在肺癌患者的术后症状和步数的预测关系
Lijia Hou1,2, Yang Zhao3, Mingqi Zhang1
1Wuxi Medical College, Jiangnan University, 1800 Lihu Avenue, Wuxi, 214122, Jiangsu Province, China.
概括
肺癌患者经历波动的症状和身体活动. 减少步数与症状恶化相关,而增加活动可以缓解疼痛和疲劳.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 持续的症状显著阻碍了肺癌患者的康复.
- 肺癌患者的症状负担和身体活动之间的动态相互作用仍未得到充分研究.
研究的目的:
- 为了研究肺癌患者的症状和身体活动 (步数) 的实时变化.
- 为了确定症状波动和移动性之间的短期预测关系.
主要方法:
- 在96名肺癌患者中,生态瞬间评估 (EMA) 和基于智能手表的步数计时监测.
- 层次线性建模,分析日常症状 (疼痛,疲劳,焦虑,咳,呼吸障碍,嗜睡) 和步数之间的直接和滞后相关性.
- 从术前到术后的六天收集的数据.
主要成果:
- 症状和步数都表现出显著的波动.
- 减少步数与增加症状严重程度有关 (咳除外).
- 增加体力活动与减少疼痛,疲劳和嗜睡相关,表明双向关系.
结论:
- 肺癌患者在外科手术期间表现出动态的症状和活动模式.
- 在日常症状体验和身体活动水平之间存在显著的双向关系.
- 需要进一步研究针对症状管理和提高流动性的干预措施.
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