37例多发性骨髓瘤终末期的人文关怀方法探讨

发布时间：2018-06-21 22:50

本文选题：多发性骨髓瘤 + 人文关怀　；参考：《中医药临床杂志》2016年10期

【摘要】：目的:通过分析多发性骨髓瘤终末期患者病案、护理记录及具体人文关怀方法,研究人文关怀对多发性骨髓瘤终末期患者生活质量的影响及其效果,总结其方法并为本病终末期患者临终人文关怀理论提供依据。方法:回顾性分析湖南中医药大学第一附属医院血液肿瘤科2014年3月-2016年3月收治的37例多发性骨髓瘤终末期患者,随机分为关怀组19例,对照组18例,总结其终末期特点、医治及护理过程中遇到的问题,并随机分为关怀组及对照组,对照组给予常规护理及治疗,关怀组给予其基础护理、疼痛护理、心理护理等有效的终末期人文关怀措施。结果:22例(59.5%)的本病终末期患者临床症状以"骨痛"为主,32例(86.5%)的本病终末期患者存在各脏器感染,36例(97.3%)的本病终末期患者存在低蛋白血症及血红蛋白减少;在心理状态、疼痛缓解以及医疗满意度等指标,关怀组明显优于对照组,差异显著(P0.05)。结论:人文关怀的重点在于观察与评估患者的病情变化,对其生理进行细致的医疗及护理、对其心理进行疏导及安抚,并对其家属做好解释工作及健康指导,在总体上可以提高多发性骨髓瘤终末期患者的生活质量,并延长其生存期,亦可缓解医患之间关系,值得临床推广。
[Abstract]:Objective: to study the effect of humanistic care on the quality of life of patients with multiple myeloma at the end stage by analyzing their medical records, nursing records and specific humanistic care methods. To summarize its method and to provide the basis for the theory of hospice humanistic care for the end-stage patients of this disease. Methods: 37 patients with multiple myeloma treated in Department of Hematological Oncology, the first affiliated Hospital of Hunan University of traditional Chinese Medicine from March 2014 to March 2016, were randomly divided into care group (n = 19) and control group (n = 18). The problems encountered in the course of treatment and nursing were randomly divided into care group and control group. The control group was given routine nursing and treatment, the care group was given its basic nursing, pain care, psychological care and other effective end-stage humanistic care measures. Results the clinical symptoms of 22 cases (59.5%) of the end-stage patients of this disease were "bone pain". 32 cases (86.5%) of the end-stage patients had hypoproteinemia and decreased hemoglobin in 36 cases (97.3%) of the end-stage patients with organ infection. Pain relief and medical satisfaction, care group was significantly better than the control group, the difference was significant (P0.05). Conclusion: the emphasis of humanistic care is to observe and evaluate the changes of patients' condition, to give careful medical and nursing care to their physiology, to soothe their psychology, and to give explanation and health guidance to their family members. In general, it can improve the quality of life of patients with multiple myeloma at the end stage, prolong their survival time, and alleviate the relationship between doctors and patients, which is worthy of clinical promotion.
【作者单位】：湖南中医药大学第一附属医院;湖南中医药大学第二附属医院;
【基金】：湖南省自然科学基金科研项目(2016JJ4070)
【分类号】：R473.73

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