Changes of symptom clusters in home patients after gastric cancer surgery: A longitudinal study (胃癌术后患者居家期间症状群的纵向研究)
Objective To investigate the types, composition, and dynamic changes of symptom clusters experienced by home patients undergoing gastric cancer surgery, and to provide reference for the decision making and management of symptom clusters. Methods A total of 196 patients who underwent gastric cancer...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Journal of International Translational Medicine Limited
2025-07-01
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| Series: | 中西医结合护理 |
| Subjects: | |
| Online Access: | http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.20250518001 |
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| Summary: | Objective To investigate the types, composition, and dynamic changes of symptom clusters experienced by home patients undergoing gastric cancer surgery, and to provide reference for the decision making and management of symptom clusters. Methods A total of 196 patients who underwent gastric cancer surgery were selected as the research object by using convenience sampling method. A self-made follow-up questionnaire was used to collect the patients' information for a longitudinal survey at 1 week (T1) and 1 month (T2) after surgery, and the symptom clusters were determined by exploratory factors. Results Incidence of borborygmus was highest among symptom clusters at 1 week after surgery(30. 10%), followed by the belching(29. 59%)and abnormal defecation(29. 09%). Incidence of borborygmus was highest among symptom clusters at 1 month (T2) after surgery(29. 08%), followed by the increased gas expulsion(23. 98%)and belching(21. 94%). Significant differences in type of food intake, amount of food intake, intensity of physical activity, short-distance outdoor activities, whether work or daily activities were limited by physical condition, pain condition, whether pain affects daily activities were found in patients at deferent time after surgery, and there was a significant improvement at 1 month after surgery compare with that at 1 week after surgery(P＜0. 05). Conclusion Patients undergoing gastric cancer surgery have dynamically changing symptom clusters during the postoperative period of staying at home, and symptom changes should be closely monitored and appropriate symptom cluster management should be carried out to relieve the disease burden and improve the quality of life of patients. (目的 调查胃癌术后患者居家期间经历的症状群种类、症状构成及动态变化, 为制定以症状群为单位的症状管理措施提供参考。方法 采用便利抽样方法, 选取2023年5月—12月在广州市某三级甲等医院胃外科行手术治疗并顺利出院的196例胃癌患者作为研究对象。分别在患者出院后第1周(T1)、出院第1个月(T2), 采用自制胃癌术后随访表评估患者的症状变化。结果 T1时间点, 患者的症状群发生率前三名为腹鸣(30. 10%)、嗳气(29. 59%)及排便不正常(29. 09%); T2时间点, 患者的症状群发生率前三名为腹鸣(29. 08%)、排气增多(23. 98%)及嗳气(21. 94%)。T1和T2时间点患者的症状群在进食种类、进食量、活动强度、户外短距离、工作或日常是否受到体能限制、疼痛情况、疼痛有无影响日常活动这7个症状条目中, 差异有统计学意义(P＜0. 05), T2相较于T1有明显改善。结论 胃癌患者居家期间的核心症状随时间动态变化, 医务人员应动态识别患者的症状并制定精准化护理宣教方案, 以期减轻患者的症状负担, 提高其生活质量。) |
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| ISSN: | 2709-1961 |