姑息治疗的肺癌患者症状群与生活质量相关性分析

doi:10.16460/j.issn1008-9969.2019.06.038

摘要/Abstract

摘要： 目的探讨姑息治疗肺癌患者症状群的组成,及其对生活质量的影响。方法便利抽样选取2018年4—8月山东省3所三级甲等医院接受姑息治疗的144例肺癌患者作为研究对象,采用一般资料调查表、中文版安德森症状测评量表、肺癌特异性症状模块、肺癌患者生存质量测定量表FACT-L中文版进行调查。结果姑息治疗肺癌患者最终确定6个症状群,累积方差贡献率为69.161%,6个症状群为：神经相关症状群、感知症状群、心理症状群、疲乏相关症状群、胃肠道症状群、肺癌特异性症状群。姑息治疗肺癌患者的神经相关症状群、心理症状群及肺癌特异性症状群与生存质量均呈一定负相关（r=-0.277,-0.321,-0.343;均P<0.05）;感知症状群、疲乏症状群及胃肠道症状群与生存质量均呈密切负相关（r=-0.448,-0.444,-0.449;均P<0.05）。结论姑息治疗肺癌患者存在神经相关症状群、感知症状群、心理症状群、疲乏相关症状群、胃肠道症状群、肺癌特异性症状群,其中,感知症状群、疲乏症状群及胃肠道症状群与生活质量呈密切负相关,加重了患者的症状体验,影响患者的生存质量。医护人员应关注症状群的发生发展,从症状群的管理角度出发,制定合理的干预措施,改善患者的生存质量。

关键词: 姑息治疗, 肺癌, 症状群, 生存质量

Abstract: Objective To explore symptom clusters of lung cancer patients with palliative care and its effect on quality of life. Methods Totally 144 lung cancer patients receiving palliative care from April to August 2018 in 3 tertiary grade A hospitals were selected by convenience sampling and they were surveyed by using general information questionnaire, Chinese version of Anderson Symptom Assessment Scale, Lung Cancer Specific Symptom Module and Lung Cancer Patients Quality of Life Scale FACT-L. Results Six symptom clusters were identified for lung cancer patients with palliative care and the contribution rate of cumulative variance was 69.161%. Six symptom groups were neuro-related symptoms, perceived symptoms, psychological symptoms, fatigue-related symptoms, gastrointestinal symptoms and specific symptoms of lung cancer. There was negative correlation between the scores of neuro-related symptoms, psychological symptoms, specific symptoms of lung cancer group and the quality of life(r=-0.227, -0.321, -0.343; all P<0.05) and between perceived symptoms, fatigue symptoms and gastrointestinal symptoms and quality of life（r=-0.448, -0.444, -0.449; P<0.05）. Conclusion There are many symptoms in lung cancer patients with palliative care, which aggravate the symptoms of patients and affect the quality of life of patients. Medical staff should pay attention to the occurrence and development of symptoms, and take reasonable intervention measures from the perspective of symptom management to improve the quality of life of patients.

Key words: palliative care, lung cancer, symptom cluster, quality of life

中图分类号:

R473.73

刘冉冉, 邹振亚, 王仁秀, 乔建红, 许翠萍. 姑息治疗的肺癌患者症状群与生活质量相关性分析[J]. 护理学报, 2019, 26(6): 38-42.

LIU Ran-ran, ZOU Zhen-ya, WANG Ren-xiu, QIAO Jian-hong, XU Cui-ping. Symptom Clusters of Lung Cancer Patients with Palliative Care and Its Association with Quality of Life[J]. Journal of Nursing, 2019, 26(6): 38-42.

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