肺癌居家患者症状群及其影响因素分析  

Study on the symptom clusters of lung cancer patients stay at home and its influence factors

作　　者：张卫 王晓晔 黄美霞[1] 丁淑芳[1] ZHANG Wei(Yijishan hospital of Wannan Medical College,Wuhu,Anhui,241000,China)

机构地区：[1]皖南医学院弋矶山医院

出　　处：《齐齐哈尔医学院学报》2019年第15期1934-1937,共4页Journal of Qiqihar Medical University

基　　金：2018年度皖南医学院中青年科研基金(人文社科研究项目)(WKS2018F02)

摘　　要：目的了解肺癌患者居家期间症状及症状群,探讨其症状群特征及影响因素,为肺癌患者居家症状管理提供参考。方法在肺癌患者住院期间采用安德森症状评估量表中文版(Chinese version of the M.D.Anderson symptom inventry,MDASI-C)回顾性调查患者居家阶段的症状,分析其症状群及影响因素。结果 2017年1—12月共164人完成了调查,其中症状发生率及严重度排前几位的是疲乏、苦恼、胃口差、伤感,肺癌居家患者存在5个症状群:呼吸道症状群(咳嗽-咳痰-胸闷)、能量不足症状群(疲乏-胃口差-体重下降)、心理症状群(睡眠不安-苦恼-悲伤)、精力不足症状群(瞌睡-健忘)、肺癌特异性症状群(咯血-疼痛),肺癌分期及类型、手术是症状群严重度的影响因素。结论肺癌患者居家期间存在多个症状群,其受着疾病及治疗等因素的影响,医务人员在关注住院肺癌患者症状的同时还应关注其居家期间的症状,发展相应的症状管理策略,减轻症状负担,提高生活质量。Objective To explore the symptoms and symptom clusters in lung cancer patients during the period of stating at home,and the features of symptom clusters and the influence factors,in order to provide reference for symptom cluster management.Methods The Anderson Symptom Assessment Scale Chinese version(MDASI-C)was used to survey the symptoms of patients with lung cancer during their staying at home retrospectively,and to analyze the symptom cluster and its influencing factors.Results A total of 164 patients completed the survey from January to December 2017.The top four symptoms are fatigue,distress,poor appetite,and sadness.We find respiratory symptom clusters(cough,expectoration,chest distress),lack of energy symptom clusters(fatigue,lack of appetite,loss of weight),mental symptom cluster(Sleep uneasy,distress,sadness),lung cancer-specific symptom cluster(hemoptysis,pain),lack of vigor symptom cluster(sleepy,forgetful).The cancer stage,operation and lung cancer style were the influence factor of the intensity of symptom clusters.Conclusions There exists several symptom clusters for patients with lung cancer during their staying at home,and this was affected by disease and treatment.Medical staff should pay more attention to the symptoms of lung cancer patients who stay at home and develop relevant symptom management strategy to relieve symptom burden and improve the quality of life.

关 键 词：肺癌 居家 症状群 康复 

分 类 号：R473.73[医药卫生—护理学]