在因癌症而接受胃切除术的患者中,症状负担很高
Elizabeth J Lilley1, Pamela Lu1, Kristen Robinson1
1Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Journal of surgical oncology
|October 18, 2023
概括
经过胃切除术的癌症患者经常出现严重症状,严重影响手术前后的日常生活. 了解这些症状模式对于改善患者的康复和整体体验至关重要.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 有限的数据存在于经过胃切除术的癌症患者的症状负担.
- 评估术后症状严重程度对于患者护理至关重要.
研究的目的:
- 为了研究癌症患者胃切除术前后的症状严重程度模式.
- 量化胃切除术对日常生活干扰的影响.
主要方法:
- 在单一机构进行前性队列研究.
- 手术前和手术后 (POD 1-3,POD 4-7) 进行的连续症状测量问卷.
- 计算患有中度至重度症状得分的患者百分比.
主要成果:
- 46%的患者在手术前报告了中度/严重的症状.
- 手术后症状的严重程度显著增加,88%的患者在POD1-3和79%的患者在POD4-7报告了症状.
- 每日生活干扰从手术前的25%上升到手术后的73%.
结论:
- 癌症胃切除术经常与显著的症状负担和日常生活干扰有关.
- 更好地了解外科手术期间的症状可以提高患者的康复和体验.
- 对症状管理策略的进一步研究是有必要的.
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