蒋祖军　王美秀　徐祥敏

[摘要]目的 探討医养结合治疗模式在老年多发性骨髓瘤患者中的应用效果。方法 选取2015年1月～2017年12月本科室收治的62例老年多发性骨髓瘤患者，将其根据随机数字表法分为对照组（n=31）、观察组（n=31）。对照组患者行常规治疗及护理，观察组患者行医养结合治疗模式。比较两组患者的并发症发生情况、生活质量及护理满意度。结果 观察组患者的并发症总发生率明显低于对照组（P<0.05）。观察组患者干预3个月后的生活质量各评分均较对照组明显升高（P<0.05）。观察组患者的护理满意度评分明显高于对照组（P<0.05）。结论 老年多发性骨髓瘤患者实施医养结合治疗模式可改善患者的生活质量及护理满意度，降低并发症发生风险，应用价值高。

[关键词]老年；多发性骨髓瘤；医养结合；应用效果；并发症；生活质量

[中图分类号] R733.3 [文献标识码] A [文章编号] 1674-4721（2018）8（a）-0008-04

Application effect of treatment mode of combination of medical treatment and pension in elderly patients with multiple myeloma

JIANG Zu-jun1 WANG Mei-xiu2 XU Xiang-min3 LIANG Wei-ping2 LIU Zeng-hui1 ZOU Tao2 GAO Hua-rong4 LIN Liang-hong4

1. Department of Hematology， General Hospital of Guangzhou Military Command of PLA， Guangdong Province， Guangzhou 510010， China； 2. Duobao Street Community Health Service Center of Liwan District in Guangzhou City， Guangdong Province， Guangzhou 510140， China； 3. Chongkou Street Community Health Service Center of Liwan District in Guangzhou City， Guangdong Province， Guangzhou 510380， China； 4. Guangzhou Yishou Nursing Home， Guangdong Province， Guangzhou 510150， China

[Abstract] Objective To investigate the application effect of treatment mode of combination of medical treatment and pension in elderly patients with multiple myeloma. Methods A total of 62 elderly patients with multiple myeloma treated in our department from January 2015 to December 2017 were selected. The patients were divided into the control group （n=31） and observation group （n=31） according to the random number table method. Patients in the control group were given the routine treatment and nursing， while patients in the observation group were given treatment mode of combination of medical treatment and pension. The incidence of complications， quality of life and nursing satisfaction degree in patients between the two groups were compared. Results The total incidence of complications in the observation group was significantly lower than that in the control group （P<0.05）. Each score of quality of life in patients of the observation group patients after 3 months intervention was significantly higher than that of the control group respectively （P<0.05）. The nursing satisfaction degree score of patients in the observation group was significantly higher than that in the control group （P<0.05）. Conclusion The treatment mode of combination of medical treatment and pension applied in elderly patients with multiple myeloma can improve the quality of life and nursing satisfaction degree of patients， and has a high application value.

[Key words] Old age； Multiple myeloma； Combination of medical treatment and pension； Application effect； Complication； Quality of life

多发性骨髓瘤临床较常见的浆细胞恶性病变疾病[1-2]。老年多发性骨髓瘤患者机体耐受性较差，且老年患者自我护理能力较差、机体功能逐渐衰退，在疾病治疗过程中，患者极易出现多种并发症，进一步影响其生活质量及生命安全[3-4]。不断提升老年多发性骨髓瘤患者的临床护理效果在改善患者的预后中具有重要价值。当前我国人口老龄化逐渐加重，社会对老年人口的关注度逐渐增高，医养结合模式是针对老年人群设定的新型医疗及养老模式，是指将医疗资源与养老资源结合的医护模式[5-6]。当前医养结合模式在老年慢性病患者中的应用逐渐增多，但目前临床尚缺乏老年多发性骨髓瘤患者医养结合模式的运用报道。为此，本科室对31例老年多发性骨髓瘤患者实施医养结合治疗模式，现报道如下。

1资料与方法

1.1一般资料

选取本科室2015年1月～2017年12月收治的老年多发性骨髓瘤患者62例，将其根据随机数字表法分为对照组（n=31）、观察组（n=31）。……