在术后期间患有结直肠癌的患者的症状网络
Mingming Zhong1, Birong Qi1, Yi Sun1
1Nursing Department, Zhongshan Hospital, Fudan University, Shanghai, 200032, People's Republic of China.
概括
在结直肠癌患者手术前的情绪困扰可以预测术后的胃肠道问题,如吐和改变肠道习惯. 在心理和肠道症状的早期干预可能会改善患者的结果.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 网络分析 网络分析
背景情况:
- 结肠直肠癌手术对患者的身体和情绪都有影响.
- 了解术后期症状动态对于有效管理至关重要.
研究的目的:
- 使用交叉滞后面板网络 (CLPN) 分析,为结直肠癌患者构建一个症状网络.
- 为了确定在外科手术期间症状之间的预测关系.
- 发现症状管理的干预机会.
主要方法:
- 315名结肠直肠癌患者在四个术后时间点 (术前入院,术后第一,第三天和出院) 进行了评估.
- 使用MD安德森症状尺度和结直肠癌模块测量症状严重程度.
- 使用LASSO调节的CLPN分析来检查时间症状关系.
主要成果:
- 核心症状包括吐,焦虑和改变肠道习惯,随着时间的推移观察到动态变化.
- 手术前的悲伤预测了手术后的吐,低情绪和口腔干燥.
- 手术后的低情绪预测了便特征的改变和便秘.
- 吐和便变化的特征显示出大量的入口可预测性.
结论:
- 术前情绪症状是结肠直肠癌患者随后胃肠道症状的关键预测因素.
- 针对心理压力和肠道功能障碍的干预措施在外科手术期间可以中断症状传播.
- 症状网络分析为瘤护理中的精确干预提供了可操作的目标.
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