身心并重共护连续性护理对多发性骨髓瘤化疗患者自我管理及心理韧性的影响

Effect of continuous nursing of mutual care of mind and body on self-management and mental resilience in patients with multiple myeloma chemotherapy

目的观察身心并重共护连续性护理对多发性骨髓瘤(MM)化疗患者自我管理及心理韧性的影响。方法选取2017年1月-2019年12月河北北方学院附属第一医院收治的MM化疗患者94例为研究对象,采用随机数字表法分为对照组和观察组,各47例。对照组接受常规护理,观察组联合身心并重共护连续性护理。于干预前、随访3个月,比较两组心理韧性量表(CD-RISC)、健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)、MM自我管理能力评估量表;记录两组不良事件发生情况。结果随访3个月,两组CD-RISC中坚韧、力量、乐观维度评分均高于干预前,且观察组CD-RISC中坚韧、力量、乐观维度评分高于对照组,差异有统计学意义(P<0.05);两组HPLP-Ⅱ评分、自我管理能力评分均高于干预前,且观察组HPLP-Ⅱ评分、自我管理能力评分高于对照组,差异均有统计学意义(均P<0.05);两组不良事件发生率比较,差异无统计学意义(P>0.05)。结论给予MM化疗患者身心并重共护连续性护理,利于提高患者自我管理能力及心理韧性水平,可在一定程度上改善患者健康行为,应用价值高。

Objective To observe the effect of continuous nursing of mutual care of mind and body on self-management and mental resilience of patients with multiple myeloma(MM)chemotherapy.Methods A total of 94 patients with MM chemotherapy admitted from the First Affiliated Hospital of Hebei North University from January 2017 to December 2019 were selected as the research objects.They were divided them into the control group and the observation group by random number table method,each with 47 cases.The control group was received routine nursing,and the observation group was combined mutual care of mind and body with continuous nursing.Before intervention and three months after follow-up,connor-davidson resilience scale(CD-RISC),health promotion lifestyle scale-Ⅱ(HPLP-Ⅱ)and MM self-management ability scale were compared between the two groups;the occurrence of adverse events in the two groups were recorded.Results After three months of follow-up,the scores of tenacity,strength and optimism in CD-RISC of the two groups were higher than those before intervention,and the scores of tenacity,strength and optimism in CD-RISC of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The scores of HPLP-Ⅱand self-management ability in the two groups were higher than those before intervention,and the scores of HPLP-Ⅱand self-management ability in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05);the incidence of adverse events between the two groups were compared,the difference was not significant statistically(P>0.05).Conclusion The continuous nursing of mutual care of mind and body in patients with MM chemotherapy is beneficial to improve their self-management ability and mental toughness,and can improve the healthy behavior of patients to a certain extent,with high application value.