Abstract
<i>Objective</i> to explore the application value and quality of evidence-based nursing in patients with multiple myeloma. <i>Methods</i> A total of 92 patients with multiple myeloma from December 2016 to December 2019 were selected as observation objects, and they were divided into control group 46 and observation group 46 according to the order of admission. The control group was given routine nursing care, and the observation group was given evidence-based nursing care. The bone pain relief rate, Pittsburgh Sleep Quality Score (PSQI), anxiety self-rating scale (SAS) score, depression self-rating scale (SDS) score and nursing quality were compared between the two groups. <i>Results</i>: The relief rate of bone pain in the observation group was higher than that in the control group (P <0.05). The quality of sleep, sleep time, sleep time, sleep efficiency, sleep disorders, daytime dysfunction scores and PSQI total scores in the observation group were lower than those in the control group after nursing (P <0.05). P <0.05); SAS and SDS scores in the observation group were lower than those in the control group after nursing (P <0.05). After the implementation of evidence-based nursing, the quality of basic nursing, specialist nursing, critical care, ward management, and health education nursing care of nursing staff was higher than that before implementation (P <0.05). <i>Conclusion</i> Applying evidence-based nursing to patients with multiple myeloma can improve bone pain relief, improve sleep quality, reduce anxiety and depression, and improve the quality of care.
Highlights
Multiple myeloma is a malignant tumor that originates in plasma cells of bone marrow and produces monoclonal immunoglobulin
92 patients with multiple myeloma from December 2016 to December 2019 in our hospital were selected as observation objects, and were divided into 46 cases in the control group and 46 cases in the observation group according to the admission order
There were no significant differences in the scores of sleep quality, time to fall asleep, sleep time, sleep efficiency, sleep disorders, daytime dysfunction scores and total Pittsburgh Sleep Quality Index Scale (PSQI) scores of the two groups before nursing (P>0.05)
Summary
Multiple myeloma is a malignant tumor that originates in plasma cells of bone marrow and produces monoclonal immunoglobulin. The incidence rate is about 1.0/100,000, accounting for 1.4% of all malignant tumors [1]. The etiology of the pathogenesis of multiple myeloma is not fully understood. Current clinical studies believe that it is closely related to occupational environment, radiation, smoking, drinking, drug factors, viral infections, etc [2,3]. Previous studies have shown that [4], Reasonable nursing measures can improve the quality and effect of bone pain and improve the quality of life of patients. The previous research foundation was used as an evidence-based basis to implement evidence-based nursing for patients with multiple myeloma and observe its clinical value and impact on the quality of care.
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