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在接受化疗的急性淋巴细胞白血病儿童中,症状集群的稳定性
Rongrong Li1, Xinyi Shen, Qi Yang
1Author Affiliations: Department of Hematology (Dr R. Li and Mss Shen and Yang), Department of Nursing (Ms Yao), and the Union (Ms Chan), Children's Hospital Affiliated to Soochow University; and School of Nursing (Ms Zhang, and Dr H. Li), Soochow University.
化学疗法期间患有急性淋巴细胞白血病 (ALL) 的儿童的症状集群显示出一些稳定性. 虽然症状集群 (SC) 的数量和类型各不相同,但临床医生应监测个体患者的发展轨迹.
科学领域:
- 儿科瘤学 儿科瘤学
- 症状科学 症状科学
- 临床研究 临床研究
背景情况:
- 接受急性淋巴细胞白血病 (ALL) 化疗的儿童会出现许多症状.
- 了解这些症状是如何聚集和演变的,对于管理患者护理和探索潜在机制至关重要.
研究的目的:
- 评估儿童ALL患者在整个化疗治疗期间症状集群 (SCs) 的稳定性.
主要方法:
- 一项纵向研究涉及134名患有ALL的儿童 (8-16岁).
- 纪念症状评估尺度的中文版本在化疗期间在四个时间点进行.
- 探索性因子分析用于识别和提取症状集群.
主要成果:
- 确定了六个不同的症状集群.
- 在所有评估维度和时间点上一致观察到情绪和体质集群.
- 其他群体,包括胃肠道,神经,自我形象和皮肤/粘膜,在整个治疗过程中表现出不同的存在和尺寸.
结论:
- 症状集群的组成可以根据症状尺寸 (发生,严重程度,痛苦) 和时间点而有所不同.
- 尽管存在差异,但某些症状集群在ALL化疗期间表现出相对稳定.
- 建议对症状和症状集群进行个性化评估,以获得最佳的患者护理.
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