摘要
目的探讨多发性骨髓瘤合并失禁相关性皮炎(incontinence associated dermatitis,IAD)的护理。方法总结1例晚期多发性骨髓瘤合并IAD患者的临床表现、诊断、治疗及护理,并进行相关文献复习。结果患者,男,35岁,因"胸背部疼痛10 d,并双下肢感觉活动障碍4 d"入院。入院后诊断为多发性骨髓瘤,呼吸肌麻痹,双侧胸腔积液,阴囊部IAD(中度);予以硼替佐米2 mg、d1、d4、d8、d11+脂质体多柔比星40 mg,d1方案联合化疗及输血、补蛋白、抗感染等对症治疗;应用吸收性产品,及时清理污染皮肤;优选三合一护理巾或透明保护膜等优势产品并定期评估,患者好转出院。结论针对性地为患者提供个体化护理方案,可以降低IAD的发生和提高护理效果。
Objective To investigate nursing methods for treating a multiple myeloma patient with incontinence-associated dermatitis (IAD). Methods Clinical features, diagnosis,treatment and nursing interventions were described for a patient with advanced multiple myeloma and IAD. The relevant literature was also searched. Results The patient was a 35-year-old male who complained of chest pain for 10 days and double lower limb sensory disturbance for 4 days. After admission,he was diagnosed with multiple myeloma, respiratory muscle paralysis,bilateral pleural effusion, and moderate scrotal IAD. The patient was given combined chemotherapy involving bortezomib (2 mg,d1,4,8,11 ) and liposomal doxorubicin (40 mg d 1 ) as well as other symptomatic treatments,such as blood transfusion,protein supplements,and anti-infectives. Absorbent products were applied to clean up skin contamination quickly. The skin was cleaned, moisturized and protected;3-in-1 care wipes or transparent protective film was used. The patient improved upon discharge. Conclusion Individualized care can reduce the incidence of IAD and improve the efficacy of nursing interventions.
出处
《中国癌症防治杂志》
CAS
2017年第2期155-157,共3页
CHINESE JOURNAL OF ONCOLOGY PREVENTION AND TREATMENT
关键词
多发性骨髓瘤
失禁相关性皮炎
预防
护理
文献复习
Multiple myeloma
Incontinence-associated dermatitis
Prevention
Nursing
Literature review