摘要
目的针对肺叶切除术后的肺癌患者,调查其症状群特点、症状发生率和严重程度,为医护人员提供患者症状群管理依据。方法采取便利抽样法,在郑州某三级甲等医院内,选取符合纳入排除标准的患者215例,使用安德森症状评估量表中文版和修订版肺癌特异性症状模块进行调查。结果肺癌患者肺叶切除术后存在多种症状,其中发生率较高的症状有疼痛(75.3%)、咳嗽(68.8%)、咳痰(63.4%)、睡眠不安(59.4%),较严重的症状为咳嗽(5.00分)、悲伤感(4.00分)和疼痛(4.00分)。采用因子分析得出5个症状群,具体包括:呼吸-睡眠症状群、消化道症状群、呼吸道相关症状群、疼痛相关症状群、情绪症状群。结论肺癌患者肺叶切除术后存在多个症状群,医护人员应对患者进行积极的症状评估和管理,从而改善患者的症状。
Objective To investigate the features, incidence and severity of symptom cluster in lung cancer patients after lobectomyand to provide the basis for the management of symptom cluster for medical staff. Methods By convenience sampling method, 215patients from one tertiary grade A hospital were included in the study and they were investigated by using the Anderson symptomassessment scale （MDASI-C） and the revised edition of lung cancer specific symptoms module. Results After pulmonary lobectomy,a variety of symptoms were observed. Symptoms with higher incidence included pain （75.3%）, cough （68.8%）, expectoration （63.4%）,and restless sleep （59.4%） and severe symptoms included cough （5 points） and sadness （4 points） and pain （4 points）. Exploratoryfactor analysis showed that 5 symptom clusters were respiratory sleep syndrome, digestive tract symptom, respiratory related symptom,pain related symptom and emotional symptom. Conclusion Lung cancer patients after lobectomy have multiple symptoms; necessaryand timely assessment and management of the symptoms are recommended.
作者
邵茜茜
刘东英
SHAO Xi-xi;LIU Dong-ying(School of Nursing,Zhengzhou University,Zhengzhou 450001,China;Henan Cancer Hospital,Zhengzhou 450008,China)
出处
《护理学报》
2018年第18期1-4,共4页
Journal of Nursing（China）
基金
国家临床重点专科建设项目(卫办医政函2012-649号)
关键词
肺癌
肺叶切除
症状群
lung cancer
lobectomy
symptom cluster
