针对性护理在多发性骨髓瘤患者中的应用效果  

Application Effect of Targeted Nursing in Patients with Multiple Myeloma

作　　者：李平[1] 杨艳君[1] 任兴华[1] 孙卓冉 Li Ping;Yang Yanjun;Ren Xinghua;Sun Zhuoran(Department of Hematology,the Affiliated Hospital of Binzhou Medical University,Binzhou 256600,Shandong Province,China)

机构地区：[1]滨州医学院附属医院血液内科,山东滨州256600

出　　处：《中外医药研究》2024年第5期114-116,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析针对性护理在多发性骨髓瘤患者中的应用效果。方法:选取2020年1月—2021年12月滨州医学院附属医院血液内科收治的多发性骨髓瘤患者64例作为研究对象,随机分为对照组和观察组,各32例。两组均进行血浆置换,对照组进行常规护理,观察组进行针对性护理。比较两组肾功能、护理效果及护理满意度。结果:干预前,两组血清球蛋白、血尿素氮及血肌酐水平比较,差异无统计学意义(P>0.05);干预后,两组血清球蛋白、血尿素氮及血肌酐水平降低,观察组低于对照组,差异有统计学意义(P<0.05)。观察组护理总有效率高于对照组,差异有统计学意义(P=0.039)。观察组护理全面性、护理专业性、护理感受、护理效果评分均高于对照组,差异有统计学意义(P<0.05)。结论:针对性护理可提高多发性骨髓瘤患者的护理效果及满意度,促进肾功能恢复。Objective:To analyze the effect of targeted nursing in patients with multiple myeloma.Methods:Sixty-four patients with multiple myeloma admitted to the Department of Hematology of the Affiliated Hospital of Binzhou Medical University from January 2020 to December 2021 were selected as the study objects and randomly divided into control group and observation group,with thirty-two patients in each group.Both groups underwent plasma exchange,the control group received routine nursing,and the observation group received targeted nursing.Renal function,nursing effect and nursing satisfaction were compared between the two groups.Results:Before intervention,there was no significant difference in serum globulin,blood urea nitrogen and blood creatinine levels between the two groups(P>0.05);after intervention,the levels of serum globulin,blood urea nitrogen and blood creatinine in two groups were decreased,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.039).Nursing comprehensiveness,nursing professionalism,nursing experience and nursing effect scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Targeted nursing can improve the nursing effect and satisfaction of patients with multiple myeloma and promote the recovery of renal function.

关 键 词：多发性骨髓瘤 血浆置换 针对性护理 

分 类 号：R473.73[医药卫生—护理学]