Application of continuous nursing based on multi-disciplinary cooperation in patients with multiple myeloma

Abstract

Objective To explore the application effects of continuous nursing based on multi-disciplinary cooperation in patients with multiple myeloma. Methods A total of 108 patients with multiple myeloma hospitalized in Beijing Chao-Yang Hospital Affiliated to Capital Medical University from January 2015 to June 2016 were included and randomly divided into two groups, 54 cases respectively. In the control group, patients received the routine oral and written discharge guidance. The continuous nursing based onmulti-disciplinary cooperation was performed in the intervention group. Self-care ability, bone pain related health knowledge, pain relief and satisfaction of patients before and 6 months after the intervention were compared between two groups. Results Before the intervention, there were no significant differences in self-care knowledge, self concept, self-care skills, self-care responsibility, the score of bone pain control health knowledge, patient numbers of bone pain relief and percentage of bone pain relief between two groups (t/χ2/Z=0.518, 0.361, 1.587, 0.325, 0.475, 0.609, 0.905; P>0.05) . At 6 months after the intervention, the score of self-care knowledge (44.5±7.0) , self concept (17.6±5.1) , self-care skills (23.1±6.1) , self-care responsibility (14.7±4.2) , the score of bone pain control health knowledge (93.0±7.0) , patient numbers of bone pain relief and percentage of bone pain relief (88.9%) in the intervention group were significantly better than those in the control group (t/χ2/Z=6.582, 3.973, 4.548, 3.606, 9.973, 7.542, 5.655; P<0.05) . Nursing satisfaction in patients with multiple myeloma in the intervention group was 90.7%, which was higher than that (75.9%) of control group (χ2=4.227, P<0.05) . Conclusions The application of continuous nursing based on multi-disciplinary cooperation model in patients with multiple myeloma can effectively increase self-care ability and the score of bone pain control related health knowledge in patients, relieve bone pain and improve nursing satisfaction. Key words: Multiple myeloma; Multi-disciplinary cooperation; Continuous nursing