在被诊断为乳腺癌的阿曼妇女中评估症状负担:一项跨部门研究
Kouthar Al Alawi1, Amal Al Fahdi2, Moon Fai Chan1
1Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat 123, Oman.
Current oncology (Toronto, Ont.)
|February 25, 2025
概括
这项在阿曼的研究发现,在接受化疗的新诊断乳腺癌 (BC) 患者中,疲劳和健康状况不佳是常见的. 个性化症状管理对于改善患者的生活质量 (QoL) 是至关重要的.
科学领域:
- 在瘤学瘤学.
- 症状管理 症状管理
- 生活质量研究 研究 生命质量研究
背景情况:
- 乳腺癌 (BC) 是全球女性的主要恶性瘤,显著影响生活质量 (QoL).
- 对BC的化疗通常会导致大量的症状负担.
- 评估和管理这些症状对于患者护理至关重要.
研究的目的:
- 评估新诊断的乳腺癌接受化疗的阿曼妇女的患病率和症状严重程度.
- 使用埃德蒙顿症状评估系统 (ESAS-A) 进行全面的症状评估.
- 为了确定与这种人群中的症状负担相关的因素.
主要方法:
- 一项涉及105名阿曼妇女 (年龄在18-60岁) 的横截面研究,她们在接受化疗时患有I-III期BC.
- 使用埃德蒙顿症状评估系统 (ESAS-A) 进行的症状评估.
- 描述性统计,曼-惠特尼U测试和多重线性回归被用于分析.
主要成果:
- 疲劳 (37.1%),健康状况不佳 (30.5%) 和昏昏欲睡 (27.6%) 是最常见的症状.
- 焦虑和抑郁分别影响了21.9%和17.1%的患者.
- 有孩子与疲劳和呼吸短促增加相关,但疼痛减少;家族慢性病史与较高的抑郁症得分相关.
结论:
- 这是阿曼首次使用ESAS-A进行新诊断的乳腺癌患者化疗症状负担评估的研究.
- 这些发现强调了需要量身定制的症状管理策略.
- 增强的支持性护理对于改善患者福祉和质量生活至关重要.
相关概念视频
01:24Disorders of the Female Reproductive System
298
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
298
01:21Cancer Survival Analysis
320
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
320
01:26Methods of Documentation II: POMR
902
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
902
01:25Formulating and Validating Nursing Diagnosis II
2.6K
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
2.6K
01:10Documentation of Nursing Diagnosis
1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K
01:26Formulating and Validating Nursing Diagnosis I
2.5K
A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains...
There are thirteen domains...
2.5K