 

分 类 号：R473.73[医药卫生—护理学]