Objective: Assessing the Effectiveness of a Nutritional Intervention Combined with an Efficacy-Grounded Nursing Plan for Patients with Multiple Myeloma (MM) and Renal Failure.

Methods: A prospective selection was conducted on 92 patients with MM complicated with renal failure admitted to our hospital from April 2022 to April 2024. They were randomly divided into a control group (46 cases, receiving routine nursing care) and an observation group (46 cases, receiving a nursing plan based on efficacy theory combined with nutritional intervention). Compare the changes in self-efficacy CDSES score, psychological resilience CD-RISC score, cancer-related fatigue CFS score, and quality of life FLIC score between two groups.

Results: Following the intervention, there was a notable elevation in CDSES and CD-RISC scores for both groups, with the combined observation group exhibiting higher scores than the control group. Additionally, CFS scores reduced in both groups at 1 week, 1 month, and 3 months post-intervention compared to T0, with the combined regimen patients displaying apparently lower scores than the control group (P<0.05). Marked improvements were observed in domains of physical and psychological well-being, cancer-related hardship, and social well-being for both groups, with the combined observation group achieving higher scores than the control. Nausea scores decreased clearly in both groups post-intervention, though the control group experienced a more pronounced decline compared to the combined care patients (P<0.05).

Conclusions: The integration of an efficacy theory-grounded nursing plan with nutritional intervention exhibits beneficial effects on MM patients with renal failure, enhancing their self-efficacy, bolstering psychological resilience, mitigating cancer-related fatigue, and optimizing nutritional status and overall quality of life.

Disclosures

No relevant conflicts of interest to declare.

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2024
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