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多学科合作持续护理和心理护理对带有外围插入中央导管的多发性骨髓瘤的影响

Dongliang Li¹, Fengfeng Sun², Yan Yang³

¹Hematology Department, The First Affiliated Hospital of Kangda College of Nanjing Medical University (The First People's Hospital of Lianyungang), Lianyungang, 222000, Jiangsu, China.

Future oncology (London, England)

|March 14, 2024

概括

多学科合作的持续护理和心理干预有效地减少了外围插入中央导管 (PICC) 的多发性骨髓瘤患者的疼痛和并发症. 患者的结果和满意度显著改善.

科学领域:

瘤科护理护理专业
患者护理管理的管理.
心理支持心理支持

背景情况:

多发性骨髓瘤 (MM) 患者通常需要外围插入的中央导管 (PICCs) 来进行治疗.
管理PICC可能会导致并发症并影响患者的福祉,包括疼痛和疲劳.
现有的护理干预措施可能无法完全满足PICCs的MM患者的多方面的需求.

研究的目的:

评估多学科合作连续护理和心理护理干预措施对MM患者PICCs的有效性.
为了比较患者报告的结果和干预组和对照组之间的并发症率.
评估干预对疼痛,焦虑,抑郁,疲劳,自我照顾能力,生活质量和护理满意度的影响.

主要方法:

一个前性研究设计,比较观察组 (干预组) 和对照组.
使用的验证尺度:数值疼痛评分尺度 (NPRS),焦虑自我评估尺度 (SAS),抑郁自我评估尺度 (SDS),修订的皮珀疲劳尺度 (PFS-R),自我护理能力尺度 (ESCA) 和生活质量核心问卷 (QLQ-C30).
监测了非计划的PICC输出管和导管相关并发症的发生率,以及护理满意度.

主要成果:

与对照组相比,观察组在NPRS,SAS,SDS和PFS-R中的得分明显较低.
在干预组中观察到不计划的PICC输出管和导管相关并发症的发病率减少.
在接受综合多学科和心理护理干预的组中,护理满意度更高.

结论:

多学科合作持续护理与心理护理干预相结合,有效缓解多发性骨髓瘤患者的疼痛.
这种综合方法改善了整体患者的治疗结果,减少了与PICC相关的并发症,并提高了患者的满意度.
这些发现支持对需要PICC线路的MM患者实施这一综合护理策略.

关键词:

自我照顾机构规模的行使数字疼痛评分尺度数字疼痛评分尺度经过修订的 Piper 疲劳量表.自评级焦虑量表自评价焦虑量表自评级抑郁症量表自评价抑郁症量表多学科合作的持续护理.多发性骨髓瘤是多发性骨髓瘤的一种疾病.护理的满意度护理的满意度周围插入的中央导管.心理护理干预心理护理干预

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