在辅助化疗期间切除胰腺癌患者的症状集群:一个横截面研究
Yun Wang1, Ningning Xia2, Yuan Song2
1School of Nursing, Nanjing Medical University, Nanjing, China.
Asia-Pacific journal of oncology nursing
|November 28, 2025
概括
经过化疗的术后胰腺癌患者经历了显著的症状负担. 识别症状集群,如胃肠道和心理问题,有助于个性化护理和改善结果.
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:
- 接受辅助化疗的胰腺癌患者面临着显著的症状负担.
- 了解症状概况对于有效管理和改善患者治疗结果至关重要.
研究的目的:
- 在接受辅助化疗的术后胰腺癌患者中描述症状概况.
- 根据发生,严重程度和痛苦来识别症状集群.
主要方法:
- 在中国对194名术后胰腺癌患者进行横截面研究.
- 通过纪念症状评估量表 (MSAS) 评估症状,通过卡诺夫斯基绩效状态 (KPS) 评估功能状态.
- 探索性因子分析 (EFA) 确定了发生,严重程度和困境维度的症状集群.
主要成果:
- 患者报告了平均15.01个症状; "感到昏昏欲睡"是最常见的.
- "感到紧张"显示了最严重的严重程度和痛苦.
- 确定了五个症状集群:胃肠道,心理,神经肌肉,生理疲劳消耗和身体形象障碍.
结论:
- 手术后的胰腺癌患者经历了一个多维的症状负担.
- 胃肠道,心理和神经肌肉集群显示出高一致性,需要优先干预.
- 多维评估是管理低一致性集群和优化患者结果的关键.
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