在接受食道癌手术的患者中,症状模式的变化轨迹:使用潜在过渡分析进行前性纵向研究
Xuanxuan Ma1, Mengmeng Yuan1, Lijun Wu2
1School of Nursing, Anhui Medical University, NO.15 Feicui Road, Hefei, 230601, Anhui Province, China.
概括
手术后食道癌患者经常经历持续的疲劳或波动的症状. 了解这些症状轨迹是治疗 oesophagectomy 后症状的关键.
科学领域:
- 在瘤学瘤学.
- 症状科学 症状科学
- 患者护理 患者护理
背景情况:
- 消化管癌手术 (消化管切除术) 可以导致显著的症状负担.
- 经食道切除术后的症状集群的发展轨迹尚不清楚.
- 识别症状模式对于改善患者护理至关重要.
研究的目的:
- 在消化管切除术后的患者中识别明显的症状轨迹.
- 分析随着时间的推移,症状体验的变化.
- 为症状管理提供有针对性的干预措施提供信息.
主要方法:
- 预期纵向研究设计.
- 隐藏的个人资料分析,以确定症状组.
- 潜伏过渡分析,以追踪症状模式的变化.
主要成果:
- 确定了三个患者症状组:持续的疲劳,波动的身体症状和高症状.
- 持久性疲劳组表现出高稳定性 (>70%的存活概率).
- 在波动性和高症状组之间观察到显著的过渡;解位,护理人员和癌症阶段预测了这些过渡.
结论:
- 患者的症状经历在食道切除术后演变.
- 干预措施应根据个体症状轨迹量身定制.
- 优化症状管理需要了解动态症状模式.
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