实用临床医药杂志2024，Vol.28Issue(20)：23-26,31,5.DOI:10.7619/jcmp.20241918
乳腺癌术后初期患者症状群及前哨症状的调查研究
Investigation of symptom clusters and sentinel symptoms in early postoperative breast cancer patients
摘要
Abstract
Objective To investigate the composition of symptom clusters in early postoperative breast cancer patients and analyze the sentinel symptoms of each cluster of symptoms.Methods A total of 309 patients who underwent mastectomy were conveniently sampled and surveyed using the Chinese version of the Anderson Symptom Inventory.Principal component analysis and varimax or-thogonal rotation were employed to analyze the symptom clusters,and their associations were analyzed using the Apriori algorithm model to identify the sentinel symptoms of each cluster of symptoms.Re-sults Three symptom clusters were identified in early postoperative breast cancer patients:neuro-sleep symptom cluster[fatigue(weakness)-distress-pain-sleepiness-restless sleep],sensory-perception symptom cluster(numbness-forgetfulness-shortness of breath-sadness-dry mouth),and digestive system symptom cluster(nausea-vomiting-loss of appetite).Fatigue was the sentinel symptom of the neuro-sleep symptom cluster,numbness was the sentinel symptom of the sensory-perception symptom cluster,and nausea was the sentinel symptom of the digestive system symptom cluster.Conclusion Early postoperative breast cancer patients experience multiple symptom clusters,with sentinel symptoms ex-isting in each cluster.Healthcare staff should develop intervention measures based on sentinel symp-toms to improve the efficiency of symptom management and reduce the degree of symptom distress for patients.关键词
乳腺癌/术后初期/症状群/前哨症状/症状管理/横断面研究Key words
breast cancer/early postoperative period/symptom clusters/sentinel symptoms/symptom management/cross-sectional study分类
医药卫生引用本文复制引用
王利珍,赖天丽,赖翠薇,邱霓,黄华英,宋君凤,温诗琪,曾宇婷,曾丹娜,徐泰..乳腺癌术后初期患者症状群及前哨症状的调查研究[J].实用临床医药杂志,2024,28(20):23-26,31,5.基金项目
广东省自然科学基金面上项目(2023A1515010203) （2023A1515010203）
广东省梅州市社会发展科技计划项目(201113092050249) （201113092050249）
广东省梅州市人民医院科研培育项目(PY-C2020025) （PY-C2020025）
