肝癌肝动脉化疗栓塞术后患者的症状网络特征分析

张贞贞; 袁雪婷; 钱多

doi:10.16460/j.issn2097-6569.2025.14.020

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护理学报 ›› 2025, Vol. 32 ›› Issue (14) : 20-24. DOI: 10.16460/j.issn2097-6569.2025.14.020

研究生园地

肝癌肝动脉化疗栓塞术后患者的症状网络特征分析

张贞贞, 袁雪婷, 钱多

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摘要

目的调查肝癌肝动脉化疗栓塞术后患者症状的发生率和严重程度,构建症状网络,识别核心症状及桥梁症状,为优化症状管理提供参考。方法于2023年10月—2024年8月,便利选取苏州市某三级甲等医院介入科245例肝癌肝动脉化疗栓塞术后患者为研究对象,采用一般资料调查表、中文版安德森症状评估量表和肝癌特异症状评估量表进行调查。使用R4.3.3构建症状网络,分析症状网络特征。结果调查结果显示,肝癌肝动脉化疗栓塞术后患者发生率和严重程度最高的症状是睡眠不安（71.8%）;症状网络分析结果显示,恶心是核心症状（rEI=1.762）,胃口差是桥梁症状（rb=2.513）。结论肝癌肝动脉化疗栓塞术后患者经历多重症状困扰,建议医护人员根据症状网络分析结果,建立以恶心和胃口差为干预靶点的症状管理策略,推动症状干预从“单一症状缓解”向“整体症状恢复”的转变,提高症状管理效能。

关键词

肝癌 / 肝动脉化疗栓塞 / 症状网络 / 核心症状 / 桥梁症状

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张贞贞, 袁雪婷, 钱多. 肝癌肝动脉化疗栓塞术后患者的症状网络特征分析[J]. 护理学报. 2025, 32(14): 20-24 https://doi.org/10.16460/j.issn2097-6569.2025.14.020

中图分类号： R473.73

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