在食道癌手术患者中探索症状集群模式及其轨迹
Chencheng Zhu1, Nianqin Wang2, Feng Xu3
1School of Nursing, Anhui Medical University, PR China; Department of Thoracic Surgery, The First Affiliated Hospital of Anhui Medical University, PR China.
概括
这项研究在食管癌手术患者中确定了四个症状集群. 手术后情绪和胃肠道症状恶化,而疲劳持续存在,需要量身定制的管理策略.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 症状科学 症状科学
背景情况:
- 消化管癌手术带来了显著的症状负担.
- 了解症状轨迹对于患者的康复和生活质量至关重要.
研究的目的:
- 在接受食道癌手术的患者中调查症状负担和症状集群轨迹.
- 随着时间的推移,识别症状经验的不同模式.
主要方法:
- 一个方便的样本,包括210名因食道癌而接受胸腔镜手术的患者.
- 在多个时间点对症状进行评估:手术前和手术后长达3个月.
- 探索性因子分析和潜伏类增长建模,以确定症状集群及其轨迹.
主要成果:
- 确定了四个不同的症状集群:情绪相关,胃肠道,疲劳相关和手术相关.
- 情绪和胃肠道症状在手术后达到顶峰,情绪症状在以后再次出现.
- 与疲劳相关的症状在一组患者中显示出持续恶化的趋势.
结论:
- 在食道癌手术患者中发现了四个症状集群.
- 情绪和胃肠道症状集群需要立即的术后关注,因为恶化和复发.
- 对于患有持续疲劳的患者来说,长期监测至关重要,以告知优先管理症状.
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