中国全科医学Issue(21)：2568-2572,5.DOI:10.3969/j.issn.1007-9572.2015.21.016
胃肠道肿瘤患者术后一周内症状群的调查研究
An Investigation of Symptom Clusters of Gastrointestinal Cancer Patients Within One Week After Operation
摘要
Abstract
Objective To explore the occurrences of symptoms and symptom clusters of gastrointestinal cancer patients within one week after operation.Methods From January to December 2012, 84 gastrointestinal cancer patients underwenting treatment at the first seven days postoperative period were recruited in General Surgery of the Sixth People′s Hospital of Shanghai.The general information questionnaire and the Memorial Symptom Assessment Scale ( MSAS ) were used in cross -sectional study.Results A total of 84 questionnaires were handed out, 79 of them were eligible, the recovery ratio was 94.0%. The study showed that the top ten symptoms were weight loss ( 97.5%, 77/79 ) , dry mouth ( 96.2%, 76/79 ) , pain (91.1%, 72/79), sweating (84.8%, 67/79), bradypsychia (78.5%, 62/79), cough (69.6%, 55/79), difficulty sleeping ( 67.1%, 53/79 ) , feeling drowsy ( 51.9%, 41/79 ) , feeling bloated ( 48.1%, 38/79 ) , feeling nervous (40.5%, 32/79) .The Spearman correlation analysis showed that bradypsychia was positively correlated with weight loss, dry mouth, pain, sweating, cough, difficulty sleeping, feeling drowsy and feeling nervous; sweating was positively correlated with dry mouth, pain, difficulty sleeping, feeling drowsy and feeling bloated; pain was positively correlated with difficulty sleeping, feeling drowsy and feeling nervous; feeling nervous was positively correlated with cough, difficulty sleeping, feeling bloated;dry mouth was positively correlated with weight loss and difficulty sleeping; cough was positively correlated with feeling bloated, respectively (P<0.05) .The exploratory factor analysis of symptoms revealed six major symptom clusters, which were sickness-behavior symptom cluster, confusion symptom cluster, gastrointestinal symptom cluster, surgery -related symptom cluster, pain-related symptom cluster and other symptom cluster.The cumulative variance contribution rate was 56.54%, while the variance contribution of each symptom cluster was 26.65%, 8.02%, 6.81%, 5.78%, 4.78% and 4.50%, respectively.The Cronbach′s αcoefficient of each symptom cluster was 0.83, 0.72, 0.82, 0.57, 0.61 and 0.51, respectively.Conclusion Gastrointestinal cancer patients can be categorized into several symptom clusters within one week after operation.They are sickness-behavior symptom cluster, confusion symptom cluster, gastrointestinal symptom cluster, surgery-related symptom cluster, pain-related symptom cluster and other symptom cluster.Symptom-cluster -targeted interventions may provide a better clinical efficacy.关键词
胃肿瘤/肠肿瘤/症状群/手术后期间Key words
Stomach neoplasms/Intestinal neoplasms/Symptom clusters/Postoperative period分类
医药卫生引用本文复制引用
朱宇,王维利,周利华,王婷,栾贝贝..胃肠道肿瘤患者术后一周内症状群的调查研究[J].中国全科医学,2015,(21):2568-2572,5.基金项目
安徽省科技计划项目（1303063025）；安徽省省级教学研究项目 （）
