关键的手术前症状和患者在口腔癌中的症状经历:一种混合方法研究
Yu Zhang1,2, Jingya Yu2, Tingting Liu3
1State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dep. Of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, No. 14, Section Three, Ren Min Nan Road, Chengdu, Sichuan, 610041, China.
手术前的口腔癌患者会经历痛苦和悲伤. 吞困难和睡眠障碍是核心症状,影响生活质量和指导个性化护理.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 健康心理学 心理健康心理学
背景情况:
- 口腔癌患者在手术前面临显著的症状负担,包括焦虑,疼痛和功能问题.
- 了解这些术前症状对于改善患者护理和治疗结果至关重要.
研究的目的:
- 为中国的术前口腔癌患者构建症状网络.
- 调查症状经历,并确定这一群体中的核心症状.
主要方法:
- 混合方法设计集成横截面和定性方法.
- 对527名口腔癌患者的调查,使用MD Anderson头部和部癌症症状清单 (MDASI-H&N).
- 使用R包 (网络工具,qgraph,Bootnet) 的症状网络分析和通过NVivo.使用定性数据的内容分析.
主要成果:
- 痛苦 (89.56%) 和悲伤 (63.95%) 是最常见和最严重的症状.
- 确定了两个症状集群:情绪睡眠和饮食障碍.
- 难以吞/和睡眠障碍是最重要的;疲劳对生活质量产生了负面影响.
结论:
- 症状网络分析确定了口腔癌患者的核心手术前症状.
- 结果提供了对患者生活经验的洞察.
- 结果支持个性化治疗策略,以提高症状管理和生活质量.
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