晚期癌症住院患者核心症状集群的特征和差异:网络分析
Yitao Wei1, Wan Cheng1, Yuanfeng Lu1
1School of Nursing, Fujian Medical University, Fuzhou, China.
Cancer medicine
|November 4, 2024
概括
在接受临终关怀的晚期癌症患者中,营养症状如食欲丧失和营养不良是核心的. 较短的生存期与更多相互关联的症状相关,影响患者的整体福祉.
科学领域:
- 息护理研究 息护理研究
- 瘤学 症状管理 症状管理
- 卫生中的网络分析.
背景情况:
- 晚期癌症患者通常会同时出现多种症状.
- 了解与生存预期相关的核心症状集群对于宿舍护理至关重要.
- 基于晚期癌症患者的生存预后的症状网络差异存在有限的研究.
研究的目的:
- 在接受宿舍护理的晚期癌症患者中识别核心症状集群.
- 为了在不同的生存期望中比较症状网络特征.
- 阐明预后对症状相互联系的影响.
主要方法:
- 对6946名晚期癌症患者的二次数据进行了回顾性分析.
- 从2001年4月到2020年12月使用了基于家庭的宿舍护理服务记录.
- 应用网络分析来检查症状关系和群集.
主要成果:
- 胃口丧失是0-6个月预期生存期 (n=6946) 的患者的主要症状.
- 营养不良成为6-12个月预期生存期的患者的核心症状.
- 存活时间较短的患者 (<6个月) 与存活时间较长 (6-12个月, 28.39) 的患者相比,症状网络密度 (91.99) 显著更高.
- 浪费综合征是两个生存组的核心症状集群.
结论:
- 营养影响症状对于在家住院护理的晚期癌症患者来说至关重要,预后高达一年.
- 在宿舍癌症患者中,较短的生存期与更大的症状间影响有关.
- 这些发现强调了在终身癌症护理中解决营养状况和症状相互联系的重要性.
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