接受化疗的多发性骨髓瘤患者:哪些症状群影响生活质量?
Lihong Zeng1, Hui Huang2, Chen Qirong1
1Xiangya School of Nursing, Central South University, Changsha, China.
Journal of clinical nursing
|June 12, 2023
概括
大多数接受化疗的多发性骨髓瘤患者会经历多种症状集群. 缓解疼痛症状对于改善他们的生活质量至关重要,因为它具有最强的负面影响.
科学领域:
- 在瘤学瘤学.
- 症状科学 症状科学
背景情况:
- 多发性骨髓瘤的化疗会引起许多症状,挑战传统的单症状治疗.
- 症状集群为了解和管理患者痛苦提供了一种新的方法.
研究的目的:
- 在接受化疗的多发性骨髓瘤患者中识别症状集群.
- 检查这些症状集群与与健康有关的生活质量之间的关联.
主要方法:
- 一项涉及177名患者的横截面研究,这些患者完成了纪念症状评估量表和生活质量问卷核心30.
- 主要成分分析被用来识别症状集群.
- 皮尔森相关性和多重线性回归分析了症状集群与生活质量之间的关联.
主要成果:
- 确定了六个症状集群:自我形象障碍,心理,胃肠道,神经,体和疼痛.
- 几乎所有患者 (97.65%) 经历了多个症状集群.
- 疼痛,心理和胃肠道集群显著影响生活质量,疼痛是最强的负面关联.
结论:
- 接受化疗的多发性骨髓瘤患者经常经历多种症状集群.
- 临床干预应优先管理疼痛症状集群,以提高与健康有关的生活质量.
- 解决症状集群,而不是单个症状,可能会导致更有效的缓解.
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