消化道癌症患者化疗期的症状群及其与心理一致感的关系

发布时间：2018-10-12 10:30

【摘要】：目的:了解化疗期消化道癌症患者存在的症状群并探讨其与心理一致感的关系。方法:选取安徽省两所三甲医院的化疗期消化道癌症患者212名,采用中文版安德森症状评估量表(MDASI)和心理一致感量表(SOC)进行测评。使用探索性因子分析提取症状群,Spearman相关分析探讨症状群与SOC的关系,并通过聚类分析将症状群划分为高、低分组,采用独立样本t检验比较两组的SOC得分。结果:探索性因子分析结果显示,化疗期消化道癌症患者存在心理症状群、消化道症状群、疲乏-疼痛症状群和神经毒性症状群,累积方差贡献率为64.16%,将疲乏-疼痛症状群依据其症状间相关性的高低分为疲乏症状群和疼痛症状群。5个症状群得分与SOC总分及各维度得分均呈负相关(r=-0.14~-0.57,P㩳0.01或P㩳0.05)。聚类分析得到症状群高分组(n=81)和低分组(n=131),高分组的SOC总分及各维度得分均低于低分组(P㩳0.001)。结论:化疗期消化道癌症患者存在多个生理心理症状群,这些症状群均与心理一致感存在负性关联。
[Abstract]:Objective: to investigate the symptom group of patients with digestive tract cancer during chemotherapy and its relationship with psychological identity. Methods: 212 patients with digestive tract cancer were selected from two triple A hospitals in Anhui Province. The Chinese version of Anderson symptom Assessment scale (MDASI) and the Psychological consensus scale (SOC) were used to evaluate the patients. The symptom group was extracted by exploratory factor analysis, and the relationship between symptom group and SOC was discussed by Spearman correlation analysis. The symptom group was divided into high and low groups by cluster analysis. The SOC scores of the two groups were compared by independent sample t test. Results: exploratory factor analysis showed that there were psychological symptom group, digestive tract symptom group, fatigue and pain symptom group and neurotoxic symptom group in patients with digestive tract cancer during chemotherapy. The cumulative variance contribution rate was 64.16. Fatigue and pain symptom groups were divided into fatigue symptom group and pain symptom group according to their correlation. The scores of five symptom groups were negatively correlated with the total score of SOC and the scores of each dimension (r = -0.14 ~ (-0.14) ~ (-0.57) P ~ (0.01) or P ~ (0. 05). Cluster analysis showed that the scores of the high score group and the low score group were lower than those of the low score group (P0. 001). The total score of SOC and the scores of each dimension in the high score group were lower than those in the low group (P0. 001). Conclusion: there are many physiological and psychological symptom groups in patients with digestive tract cancer during chemotherapy.
【作者单位】：安徽医科大学护理学院;
【基金】：安徽省自然科学基金项目(1608085MH183) 安徽省高校人文社科研究项目(SK2015A363)
【分类号】：R473.73

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