發(fā)布時間：2018-03-11 17:46

  本文選題：宮頸腫瘤　切入點(diǎn)：化放療　出處：《中國全科醫(yī)學(xué)》2017年09期 　論文類型：期刊論文

【摘要】：目的調(diào)查宮頸癌患者同步放化療期間癥狀群和癥狀分布。方法 2015年11月—2016年6月,采用便利抽樣法,在徐州市3所三級醫(yī)院——徐州醫(yī)科大學(xué)附屬醫(yī)院、徐州市中心醫(yī)院、徐州礦物集團(tuán)總醫(yī)院放療中心抽取符合納入標(biāo)準(zhǔn)的宮頸癌患者137例,均接受同步放化療治療。采用一對一訪談式調(diào)查,調(diào)查問卷包括人口學(xué)資料、臨床資料和中文版記憶癥狀評估量表(MSAS-Ch)。結(jié)果本研究共發(fā)放問卷137份,回收有效問卷124份,有效回收率為90.5%。124例宮頸癌患者平均年齡(51.5±8.6)歲。宮頸癌患者同步放化療期間癥狀發(fā)生率位于前5位的分別是乏力(97.6%,121/124)、食欲不振(87.9%,109/124)、口干(83.9%,104/124)、皮膚改變(81.5%,101/124)、惡心(80.6%,100/124)。乏力發(fā)生率與食欲不振發(fā)生率、食欲不振發(fā)生率與進(jìn)食口味改變發(fā)生率、口干發(fā)生率與腹瀉發(fā)生率、皮膚改變發(fā)生率與腹脹發(fā)生率、惡心發(fā)生率與進(jìn)食口味改變發(fā)生率、惡心發(fā)生率與腹瀉發(fā)生率、進(jìn)食口味改變發(fā)生率與腹瀉發(fā)生率均呈正相關(guān)(P0.05)。探索性因子分析法得出7個癥狀群:胃腸道癥狀群、能量不足癥狀群、圍絕經(jīng)期癥狀群、自我形象受損癥狀群、軀體相關(guān)癥狀群、神經(jīng)系統(tǒng)相關(guān)癥狀群、心理癥狀群,總方差貢獻(xiàn)率為56.985%,各癥狀群的方差貢獻(xiàn)率為9.972%、9.117%、8.256%、8.214%、7.376%、7.033%、7.017%,Cronbach'sα系數(shù)分別是0.853、0.812、0.798、0.870、0.775、0.846、0.913。結(jié)論宮頸癌患者同步放化療期間存在多種癥狀群,臨床護(hù)理人員應(yīng)積極加強(qiáng)癥狀管理,提高患者治療期間生活質(zhì)量。
[Abstract]:Objective to investigate the patients with cervical cancer radiotherapy and chemotherapy during the symptoms and symptoms distribution. Methods from November 2015 to June 2016, with the convenient sampling method, in Xuzhou city 3 level three hospital, Xuzhou Medical University Affiliated Hospital, Xuzhou Central Hospital, Xuzhou mineral group general hospital radiotherapy center from 137 cervical cancer patients met the inclusion criteria were all chemoradiation therapy. The investigation of interviews, questionnaire including demographic data, clinical data and Chinese version memory symptom assessment scale (MSAS-Ch). The results of this study a total of 137 questionnaires, 124 valid questionnaires, the effective recovery rate was 90.5%.124 the average age of patients with cervical carcinoma (51.5 + 8.6 the age of patients with cervical cancer). The incidence of symptoms during the radiochemotherapy in the top 5 are weak (97.6%, 121/124), loss of appetite (87.9%, 109/124), dry mouth (83.9%, 104/124), the skin change Variable (81.5%, 101/124), nausea (80.6%, 100/124). The occurrence of fatigue and loss of appetite, loss of appetite and eating taste change incidence rate, incidence of dry mouth and diarrhea, skin changes in incidence and incidence of nausea and abdominal distension, eating taste change rate, incidence of nausea with diarrhea, eating taste change rate and diarrhea rate were positively correlated (P0.05). Exploratory factor analysis obtained 7 symptoms: gastrointestinal symptoms, energy deficiency symptoms of perimenopausal symptoms, self image damage symptoms, somatic symptoms, group related neurological symptoms, psychological symptoms group, the total variance contribution rate was 56.985%, the variance contribution of each symptom group was 9.972%, 9.117%, 8.256%, 8.214%, 7.376%, 7.033%, 7.017%, the Cronbach's coefficient is 0.853,0.812,0.798,0.870,0.775,0.846,0.913. conclusion There are a variety of symptom groups during the synchronous radiotherapy and chemotherapy of cancer patients. The clinical nurses should actively strengthen the management of symptoms and improve the quality of life during the treatment.

【作者單位】： 徐州醫(yī)科大學(xué)公共衛(wèi)生學(xué)院;徐州醫(yī)科大學(xué)附屬醫(yī)院放療科;
【基金】：江蘇高校哲學(xué)社會科學(xué)研究項(xiàng)目(2015-SJB414)
【分類號】：R737.33

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陳斌;陳遠(yuǎn)光;;假性甲狀旁腺機(jī)能減退和替身癥狀群[J];國外醫(yī)學(xué).精神病學(xué)分冊;1979年04期

2 王毅欣;劉曉虹;;癌癥患者癥狀群管理研究進(jìn)展[J];中華護(hù)理雜志;2011年02期

3 曹文婷;胡琛;王毅欣;劉香艷;徐燕;;癌癥病人癥狀群的理論研究進(jìn)展[J];護(hù)理研究;2011年06期

4 霍丹;劉勇;;晚期癌癥患者癥狀群的調(diào)查分析[J];實(shí)用醫(yī)學(xué)雜志;2011年22期

5 臧瑜;張立力;;癌癥患者癥狀群的研究進(jìn)展[J];護(hù)理學(xué)報;2012年16期

6 黃娟;曹潔;薛美琴;郝建玲;張玲娟;;癌癥患者癥狀群發(fā)生狀況的調(diào)查研究與管理對策[J];中國護(hù)理管理;2013年03期

7 臧瑜;繆景霞;張立力;夏群;;癌癥患者的癥狀群調(diào)查研究[J];護(hù)理學(xué)報;2013年09期

8 文翠菊;路潛;丁s，

本文編號：1599231