基于网络平台的延续护理在多发性骨髓瘤患者中的应用效果

Effect of continuing care based on network platform on patients with multiple myeloma

目的探讨网络平台延续护理在多发性骨髓瘤患者中的应用效果。方法选取2013年1月—2015年1月于天津医科大学总医院接受治疗的80例多发性骨髓瘤患者为研究对象，按照随机数字表将患者分为观察组和对照组各40例。两组患者均采用硼替佐米进行治疗，对照组采用常规每周到患者家中随访1次；观察组在对照组基础上采用基于网络平台的延续护理。观察两组患者健康宣教效果，焦虑自评量表（SAS）、抑郁自评量表（SDS）得分，不良事件发生率和复发率，比较两组患者护理满意度。结果观察组患者健康宣教效果相比对照组提高，SAS与SDS得分低于对照组，差异均有统计学意义（P〈0.01）。观察组不良事件发生率与复发率为2.50％，0.00％，低于对照组，差异有统计学意义（P〈0.05）。观察组护理满意度为97.50％，对照组为72.50％，差异有统计学意义（ P〈0.05）。结论网络平台延续护理能有效提高健康教育效果，提高护理效果，减少不良事件发生率和复发率，提高护理满意度。

Objective To explore the effect of network platform continuing care on patients with multiple myeloma.Methods A total of 80 patients with multiple myeloma in our hospital between January 2013 and January 2015 were included and randomly divided into observation group （ n=40） and control group （ n=40） . All the patients received bortezomib. The routine nursing of follow-up at home once a week was performed in control group, additionally, the network platform continuing care was adopted in observation group. The effect of health education, the score of self-rating anxiety scale （SAS） and self-rating depression scale （SDS）, incidence of adverse events and recurrence rate, and patients′ satisfaction were evaluated. Results The effect of health education in observation group was better than that in control group. The scores of SAS and SDS in observation group were lower than those in control group. The differences between two groups were statistically significant （ P〈0.01） . The incidence of adverse events and recurrence rate in observation group were 2. 50% and 0.00%, respectively, which were lower than those in control group. The differences between two groups were statistically significant （ P〈0.05） . The patients′satisfaction in observation group and control group was 97.50% and 72.50%, respectively. The difference between two groups was statistically significant （P〈0.05）.Conclusions The network platform continuing care can improve the effect of health education, reduce the incidence of adverse events and recurrence rate, increase patients′satisfaction.