肺癌化疗患者症状群因子分析及管理对策研究

发布时间：2018-06-19 04:27

本文选题：肺肿瘤 + 抗肿瘤联合化疗方案　；参考：《中华疾病控制杂志》2017年07期

【摘要】：目的探索肺癌化疗患者存在的症状群及其症状发生频率和严重程度,为肺癌化疗患者的临床医护工作提供有针对性的管理对策。方法采用中文版记忆症状评估量表对150名肺癌化疗患者进行问卷调查,采用主成分分析法进行探索性因子分析。结果 150名肺癌化疗患者平均年龄为(61.8±9.7)岁,男性占66.7%,文化程度主要为初中/中专及以下(85.4%)。症状中"担忧"发生率最高,"疼痛"严重程度较高。中文版记忆症状评估量表共提取5个公因子,分别为胃肠道不适症状群因子、疲乏相关症状群因子、心理不适症状群因子、病态行为症状群因子、不良反应症状群因子,公因子累计解释总变异60.47%。结论临床医护人员需重点关注患者一般特征,寻找症状根源;利用群内症状协同作用,做好症状群识别工作;发现重点症状群,提出针对性管理措施,以改善肺癌患者的生活质量。
[Abstract]:Objective to explore the symptom group, frequency and severity of symptoms in patients with lung cancer chemotherapy, and to provide corresponding management strategies for the clinical care of patients with lung cancer chemotherapy. Methods 150 lung cancer patients were investigated with the Chinese memory symptom Assessment scale and the exploratory factor analysis by principal component analysis (PCA). Results the average age of 150 patients with lung cancer chemotherapy was 61.8 卤9.7 years old, the male accounted for 66.7 years. The main education level was 85.4% in junior high school / technical secondary school or below. The incidence of anxiety is the highest and the severity of pain is higher. Five common factors were extracted from the Chinese version of memory symptom Assessment scale. They were gastrointestinal discomfort symptom group factor, fatigue related symptom group factor, psychological discomfort symptom group factor, pathological behavior symptom group factor, adverse reaction symptom group factor. The total variation explained by common factor was 60.47%. Conclusion Clinical doctors and nurses should pay more attention to the general characteristics of patients, find the root causes of symptoms, make use of the synergistic effect of symptoms within the group, do well in the identification of symptom groups, find the key symptom groups, and put forward targeted management measures. To improve the quality of life of lung cancer patients.
【作者单位】：安徽医科大学第一附属医院呼吸内科;
【基金】：安徽省自然科学基金(090413116)
【分类号】：R473.73

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