【摘要】：目的:了解化療期消化道癌癥患者存在的癥狀群并探討其與心理一致感的關(guān)系。方法:選取安徽省兩所三甲醫(yī)院的化療期消化道癌癥患者212名,采用中文版安德森癥狀評估量表(MDASI)和心理一致感量表(SOC)進(jìn)行測評。使用探索性因子分析提取癥狀群,Spearman相關(guān)分析探討癥狀群與SOC的關(guān)系,并通過聚類分析將癥狀群劃分為高、低分組,采用獨立樣本t檢驗比較兩組的SOC得分。結(jié)果:探索性因子分析結(jié)果顯示,化療期消化道癌癥患者存在心理癥狀群、消化道癥狀群、疲乏-疼痛癥狀群和神經(jīng)毒性癥狀群,累積方差貢獻(xiàn)率為64.16%,將疲乏-疼痛癥狀群依據(jù)其癥狀間相關(guān)性的高低分為疲乏癥狀群和疼痛癥狀群。5個癥狀群得分與SOC總分及各維度得分均呈負(fù)相關(guān)(r=-0.14~-0.57,P㩳0.01或P㩳0.05)。聚類分析得到癥狀群高分組(n=81)和低分組(n=131),高分組的SOC總分及各維度得分均低于低分組(P㩳0.001)。結(jié)論:化療期消化道癌癥患者存在多個生理心理癥狀群,這些癥狀群均與心理一致感存在負(fù)性關(guān)聯(lián)。
[Abstract]:Objective: to investigate the symptom group of patients with digestive tract cancer during chemotherapy and its relationship with psychological identity. Methods: 212 patients with digestive tract cancer were selected from two triple A hospitals in Anhui Province. The Chinese version of Anderson symptom Assessment scale (MDASI) and the Psychological consensus scale (SOC) were used to evaluate the patients. The symptom group was extracted by exploratory factor analysis, and the relationship between symptom group and SOC was discussed by Spearman correlation analysis. The symptom group was divided into high and low groups by cluster analysis. The SOC scores of the two groups were compared by independent sample t test. Results: exploratory factor analysis showed that there were psychological symptom group, digestive tract symptom group, fatigue and pain symptom group and neurotoxic symptom group in patients with digestive tract cancer during chemotherapy. The cumulative variance contribution rate was 64.16. Fatigue and pain symptom groups were divided into fatigue symptom group and pain symptom group according to their correlation. The scores of five symptom groups were negatively correlated with the total score of SOC and the scores of each dimension (r = -0.14 ~ (-0.14) ~ (-0.57) P ~ (0.01) or P ~ (0. 05). Cluster analysis showed that the scores of the high score group and the low score group were lower than those of the low score group (P0. 001). The total score of SOC and the scores of each dimension in the high score group were lower than those in the low group (P0. 001). Conclusion: there are many physiological and psychological symptom groups in patients with digestive tract cancer during chemotherapy.
【作者單位】： 安徽醫(yī)科大學(xué)護理學(xué)院;
【基金】：安徽省自然科學(xué)基金項目(1608085MH183) 安徽省高校人文社科研究項目(SK2015A363)
【分類號】：R473.73

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