全周期疾病管理对多发性骨髓瘤患者自我护理能力及并发症的影响

目的: 探讨以患者为中心的全周期疾病管理模式对骨髓瘤患者自我护理能力及并发症的影响。方法: 采用随机数字表法将2018年5月至2019年5月住院的多发性骨髓瘤患者104例分为对照组（52例）和干预组（52例）。对照组采用常规护理,干预组在常规护理基础上采用全周期管理模式。比较两组干预前后患者自我护理能力和并发症的发生情况。结果: 两组患者干预前的自我护理能力各维度评分差异无统计学意义（P>0.05）。干预后干预组自我护理能力各维度评分高于对照组,并发症发生率低于对照组,差异有统计学意义（P<0.05）。结论: 以患者为中心的全周期管理模式,可提高患者的自我护理能力,降低患者并发症的发生率。

The study of full-cycle disease management on self-care ability and complications of patients with multiple myeloma

Objective: To explore the effect of full-cycle disease management model based on patient-centered on the self-care ability and complications of patients with multiple myeloma. Methods: A total of 104 patients with multiple myeloma from May 2018 to May 2019 were randomly divided into control group（n=52）and intervention group（n=52）.The control group received routine nursing method, and the intervention group adopted full-cycle management on the basis of routine nursing. Results: There was no statistically significant difference in the self-care behavior scores between the two groups before intervention（P>0.05）.After the intervention, the scores of the self-care benhavior in the intervention group was higher than that in the control group（P<0.05）, and the incidence of complications in the intervention group was lower than that in the control group, the diffenence was statistically significant（P<0.05）. Conclusion: The application of the full-cycle management model can effectively improve the self-care ability and reduce the incidence of complications for patients with multiple myeloma.