在肺癌患者中探索中心和桥梁症状:网络分析
Yuanyuan Luo1, Jiahui Luo2, Qing Su1
1School of Nursing, Southern Medical University, Guangzhou, Guangdong, China.
Seminars in oncology nursing
|May 4, 2024
概括
接受化疗的肺癌患者经历了症状集群. 识别中心和桥梁症状可以导致更精确和更有效的症状管理策略,以改善患者护理.
科学领域:
- 在瘤学瘤学.
- 症状科学 症状科学
- 护理研究 护理研究
背景情况:
- 接受化疗的肺癌患者经常经历高症状负担.
- 了解症状之间的相互关系对于有效的治疗至关重要.
- 以前的研究还没有完全阐明这个人群中症状集群的结构.
研究的目的:
- 在接受化疗的肺癌患者中识别不同的症状集群.
- 确定每个已识别的集群中的中心和桥梁症状.
- 为症状管理提供有针对性的干预措施提供信息.
主要方法:
- 这是一项涉及1255名肺癌患者的横截面研究.
- 使用MD评估的症状负担. 安德森症状目录 (MDASI) 和它的肺癌模块 (MDASI-LC).
- 使用Walktrap算法和网络分析识别的症状集群.
主要成果:
- 确定了四个主要症状集群:疲劳,胃肠道,精神神经系统和呼吸系统.
- 中心症状包括疲劳,吐,焦虑和血栓塞.
- 发现的桥梁症状包括疼痛,吐,口腔干燥和呼吸短促.
结论:
- 肺癌症状形成相互连接的集群,中心症状影响集群内的其他症状.
- 桥梁症状可能会调解不同症状集群之间的联系.
- 针对中心症状可以管理集群,而针对桥梁症状可以减少整体网络密度和负担.
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