食管癌患者术后3个月症状群的调查

doi:10.3761/j.issn.0254-1769.2019.08.014

摘要/Abstract

摘要：

目的了解食管癌患者术后3个月的症状发生情况,探讨其症状群的种类和数量。方法采用便利抽样法,选取食管癌患者119例,在术后3个月进行随访,使用中文版欧洲癌症患者生活质量调查量表和食管癌患者特异性生活质量调查量表评估其症状发生情况。结果食管癌患者术后3个月较为严重的症状为疲乏、反流、食欲下降和吞咽困难。探索性因子分析得出4个症状群,分别为疾病行为症状群、放化疗不良反应症状群、进食障碍症状群以及消化道重建症状群,总方差贡献率为71.15%。结论食管癌患者术后3个月存在多种症状群,医护人员应及时评估患者术后可能出现的严重症状及症状群,当某一症状出现时,应同时监测症状群内的其他症状,从而有效地管理患者的症状。

关键词: 食管肿瘤, 症状群, 外科手术, 护理

Abstract:

Objective To describe the symptoms in esophageal cancer patients three months after surgery and to explore the type and quantity of symptom clusters. Methods A convenience sample of 119 esophageal cancer patients were followed up at three months after surgery. Participates completed the Chinese version of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire（QLQ-C30） and Quality of Life Questionnaire Esophageal Cancer-Specific（QLQ-OES18） to assess the symptoms. Results The most severe symptoms were fatigue,appetite loss,reflux and eating difficulties,respectively. Exploratory factor analysis revealed 4 symptom clusters,which were disease behavior symptom cluster,chemoradiotherapy side-effect symptom cluster,eating disorders symptom cluster,and digestive tract reconstruction symptom cluster. The variation contribution rate was 71.15%. Conclusion Patients with esophageal cancer experience various symptom clusters. Symptoms should be assessed timely and when a symptom is present,other symptoms in the same cluster should also be monitored,in order to effectively manage the patients’,symptoms and improve quality of life.

Key words: Esophageal Neoplasms, Symptom Clusters, Surgical Procedures, Operative, Nursing Care

郭敏, 殷秀敏, 王翠, 聂立婷, 王功朝. 食管癌患者术后3个月症状群的调查[J]. 中华护理杂志, 2019, 54(8): 1189-1193.

GUO Min, YIN Xiumin, WANG Cui, NIE Li-ting, WANG Gongchao. Symptom clusters in esophageal cancer patients after surgery[J]. Chinese Journal of Nursing, 2019, 54(8): 1189-1193.

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