应用病友交流会对老年多发性骨髓瘤患者行延续护理的效果  

The effect of continuous care of exchange meeting on elderly multiple myeloma patients

作　　者：李洁莉[1] 刘尚勤[1] 阮晓岚[2] 熊亚芬[1] 刘小平[3] 孟详喻 李胜[3,4] LI Jieli;LIU Shangqin;RUAN Xiaolan;XIONG Yafen;LIU Xiaoping;MENG Xiangyu;LI Sheng(Department of Hematology,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Hematology,People＇s Hospital of Wuhan University,Wuhan 430000,China;Center for Evidence-Based and Translational Medicine,WuhanUniversity,Wuhan 430071, China;Department of Biological Repositories, Zhongnan Hospital of Wuhan University,Wuhan430071,China)

机构地区：[1]武汉大学中南医院血液内科,武汉市430071 [2]武汉大学人民医院血液内科,武汉市430000 [3]武汉大学循证与转化医学中心,武汉市430071 [4]武汉大学中南医院生物样本库,武汉市430071

出　　处：《护理管理杂志》2018年第9期670-673,共4页Journal of Nursing Administration

基　　金：国家自然科学基金(81272627);武汉大学珞珈青年学者351人才计划(武大人字[2017]63号)

摘　　要：目的探讨应用病友交流会对老年多发性骨髓瘤患者进行延续护理后患者的遵医行为和疗效变化。方法选取2014年1月至2016年12月老年多发性骨髓瘤患者100例作为研究对象,根据患者是否参与病友交流会分成观察组与对照组,每组各50例。对照组给予患者常规的疾病护理和出院指导,观察组在此基础上每月按时参加病友交流会,进行认知、饮食、行为干预和病友交流,连续3个月及以上。结果观察组患者的总遵医率、治疗有效率、满意度均高于对照组(P<0.01或P<0.05)。结论在老年多发性骨髓瘤患者中应用病友交流会延续护理模式能够有效提高患者的遵医行为、治疗效果及患者满意度。Objective To investigate the effects of continuous care of exchange meeting on elderly multiple myeloma patients＇ adherence and treatment efficacy.Methods A total of 100 multiple myeloma patients were selected from January 2014 to December 2016,including 50 in observational group who participated continuously in exchange meetings on a monthly basis for at least 3 months including cognize,diet,behavioral intervention and communication, and 50 in control group who received traditional nursing and post - discharge education.Results The observational group had a higher rate of adherence,higher overall response rate and enhanced satisfaction than those of the control group（P〈0.01 or P〈0.05）.Conclusion The implementation of continuous care of exchange meeting can improve the adherence,treatment efficacy and satisfaction to medical care in elderly multiple myeloma patients.

关 键 词：病友交流会 延续护理 遵医行为 多发性骨髓瘤 

分 类 号：R473.73[医药卫生—护理学] C931[医药卫生—临床医学]