患有结肠直肠癌和糖尿病的患者的症状集群随着时间的推移
Susan Storey1, Xiao Luo2, Jie Ren1
1Indiana University.
Oncology nursing forum
|September 7, 2023
概括
患有结直肠癌 (CRC) 和糖尿病的患者比没有糖尿病的患者体验更多的症状集群. 瘤学临床医生应监测这些患者是否增加症状负担.
科学领域:
- 在瘤学瘤学.
- 临床护理 临床护理
- 症状科学 症状科学
背景情况:
- 大肠直肠癌 (CRC) 是一个重大的健康问题.
- 糖尿病可以影响癌症患者的结果和症状体验.
- 了解CRC患者的症状负担,特别是糖尿病等并发症患者,对于有效的护理至关重要.
研究的目的:
- 调查和比较结直肠癌 (CRC) 患者的症状和症状集群,包括患有和没有糖尿病的患者.
- 在化疗后的三个不同的时间点 (0-6,12-18,24-30个月) 分析症状模式.
主要方法:
- 来自美国中西部癌症中心 (2007-2017) 电子健康记录的回顾性分析.
- 提取八种常见症状 (疲劳,胃肠道问题,抑郁,焦虑,神经病变,身体功能,认知,睡眠障碍).
- 探索性因子分析,以确定症状集群,并评估其模式和临床相关性.
主要成果:
- 胃肠道问题和疲劳是CRC患者在所有时间段中最常见的症状.
- 与没有糖尿病 (n=4) 患者相比,患有CRC和糖尿病的患者表现出更多的症状集群 (n=7).
- 对于任何一组患者,随着时间的推移,都没有一致确定任何稳定的症状集群.
结论:
- 患有CRC和糖尿病的患者可能会出现更严重或多种症状集群.
- 瘤学临床医生应该意识到糖尿病的CRC患者的症状负担增加的可能性.
- 对这种患者群体来说,定期评估和监测症状和症状集群至关重要.
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