知信行理论3H模式对复发和难治性多发性骨髓瘤患者睡眠质量的影响
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The Impact of the 3H Model Based on Knowledge-Attitude-Practice Theory on Sleep Quality inPatientswithRelapsedandRefractoryMultipleMyeloma
LUO Liyun，HUANG Fang，XIAO Qiuping
（Sanming First Hospital Afiliated to Fujian Medical University，Sanming 365ooo，China）
AbstractObjective：Toexplore theefectof the3HmodelbasedonKnowledge-Atitude-Practice（KAP）theoryonsleepquality inpatients with relapsedandrefractory multiple myeloma（MM）.Methods：Atotalof8Opatients withrelapsedandrefractoryMM admittedtoSanmingFirstHospitalAfiliatedtoFujianMedicalUniversityfromJanuary2O22toJanuaryO23wereselectedand randomlydivided intoacontrolgroupandanobservationgroupusingarandom number table method，with 4Ocases ineach group.Thecontrolgroupreceivedroutine nursing intervention，whiletheobservationgroupreceived3Hnursing interventionbased onthe KAP model.The Epworth SleepinessScale（ESS）was used toassessdaytime sleepiness，andthe Pitsburgh SleepQuality Index（PSQI）wasusedtocompare thediffrences inslepqualitybetweethetwo groups.TheConnor-Davidson Resilience Scale （CD-RISC）wasused toexamine patients’coping strategies under stress，andtheeffectiverateof sleepquality improvement was alsocompared between the two groups.Results：After intervention，both groups showed reductions inESSandPSQIscores，with the observation group demonstrating significantly lower scores than the control group（ P<0.05， . The effective rate of sleep quality improvementincreased inbothgroups，withtheobservationgroupshowingasignificantlyhigherratethanthecontrolgroup.The CD-RISC score in the observation group was significantly higher than that in the control group（ P<0.05 ）. Conclusion： The 3H nursing interventionbasedonthe KAPtheorysignificantlyimproves daytime sleepiness，sleepquality，sychologicalstatusinpatients with relapsed and refractory MM，which is worth promoting.
KeywordsRelapsedandrefractorymultiple myeloma;3HnursingbasedonKnowledge-Atitude-Practicetheory；Slepquality; Psychological resilience；Epworth SleepinessScale；Pitsburgh Sleep Quality Index；Connor-Davidson Resilience Scale 中图分类号：R733.3;R338.63 文献标识码：A doi：10.3969/j. issn.2095 -7130. 2025.08.035
多发性骨髓瘤（MultipleMyeloma，MM）作为一种常见的血液系统恶性肿瘤，因复发率高且具有难治性，治疗颇具难度，患者通常需接受多种治疗手段[1-2]。（剩余7543字）
