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Effect of multidisciplinary cooperative continuous nursing and psychological nursing on multiple myeloma with a peripherally inserted central catheter

    Dongliang Li

    Hematology Department, The First Affiliated Hospital of Kangda College of Nanjing Medical University (The First People's Hospital of Lianyungang), Lianyungang, 222000, Jiangsu, China

    ,
    Fengfeng Sun

    Intravenous Therapy Clinic, The First Affiliated Hospital of Kangda College of Nanjing Medical University (The First People's Hospital of Lianyungang), Lianyungang, 222000, Jiangsu, China

    &
    Yan Yang

    *Author for correspondence: Tel.: +86 0518 8560 5029;

    E-mail Address: Yangyan5029@163.com

    Nursing Department, The First Affiliated Hospital of Kangda College of Nanjing Medical University (The First People's Hospital of Lianyungang), Lianyungang, 222000, Jiangsu, China

    Published Online:https://doi.org/10.2217/fon-2023-0757

    Objective: This study was conducted to analyze the effectiveness of multidisciplinary cooperative continuous nursing combined with psychological nursing intervention in multiple myeloma (MM) patients undergoing peripherally inserted central catheter (PICC). Methods: The Numerical Pain Rating Scale (NPRS), Anxiety Self-Assessment Scale (SAS), Depression Self-Assessment Scale (SDS) and Revised Piper Fatigue Scale (PFS-R), Self-Care Ability Scale (ESCA), Quality of Life Core Questionnaire (QLQ-C30), incidence of unplanned extubation of PICC, total incidence of catheter-related complications and satisfaction with nursing were compared between the two groups of patients in a prospective study. Results: Patients in the observation group had reduced NPRS, SAS, SDS and PFS-R scores, total incidence of unplanned extubation of PICC and the total incidence of catheter-related complications, and a higher nursing satisfaction rate in comparison to those in the control group. Conclusion: Multidisciplinary cooperative continuous nursing combined with psychological nursing interventions can relieve pain in MM patients.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

