非筋肉侵襲性膀がんの男性患者における症状群,症状経験,および症状群の相関関係:横断的な研究
Seong Ha Jang1, Myoung Soo Kim2
1Urology Ward, Pusan National University Hospital, Busan, South Korea.
まとめ
非筋肉侵襲性膀がん (NMIBC) の患者は,主に感情的な5つの異なる症状群を経験します. これらのクラスターの管理には 症状の経験と健康行動の改善が必要です
科学分野:
- 腫瘍学
- 泌尿器科
- 心理学
背景:
- 非筋肉侵襲性膀がん (NMIBC) は様々な患者症状を示しますが,特定の症状群はよく定義されていません.
- 患者のケアと生活の質を改善するために これらの症状のクラスターを理解することが重要です
研究 の 目的:
- NMIBCと診断された男性患者の症状群を特定する.
- 特定された症状のクラスター,患者の症状経験 (不確実性および堅強さ),および症状のクラスター管理 (健康行動) の間の関連を調べる.
主な方法:
- トランス尿管切除後の100人の男性NMIBC患者を対象とした横断的な研究.
- 質問表を用いた対面面談で収集したデータ
- 統計的分析には,記述的統計,tテスト,ANOVA,相関,および正規相関分析が含まれていた.
主要な成果:
- 性活力障害,不安,性機能障害,尿路障害の不快感,腹部膨張という5つの症状群が特定されました.
- 症状群,経験,管理の間で有意な正規的相関関係 (0. 60) が発見され,36%の重複差が示された.
- 不安,小便の不快感,腹筋,性活性の機能障害の低下は 不確実性の減少,身体活動の増加,アルコールの消費の減少と相関しています.
結論:
- 感情的な症状のクラスターは,NMIBC患者で一般的です.
- 症状のクラスターの発生は,症状の経験の増大と症状のクラスター管理の減少と関連しています.
- 看護師は,ネガティブな症状の体験を緩和し,症状のクラスター管理戦略を強化するために心理的介入を優先すべきである.
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