在消化道癌患者中确定核心症状集群:网络分析
Ke Wang1, Min Diao, Zhaoxia Yang
1Author Affiliations: Department of Nursing, The Second Affiliated Hospital of Shandong First Medical University (Dr Wang, and Mss Diao and Yang), Tai'an City, China; Nursing Education Department, College of Nursing, Imam Abdulrahman Bin Faisal University (Dr Salvador), Dammam, Saudi Arabia; and College of Nursing, Shandong First Medical University (Ms Zhang), Tai'an City, China.
消化道癌症患者的消化道癌症患者.
科学领域:
- 在瘤学瘤学.
- 精神病体医学是一种精神病体医学.
- 医疗保健中的网络分析
背景情况:
- 消化系统癌症的精确症状干预因缺乏已识别的核心症状集群而受到限制.
- 很少有研究利用网络分析来识别消化系统癌症患者的症状集群.
研究的目的:
- 为消化系统癌症患者建立一个症状网络.
- 在这个网络中识别核心症状集群.
主要方法:
- 与202位消化道癌症患者进行的横截面研究.
- 使用了MD安德森胃肠癌症状清单中文版本的尺度.
- 采用R软件用于网络构建和核心集群识别,并进行边缘重量和中心差异测试以获得准确性.
主要成果:
- 常见的症状包括焦虑,食欲不佳和悲伤;严重的症状是食欲不佳,睡眠障碍和疲劳.
- 核心心理情绪症状集群包括痛苦,悲伤和麻木.
- 痛苦,疲劳和悲伤是最强烈的中心症状,心理情绪组的稳定性高.
结论:
- 在消化系统癌症患者中,优先考虑心理情绪症状的干预.
- 倡导将网络分析扩展到癌症症状研究,以基于证据的管理.
- 护士应该进行彻底的心理情绪评估和干预,包括转诊和食欲丧失的药理/非药理治疗.
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