    References

    • 1. Cowan AJ, Green DJ, Kwok M et al. Diagnosis and management of multiple myeloma: a review. JAMA 327(5), 464–477 (2022).
    • 2. Michels TC, Petersen KE. Multiple myeloma: diagnosis and treatment. Am. Fam. Physician 95(6), 373–383 (2017).
    • 3. Levin A, Hari P, Dhakal B. Novel biomarkers in multiple myeloma. Transl. Res. 201, 49–59 (2018).
    • 4. Rodriguez-Otero P, Paiva B, San-Miguel JF. Roadmap to cure multiple myeloma. Cancer Treat. Rev. 100, 102284 (2021).
    • 5. McAuliffe E, O'Shea S, Khan MI. PO-02 – Retrospective audit of the peripherally inserted central catheter (PICC) associated thrombosis in patients with haematological malignancies at Cork University Hospital. Thromb. Res. 140(Suppl. 1), S176 (2016). • Discusses the role of peripherally inserted central catheters (PICCs).
    • 6. Duwadi S, Zhao Q, Budal BS. Peripherally inserted central catheters in critically ill patients - complications and its prevention: a review. Int. J. Nurs. Sci. 6(1), 99–105 (2019). • Discusses the role of PICCs.
    • 7. Chopra V, Ratz D, Kuhn L et al. PICC-associated bloodstream infections: prevalence, patterns, and predictors. Am. J. Med. 127(4), 319–28 (2014). • Discusses the role of PICCs.
    • 8. Xu H, Yang W, Liu Y et al. Analysis of nursing effect and impact of narrative nursing model on anxiety of tumor patients with PICC under chemotherapy. Evid. Based Complement. Alternat. Med. 2021, 3698845 (2021). • Discusses the role of PICCs.
    • 9. Hu Y, Ling Y, Ye Y et al. Analysis of risk factors of PICC-related bloodstream infection in newborns: implications for nursing care. Eur. J. Med. Res. 26(1), 80 (2021). • Discusses the complications of PICCs.
    • 10. Lacostena-Perez ME, Buesa-Escar AM, Gil-Alos AM. Complications related to the insertion and maintenance of peripheral venous access central venous catheter. Enferm. Intensiva (Engl. Ed.) 30(3), 116–126 (2019). • Discusses the complications of PICCs.
    • 11. Faiman B. Clinical updates and nursing considerations for patients with multiple myeloma. Clin. J. Oncol. Nurs. 11(6), 831–40 (2007).
    • 12. Epstein M, Morrison C. Practical guidance for new multiple myeloma treatment regimens: a nursing perspective. Semin. Oncol. 49(1), 103–117 (2022).
    • 13. Gong Y, Zhou J, Ding F. Investigating the demands for mobile internet-based home nursing services for the elderly. J. Investig. Med. 70(3), 844–852 (2022).
    • 14. Du J, Hou J. The guidelines for the diagnosis and management of multiple myeloma in China (2015 revision): interpretation of diagnosis. Zhonghua Nei Ke Za Zhi 55(2), 91–2 (2016).
    • 15. Von Korff M, Jensen MP, Karoly P. Assessing global pain severity by self-report in clinical and health services research. Spine (Phila. PA 1976) 25(24), 3140–51 (2000).
    • 16. Zung WW. A rating instrument for anxiety disorders. Psychosomatics 12(6), 371–9 (1971).
    • 17. Zung WW, Richards CB, Short MJ. Self-rating depression scale in an outpatient clinic. Further validation of the SDS. Arch. Gen. Psychiatry 13(6), 508–15 (1965).
    • 18. Piper BF, Dibble SL, Dodd MJ et al. The revised Piper Fatigue Scale: psychometric evaluation in women with breast cancer. Oncol. Nurs. Forum 25(4), 677–84 (1998).
    • 19. Kearney BY, Fleischer BJ. Development of an instrument to measure exercise of self-care agency. Res. Nurs. Health 2(1), 25–34 (1979).
    • 20. Aaronson NK, Ahmedzai S, Bergman B et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J. Natl Cancer Inst. 85(5), 365–76 (1993).
    • 21. Minnie SA, Hill GR. Immunotherapy of multiple myeloma. J. Clin. Invest. 130(4), 1565–1575 (2020).
    • 22. Caers J, Garderet L, Kortum KM et al. European Myeloma Network recommendations on tools for the diagnosis and monitoring of multiple myeloma: what to use and when. Haematologica 103(11), 1772–1784 (2018).
    • 23. Qian H, Liu J, Xu C et al. Predisposing factors and effect of bundle nursing in PICC-related upper extremity deep venous thrombosis in patients with non-Hodgkin's lymphoma undergoing chemotherapy. Am. J. Transl. Res. 13(8), 9679–9686 (2021). •• Describes the functions of nursing.
    • 24. Health Quality O. Continuity of care to optimize chronic disease management in the community setting: an evidence-based analysis. Ont. Health Technol. Assess. Ser. 13(6), 1–41 (2013). •• Describes the functions of nursing.
    • 25. Bahr SJ, Weiss ME. Clarifying model for continuity of care: a concept analysis. Int. J. Nurs. Pract. 25(2), e12704 (2019). •• Describes the functions of nursing.
    • 26. Jackson C, Ball L. Continuity of care: vital, but how do we measure and promote it? Aust. J. Gen. Pract. 47(10), 662–664 (2018).
    • 27. Gulliford M, Naithani S, Morgan M. What is ‘continuity of care’? J. Health Serv. Res. Policy 11(4), 248–50 (2006).
    • 28. Comerford D, Shah R. Ambulatory approach to cancer care. Part 2: the role of nurses and the multidisciplinary team and safety. Br. J. Nurs. 28(4), S20–S26 (2019).
    • 29. Tariman JD, Estrella SM. The changing treatment paradigm in patients with newly diagnosed multiple myeloma: implications for nursing. Oncol. Nurs. Forum 32(6), E127–38 (2005).
    • 30. Jamal N, Young VN, Shapiro J et al. Patient safety/quality improvement primer, part IV: Psychological safety-drivers to outcomes and well-being. Otolaryngol. Head Neck Surg. 168(4), 881–888 (2023).