摘要
目的:明确结直肠癌病人围术期所经历的症状群类型、组成及动态变化,以期为医护人员实施针对性的围术期症状管理提供依据。方法:选取2024年1月—12月在河南省某三级甲等医院普外科行手术治疗的110例结直肠癌病人为研究对象,分别在病人术前1 d(T1)、术后3 d(T2)和出院当天(T3)使用安德森消化道癌症症状评估量表(MDASI-G2)进行调查,且对3个时间点症状发生率≥40%的症状进行探索性因子分析,提取症状群并进行统计描述。结果:3个时间点症状数目比较差异具有统计学意义(P<0.05),3个时间点发生率>40%的症状数目分别为10、16、15个。探索性因子分析显示,结直肠癌围术期病人3个时间点分别提取2、3、2个症状群。其中,T1为心理症状群、消化道症状群;T2为消化道症状群、疼痛-口干-疲乏躯体症状群和心理症状群;T3为营养缺乏症状群和心理症状群。结论:结直肠癌病人在围术期经历的症状群呈动态变化,其中心理症状群稳定存在,医护人员可以根据不同时期的症状群特征,采取针对性的干预措施,以减轻病人的症状负担。
Objective:To identify the types,composition,and dynamic changes of symptom clusters experienced by patients with colorectal cancer during the perioperative period,aiming to provide a basis for healthcare professionals to implement targeted perioperative symptom management.Methods:A total of 110 colorectal cancer patients who underwent surgical treatment in the general surgery department of a Grade A tertiary hospital in Henan Province between January and December 2024 were selected as study participants.Surveys were conducted using the M.D.Anderson Symptom Inventory Gastrointestinal Cancer Module(MDASI-GI)one day before surgery(T1),three days after surgery(T2),and on the day of discharge(T3).Exploratory factor analysis was performed on symptoms with an incidence rate≥40%at these three time points to extract symptom clusters,which were then statistically described.Results:The number of symptoms with an incidence rate>40%at T1,T2,and T3 was 10,16,and 15,respectively.Exploratory factor analysis revealed that 2,3,and 2 symptom clusters were extracted at T1,T2,and T3,respectively,for perioperative colorectal cancer patients.Specifically,at T1,there were 2 symptom clusters:psychological symptom cluster and gastrointestinal tract symptom cluster.At T2,there were 3 symptom clusters:gastrointestinal tract symptom cluster,pain-dry mouth-fatigue physical symptom cluster,and psychological symptom cluster.At T3,there were 2 symptom clusters:nutritional deficiency symptom cluster and psychological symptom cluster.Conclusions:The symptom clusters experienced by colorectal cancer patients during the perioperative period are dynamic,with the psychological symptom cluster remaining stable.Healthcare professionals can adopt targeted intervention measures based on the characteristics of symptom clusters during different periods to alleviate patients'symptom burden.
作者
陈静娜
史小艳
于丹
张珂瑶
袁昉
张露露
宋利芳
CHEN Jingna;SHI Xiaoyan;YU Dan;ZHANG Keyao;YUAN Fang;ZHANG Lulu;SONG Lifang(The Second Affiliated Hospital of Zhengzhou University,Henan 450000 China)
出处
《全科护理》
2025年第17期3202-3206,共5页
Chinese General Practice Nursing
基金
河南省医学科技攻关计划项目,编号:LHGJ20230349。
关键词
结直肠癌
围术期
症状群
纵向研究
护理
colorectal cancer
perioperative period
symptom cluster
longitudinal study
nursing
