在住院期间急性胰腺炎患者的症状网络的动态轨迹
Xue Yang1, Hairong Lin1, Li Zhang1
1Department of Gastroenterology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, China.
Frontiers in medicine
|January 28, 2026
概括
急性胰腺炎 (AP) 患者的症状集群在住院期间演变. 识别和管理疲劳和腹痛等核心症状可以改善患者的护理,并减少症状负担.
科学领域:
- 临床医学 临床医学
- 症状科学 症状科学
- 网络分析 网络分析
背景情况:
- 急性胰腺炎 (AP) 呈现复杂的症状特征.
- 了解动态症状变化对于有效的患者管理至关重要.
研究的目的:
- 在住院的AP患者中识别症状集群.
- 分析这些集群中的动态变化,并使用网络分析识别核心/桥梁症状.
- 为准确的症状管理策略提供信息.
主要方法:
- 每天使用MD安德森症状目录-胃肠道模块评估194名AP患者.
- 探索性因子分析确定了症状集群.
- 症状网络分析评估中心性指数,以确定核心和桥梁症状.
主要成果:
- 出现了三个症状集群:胃肠道,睡眠疲劳和口腔 - 心理困扰.
- 症状网络显示出动态的转变,最初突出的是胃肠道症状,其次是口腔大-心理和睡眠疲劳集群.
- 疲劳和腹痛被确定为持续的核心症状,疼痛也作为关键的桥梁症状.
结论:
- 在AP患者的症状体验在整个住院期间都是动态的.
- 针对核心和桥梁症状提供了一个精确而有效的症状管理方法.
- 这种策略可以有效地减少患者的整体症状负担.
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