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[Efficacy of Continuous Prevention of Injury Combined with Interfereuce of Pain on Enhancement of Physical Safety and Pain Control in Patients with Multiple Myeloma].

OBJECTIVE
To analyze the efficacy of continuous prevention injury combined with interference of pain on enhomcement of physical safety inside and outside hospital and pain control in patients with multiple myeloma (MM).


METHODS
Two hundred and thirty-three MM patients admitted in our hospital from January 2016 to December 2017 were divided into 2 group according to odd-even number of hospitalization: routine nursing group (odd number) and combined nursing group (ever number). 119 patients in routine nursing group were given routine nursing, 114 patients in combined nursing group were given combined nursing consisting of continuous prevention of injury combined with interference of pain. The safety event incidence, pain relief, life quality and mental status of patients in 2 groups were compared.


RESULTS
The incidence of accidental injuries and disease damages in combined nursing group was significantly lower than that in routine nursing group (3.51% and 4.29% vs 11.76% and 12.61%) (P＜0.05). The numeric rating scale (NRS) pain score on the day of hospitalization was not significantly different between 2 groups (P＞0.05), after interference, the NRS score and the six-point behavior score in combined nursing group were superior to those in routine nursing group (P＜0.05). Before interference, the life quality scores were not significantly different between 2 groups (P＞0.05), after interference, the some indicators of life quality in 2 groups were impromoved, the scores of physical function, role function, coguitive function, emotional function, and social function of patients in combined nursing group were superior to those in routine nursing group, the scores related with fatigue, nausea and vomiting, pain, loss of appetite, insomnia and overall health status of patients in combined nursing group were superior to those in routine nursing group (P＜0.05). Before interference, there were no significant difference in scores of HAMA scale and HAMD scale between 2 groups (P＞0.05), after interference, the scores of HAMA scale and HAMD scale in 2 groups both decreased, but the scores of above-mentioned scales in combined nursing group was lower than those in routine nursing group (P＜0.05).


CONCLUSION
The Continuous prevention of injury combined with interference of pain shows the better safety of inside and outside hospital and good efficacy of pain control for MM patients.