循证护理在多发性骨髓瘤患者疼痛管理中的应用研究  

Application of Evidence-based Nursing in Pain Management of Patients with Multiple Myeloma

作　　者：潘兰兰 谭美仲[1] 梁燕辉 陈荣伴[1] 区准珠 丁燕小 Pan Lanlan;Tan Meizhong;Liang Yanhui;Chen Rongban;Qu Zhunzhu;Ding Yanxiao(Department of Hematology,Jiangmen Central Hospital,Jiangmen 529000,Guangdong Province,China)

机构地区：[1]江门市中心医院血液内科,广东江门529000

出　　处：《中外医药研究》2023年第33期118-120,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：江门市卫生健康局科学技术研究项目(编号:2022YL01093)。

摘　　要：目的:评估循证护理(EBN)应用在多发性骨髓瘤(MM)患者疼痛管理中的效果。方法:选取2022年4月—2023年8月江门市中心医院收治的MM患者200例作为研究对象,参照随机数字表法分为观察组与对照组,各100例。比较两组疼痛缓解程度、匹兹堡睡眠质量指数(PSQI)、癌症相关性疲劳(CRF)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及满意度。结果:观察组疼痛缓解率高于对照组,差异有统计学意义(P=0.029)。护理后,两组日间障碍、催眠药物、入睡时间评分降低,且观察组低于对照组,差异有统计学意义(P<0.001)。护理后,两组CRF、SAS、SDS评分降低,且观察组低于对照组,差异有统计学意义(P<0.001)。观察组满意度高于对照组,差异有统计学意义(P=0.024)。结论:在MM患者疼痛管理中采用EBN,能够有效缓解疼痛,减轻疲乏程度、负性情绪、睡眠障碍,提高患者的满意度,值得临床推广。Objective:To evaluate the effectiveness of evidence-based nursing(EBN)in pain management in patients with multi-ple myeloma(MM).Methods:A total of two hundred MM patients admitted to Jiangmen Central Hospital from April 2022 to Au-gust 2023 were selected as the study objects and divided into observation group and control group with one hundred cases in each group according to random number table method.The degree of pain relief,Pittsburgh sleep quality index(PSQI),cancer-related fatigue(CRF),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and satisfaction were compared between the two groups.Results:The pain relief rate in the observation group was higher than that in the control group,and the difference was sta-tistically significant(P=0.029).After nursing,the scores of daytime disorder,hypnotic drugs and sleep time were decreased in both groups,and the observation group was lower than the control group,the difference was statistically significant(P<0.001).Af-ter nursing,the scores of CRF,SAS and SDS in both groups were decreased,and the observation group was lower than the control group,the difference was statistically significant(P<0.001).The satisfaction of observation group was higher than that of control group,and the difference was statistically significant(P=0.024).Conclusion:The application of EBN in pain management of MM patients can effectively relieve pain,reduce fatigue,negative emotions,sleep disorders,and improve patient satisfaction,which is worthy of clinical promotion.

关 键 词：循证护理 多发性骨髓瘤 疼痛管理 

分 类 号：R47[医药卫生—护理学]