摘要
目的了解喉癌患者不同时间症状群和生活质量,并探讨两者的相关性。方法采用便利抽样法,选取2020年6月—2021年6月在郑州大学附属肿瘤医院头颈甲状腺外科住院行手术治疗的155例喉癌患者为研究对象。在入院当天、术后3 d、术后30 d,采用一般资料调查表、中文版安德森症状评估量表-头颈部、癌症患者生命质量量表(FACT-G)进行调查。采用探索性因子分析提取症状群。喉癌患者症状群严重程度与生活质量的相关性分析采用Spearman相关分析。结果共提取出疼痛-消化道症状群、疲乏-睡眠-情绪症状群、喉癌-特异性症状群和发声-吞咽困难症状群4个症状群,患者入院当天、术后3 d、术后30 d症状群数量和构成不同。喉癌患者入院当天、术后3 d、术后30 d FACT-G评分比较,差异有统计学意义(P<0.01)。喉癌患者入院当天、术后3 d、术后30 d的FACT-G总分、生理状况维度评分与不同症状群严重程度呈负相关(P<0.05)。结论喉癌患者不同时间症状群数量和组成不同,症状群程度越严重,生活质量越差,医护人员应做好患者症状群管理,以提高生活质量。
Objective To understand the symptom clusters and quality of life of patients with laryngeal cancer at different times,and to explore the correlation between the two.Methods From June 2020 to June 2021,convenience sampling was used to select 155 laryngeal cancer patients with operation in the Head and Neck Thyroid Surgery of Affiliated Cancer Hospital of Zhengzhou University as the research object.The General Information Questionnaire,the Chinese version of Anderson Symptom Inventory-Head and Neck,and Functional Assessment of Cancer Therapy Generic Scale(FACT-G)were used to investigate on the day of admission,3 days after operation,and 30 days after operation.Symptom clusters were extracted using exploratory factor analysis.Spearman correlation analysis was used to analyze the correlation between the severity of symptom clusters and quality of life in patients with laryngeal cancer.Results A total of 4 symptom clusters were extracted,namely pain-gastrointestinal symptom cluster,fatigue-sleep-mood symptom cluster,laryngeal cancer-specific symptom cluster,and vocalization-dysphagia symptom cluster.The number and composition of symptom clusters were different on the day of admission,3 days after operation and 30 days after operation.There were statistically significant differences in FACT-G scores on the day of admission,3 days after operation and 30 days after operation in patients with laryngeal cancer(P<0.01).The FACT-G total score and physiological dimension score on the day of admission,3 days after operation and30 days after operation of laryngeal cancer patients were negatively correlated with the severity of different symptom clusters(P<0.05).Conclusions The number and composition of symptom clusters in patients with laryngeal cancer at different times are different.The more severe the symptom clusters,the worse the quality of life.Medical and nursing staff should manage patients'symptom clusters to improve the quality of life.
作者
赵瑞
徐晓霞
丁停停
孟金平
马会丽
雷淼
Zhao Rui;Xu Xiaoxia;Ding Tingting;Meng Jinping;Ma Huili;Lei Miao(Nursing Department,Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou 450003,China;Head and Neck Thyroid Surgery,Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou 450003,China)
出处
《中华现代护理杂志》
2022年第9期1189-1194,共6页
Chinese Journal of Modern Nursing
基金
河南省医学科技攻关计划联合共建项目(LHGJ20200157)。
关键词
喉肿瘤
生活质量
症状群
相关性研究
Laryngeal neoplasms
Quality of life
Symptom cluster
Correlation research
作者简介
通信作者:赵瑞,Email:593183334@qq.com。
