肺癌化疗患者症状群的研究现状及护理干预进展

刘萍, 马景双

护理学报 ›› 2025, Vol. 32 ›› Issue (14) : 25-30.

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护理学报 ›› 2025, Vol. 32 ›› Issue (14) : 25-30. DOI: 10.16460/j.issn2097-6569.2025.14.025
文献研究

肺癌化疗患者症状群的研究现状及护理干预进展

  • 刘萍, 马景双
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摘要

目的 综述国内外肺癌化疗患者症状群及其关键症状的研究现状,为临床制定护理对策提供科学依据。方法 系统回顾国内外文献,重点分析症状群的相关概念、发生机制、开展研究的方法学,以及肺癌化疗患者症状群的分类、特点和护理干预措施。结果 (1)肺癌化疗患者的症状群包括4类:即心理情绪症状群、肺癌特异性症状群、胃肠道症状群、疲乏相关症状群;其症状群的关键症状中,重要的前哨症状有疲乏、咳嗽、焦虑和食欲不振;核心症状包括疲乏、咳嗽、呕吐、苦恼和咯血;常见的桥梁症状有疼痛、呕吐、口干和气短。(2)症状群护理干预以非药物干预为主,包括心理教育、运动及中医疗法等综合措施,能减轻患者的症状负担,促进生理和心理功能的改善。结论 肺癌化疗患者症状群研究逐渐受到重视,当前的干预研究不足,未来研究应着重利用当前的研究结果或纵向数据,深入探讨症状群的潜在机制;针对重要的症状(咳嗽、疲乏、焦虑是重要的前哨症状和核心症状,呕吐是重要的核心症状和桥梁症状),制定临床护理干预策略,达到改善患者生活质量的目标。

关键词

肺癌 / 化疗期 / 症状群 / 前哨症状 / 核心症状 / 桥梁症状 / 护理干预

引用本文

导出引用
刘萍, 马景双. 肺癌化疗患者症状群的研究现状及护理干预进展[J]. 护理学报. 2025, 32(14): 25-30 https://doi.org/10.16460/j.issn2097-6569.2025.14.025
中图分类号: R473.73   

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基金

2024年辽宁省自然科学基金计划项目(2024-BS-137); 2024年度辽宁省教育厅高校基本科研项目储备项目(2024-JYTCB-031)

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