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| Effect of continuous nursing of mutual care of mind and body on self-management and mental resilience in patients with multiple myeloma chemotherapy |
| XU Jing ZHANG Ling ZHANG Yang |
| Department of Hematology, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China |
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Abstract 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-Ⅱ and self-management ability in the two groups were higher than those before intervention, and the scores of HPLP-Ⅱ and 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.
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[1] 汤红霞，王梦影，庹婧，等.艾迪注射液联合VAD化疗方案治疗多发性骨髓瘤患者的效果[J].中国医药导报，2018， 15（25）：67-70，74.
[2] Satoshi I，Noriko F，Shunsuke H，et al. Anaplastic multiple myeloma possible limitations of conventional chemotherapy for long-term remission [J]. J Clin Exp Hematop，2018，58（1）：39-42.
[3] 阳聪聪，钟竹青，罗优梅，等.难治型多发性骨髓瘤患者2次CAR-T细胞治疗的护理[J].护理学杂志，2019，34（4）：34-36.
[4] Lai L. Effect of evidence-based nursing intervening in prevention of toxic and adverse effects in multiple myeloma patients with chemotherapy [J]. J Clin Med Pract，2017，21（16）：24-26.
[5] Kim SY. Continuity of Care [J]. Korean J Fam Med，2017， 38（5）：241.
[6] 张婕，赵聪聪，黄婷婷，等.“身心并护”服务模式探讨[J].解放军医院管理杂志，2013，20（11）：1071-1072.
[7] Matthew S. International staging system for multiple myeloma [J]. J Clin Oncol，2005，23（15）：3412-3420.
[8] 中国医师协会血液科医师分会，中华医学会血液学分会，中国医师协会多发性骨髓瘤专业委员会.中国多发性骨髓瘤诊治指南（2015年修订）[J].中华内科杂志，2015，54（12）：1066-1070.
[9] 段泉泉，胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志，2012，26（9）：676-679.
[10] Samakouri M，Bouhos G，Kadoglou M，et al. Standardization of the Greek version of Zung’s Self-rating Anxiety Scale （SAS） [J]. Psychiatriki，2012，23（3）：212-220.
[11] Baek HS，Lee KU，Joo EJ，et al. Reliability and Validity of the Korean Version of the Connor-Davidson Resilience Scale [J]. Psychiatry Investiga，2010，7（2）：109-115.
[12] 曹文君，郭颖，平卫伟，等.HPLP-Ⅱ健康促进生活方式量表中文版的研制及其性能测试[J].中华疾病控制杂志，2016，20（3）：286-289.
[13] 杨便红，王秋梅，闫岩，等.多发性骨髓瘤患者骨病自我管理调查及护理干预实践[J].中国护理管理，2013，13（6）：86-88.
[14] 王得印，郝云良，肖萌，等.多发性骨髓瘤流行病学及病因分析[J].国际流行病学传染病学杂志，2018，45（4）：277-280.
[15] Minarik J，Novak M，Flodr P，et al. CD38 negative relapse in multiple myeloma after daratumumab based chemotherapy [J]. Eur J Haematol，2017，99（2）：186-189.
[16] 陈国军.血清β2-MG、CRP、LDH在多发性骨髓瘤患者诊断中的应用[J].中国医药科学，2020，10（7）：189-191， 194.
[17] 于文秀，贺桦，朱辰，等.血清免疫固定电泳联合血清蛋白电泳及骨髓细胞形态分析对多发性骨髓瘤的诊断价值[J].当代医学，2020，26（16）：1-4.
[18] 严笑，欧阳桂芳，徐凯红，等.多发性骨髓瘤患者血清miRNA-181a水平与病理特征的关系[J].中国现代医生，2019，57（22）：9-12.
[19] 纪英，王倩，宋萍.自我效能干预对恶性肿瘤放化疗患者癌痛及生活质量的护理效果[J].中国医药导报，2017， 14（8）：171-174.
[20] 闫慧，孟宪静，李明月，等.家庭护理干预在多发性骨髓瘤患者中的应用效果[J].河北医药，2020，42（8）：1258-1261.
[21] Bayliss EA，Ellis JL，Shoup JA，et al. Association between Continuity of Care and Health-Related Quality of Life [J]. J Am Board Fam Med，2017，30（2）：205-212.
[22] 郭艳艳，樊向丽，亢君.延续性护理对胃癌患者希望水平的影响[J].护理学杂志，2017，32（14）：101-102.
[23] 王晶，黄秋艳，刘艳华，等.背景音乐在“身心并护”优质护理服务中的实施与作用[J].实用临床医药杂志，2014， 18（4）：54-55，58.
[24] Howell D，Harth T，Brown J，et al. Self-management education interventions for patients with cancer：a systematic review [J]. Support Care Cancer，2017，25（4）：1323-1355.
[25] 席小红，唐金凤.基于双心并重共治延续护理对空巢高血压老年患者的影响[J].临床护理杂志，2017，16（4）：36-39.
[26] Lutz LJ，Gaffney-Stomberg E，Williams KW，et al. Adherence to the Dietary Guidelines for Americans Is Associated with Psychological Resilience in Young Adults：A Cross-Sectional Study [J]. J Acad Nutr Diet，2017，117（3）：396-403.
[27] 吴小婷，章新琼，王秋萍，等.癌症患者心理弹性干预的研究进展[J].中华护理杂志，2017，52（3）：316-320.
[28] 黎应琴.身心并重共护连续干预模式在宫颈癌放化疗患者中的效果观察[J].护士进修杂志，2020，35（2）：156-158. |
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