Doctor the First Affiliated Hospital of Xinxiang Medical University Xinxiang, China (People's Republic)
Introduction: Multiple myeloma (MM) is a malignant disease characterized by plasma cell proliferation, leading to significant morbidity and mortality. The 5E management program, an innovative rehabilitation model, has been introduced to improve patient outcomes through a comprehensive care approach. This program includes Encouragement, Education, Exercise, Employment, and Evaluation, aiming to establish positive cognitive patterns and promote effective disease management and health behaviors.The study aimed to evaluate the impact of the 5E management program on the clinical outcomes, psychological well-being, and satisfaction levels of MM patients.
Methods: A total of 220 MM patients admitted between January 2017 and December 2022 were randomly assigned to either the observation group (110 patients) receiving the 5E management program or the control group (110 patients) receiving conventional care. The 5E program involved daily empowerment education during hospitalization and continuous support via WeChat groups post-discharge. Health education was personalized and multifaceted, enhancing patient understanding and engagement in their treatment.
Results: The 5E management program significantly reduced the average length of hospital stay from 16.2 days to 11.8 days (P=0.025). The incidence of complications such as pulmonary infections, fractures, and lower extremity deep vein thrombosis was markedly lower in the 5E group compared to the control group (P=0.005). Anxiety and depression scores were significantly reduced in the 5E group post-intervention (P=0.018). Patient satisfaction with nursing care was higher in the 5E group (P=0.021). Additionally, physician satisfaction with nursing work was significantly higher in the 5E group (99.1%) than in the control group (88.4%) (P=0.013). Patient satisfaction with nursing work was also significantly higher in the 5E group (98.5%) compared to the control group (86.2%) (P=0.001).
Conclusions: The 5E management program offers a comprehensive and effective approach to the care of MM patients, leading to improved clinical outcomes, reduced hospital stays, lower complication rates, and enhanced satisfaction.
