护理研究2024,Vol.38Issue(15):2655-2661,7.DOI:10.12102/j.issn.1009-6493.2024.15.004
居家乳腺癌化疗病人核心症状及影响因素
Core symptom and influencing factors of breast cancer patients in stay-at-home period after chemotherapy
摘要
Abstract
Objective:To construct a symptom network based on complex network analysis for breast cancer in stay-at-home period after chemotherapy,and to identify the core symptom and the influencing factors,so as to provide a basis for constructing an accurate symptom management plan.Methods:The M.D.Anderson Symptom Inventory-Chinese version was used to investigate the occurrence of symptoms in 478 breast cancer patients who were discharged from eight hospitals in Hunan province after chemotherapy and were in stay-at-home period.Symptom networks were constructed using R language and explored for strength,tight centrality and mediated centrality based on Spearman correlation and the Fruchterman-Reingold algorithm.Binary Logistic regression analysis was used to identify influencing factors.Results:Symptom network analysis revealed that the core symptom of breast cancer in stay-at-home period after chemotherapy was fatigue;binary Logistic regression analysis revealed that surgery,present residence,and chemotherapy cycle were influenting factors.Conclusion:Fatigue is the core symptom of breast cancer in stay-at-home period after chemotherapy.It is recommended that health care professionals should strengthen health education before patients are discharged from hospital,and instruct patients to report and deal with their symptoms actively to improve their quality of life in stay-at-home period.关键词
乳腺癌/化疗/网络分析/疲乏/症状管理Key words
breast cancer/chemotherapy/network analysis/fatigue/symptom management引用本文复制引用
雷静,李金花,肖羽乔,李旭英,陈婕君,李星凤,韩露,赵姣..居家乳腺癌化疗病人核心症状及影响因素[J].护理研究,2024,38(15):2655-2661,7.基金项目
湖南省卫生健康委员会 2022 年度科研立项课题,编号:202214054649 ()
湖南省卫生健康委员会2024年度卫生科研课题,编号:W20243207 ()