胃癌患者经过术后化疗的症状的交叉滞后面板网络分析
Siyu Li1, Kaili Zhu2, Chao Xia3
1School of Nursing, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Seminars in oncology nursing
|January 10, 2025
概括
管理吐和味道变化可以改善胃癌患者接受化疗的食欲丧失. 口腔干燥和胀气是治疗早期的关键预测因素.
科学领域:
- 在瘤学瘤学.
- 症状科学 症状科学
- 网络分析 网络分析
背景情况:
- 胃癌患者在化疗期间会出现多种症状.
- 了解症状动态对于有效的患者管理至关重要.
研究的目的:
- 在接受化疗的胃癌患者中开发时间症状网络.
- 在三个关键时间点调查18种症状之间的纵向关系.
主要方法:
- 使用MD. Anderson症状目录 (MDASI) 和MDASI-GI进行症状评估.
- 采用交叉滞后面板网络 (CLPN) 模型来分析症状的相互关系.
- 在三个不同的化疗时间点 (T1,T2,T3) 收集的数据.
主要成果:
- 口腔干燥在早期治疗阶段 (T1→T2) 显示出高预测能力.
- 味觉的变化显著预测了食欲的缺乏 (T2→T3).
- 在中期治疗阶段 (T2→T3) 感到胀成为一个强有力的预测因素.
结论:
- 针对吐和口味变化的干预措施可以缓解食欲不足.
- 口腔干燥和胀气需要注意,因为它们是治疗早期和中期的重要预测因素.
- 症状网络分析有助于确定胃癌患者的及时干预目标.
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