中国全科医学2026，Vol.29Issue(5)：668-675,8.DOI:10.12114/j.issn.1007-957.2024.0584
胃肠道癌症患者症状群影响因素的范围综述
Factors Influencing Symptom Clusters in Patients with Gastrointestinal Cancers:a Scoping Review
摘要
Abstract
Background The symptom clusters in gastrointestinal cancer patients are influenced by physiological factorsand psychological factors.Current research predominantly focus on lung cancer,breast cancer and other high-incidence cancers,and with insufficient dynamic assessment and mechanistic exploration.Objective A comprehensive review and analysis of symptom clusters in gastrointestinal cancer patients is conducted,aiming to provide a reference for precision management tailored to different types of gastrointestinal cancer patients.Methods A comprehensive literature search was conducted across eight databases,including Embase,PubMed,Web of Science,Cochrane Library,CNKI,Wanfang Data,VIP Database and SinoMed,with the search time frame spanning from database inception to July 2024.Data regarding symptom clusters in gastrointestinal cancer patients was extracted according to inclusion and exclusion criteria,and the basic characteristics,symptom group assessment tools,category characteristics and influencing factors of the included literature were analyzed.Results A total of 4 163 articles were retrieved and 14 were included.Four common symptom clusters were identified,comprising gastrointestinal,psychological,fatigue,and neurologic-related symptoms.These symptom clusters were assessed using a variety of tools,predominantly multi-symptom assessment instruments.The factors influencing symptom clusters primarily encompass sociodemographic and disease-related factors,biological indicators,and individual psychological factors.Conclusion Future studies should explore patient-specific symptom assessment tools for gastrointestinal cancers.Using network analysis,multimodal predictive modeling,and other advanced analysis techniques,we enhanced the accuracy of identifying symptom clusters and subsequently explored the development of a precise symptom cluster management strategy.关键词
胃肠道癌症/症状群/护理/影响因素/范围综述Key words
Gastrointestinal cancer/Symptom clusters/Nursing/Influencing factors/Scoping review分类
医药卫生引用本文复制引用
史佳琦,王玉欣,罗佳妮,姜琪,吴善玉,金头峰..胃肠道癌症患者症状群影响因素的范围综述[J].中国全科医学,2026,29(5):668-675,8.基金项目
吉林省自然科学基金资助项目(YDZJ202201ZYTS227) （YDZJ202201ZYTS227）
长春瑞诺康科技有限公司和延边伊诺登医疗科技有限公司技术开发项目(横20230053) （横20230053）
