老年食管癌根治术后患者症状群与生活质量相关性的纵向研究OA
A Longitudinal Study on the Correlation Between Symptom Clusters and Quality of Life in Elderly Patients Follow-ing Radical Esophagectomy for Esophageal Cancer
目的 调查老年食管癌根治术后患者不同时间点的症状群和生活质量现状,并分析二者的相关性,为动态管理其症状群,提高患者生活质量提供参考依据.方法 选取2024 年2 月至 6 月在我院胸外科行食管癌根治术治疗的201 例老年患者为研究对象.使用一般资料调查表、食管癌症状评估量表和癌症治疗功能评估量表(FACT-G)于患者术后7 d(T1)、术后1 个月(T2)、术后3 个月(T3)、术后6 个月(T4)进行调查.结果 术后 7 天、1 个月,患者均存在心理、疲乏相关、进食相关、能量不足和躯体症状群,术后3、6 个月则减少了躯体症状群.除心理症状群构成持续稳定外,其余症状群在各时间点的构成均存在差异.疲乏相关症状群和能量不足症状群的严重程度与患者 T1～T2 的生活质量总分及各维度得分均呈负相关(P＜0.05).心理症状群的严重程度与患者 T1～T3 的生活质量总分及各维度得分呈负相关(P＜0.05).进食相关症状群的严重程度与 T2～T4 的生活质量总分及各维度得分呈负相关(P＜0.05).结论 老年食管癌根治术后患者在术后7 天～6 个月存在多个症状群,群内部构成和严重程度得分均呈动态变化.患者的症状群严重程度与生活质量呈负相关关系.医护人员应对老年食管癌根治术后患者的症状群实施动态化管理.
Objective To investigate the symptom clusters and quality of life in elderly patients with esophageal cancer at different time points after radical resection,and to analyze the correlation between them,so as to provide a reference for dynamic management of symptom clusters and improvement of quality of life in patients.Methods A total of 201 elderly patients who un-derwent radical resection of esophageal cancer in the thoracic surgery department of our hospital Province from February to June 2024 were selected as the research objects.The general information questionnaire,the esophageal cancer symptom assessment scale and the Functional Assessment of Cancer Therapy(FACT-G)were used to investigate the patients at 7 days(T1),1 month(T2),3 months(T3)and 6 months(T4)after surgery.Results At T1 and T2,patients had psychological,fatigue-related,eating-related,energy deficiency and somatic symptom clusters,and at T3 and T4,the somatic symptom clusters were reduced.While the composi-tion of the psychological symptom cluster remained stable across time points,the composition of the other clusters varied.The sever-ity of fatigue-related symptom clusters and energy deficiency symptom clusters were negatively correlated with the total score and the scores of each dimension of quality of life at four time points(P＜0.05).The severity of psychological symptom cluster was negatively correlated with the total score and dimension scores of quality of life at T1 to T3(P＜0.05).The severity of eating-relat-ed symptom clusters was negatively correlated with the total score and each dimension score of quality of life at T2 to T4(P＜0.05).Conclusion Elderly patients experience multiple symptom clusters from 7 days to 6 months after radical esophagectomy,with both the internal composition and severity of these clusters showing dynamic changes.The severity of symptom clusters is nega-tively correlated with patients'quality of life.Medical staff should implement dynamic management of symptom clusters in elderly patients with esophageal cancer after radical resection.
周金凤;赵莉;罗文煜;邱琳钰;何春霖;石秀军
川北医学院附属医院护理部,四川 南充 637000川北医学院附属医院护理部,四川 南充 637000川北医学院附属医院护理部,四川 南充 637000川北医学院附属医院护理部,四川 南充 637000川北医学院附属医院护理部,四川 南充 637000川北医学院附属医院护理部,四川 南充 637000
医药卫生
老年患者食管癌根治术症状群生活质量纵向研究
elderly patientsradical resection of esophageal cancersymptom clustersquality of lifelongitudinal studies
《四川医学》 2026 (4)
410-417,8
自贡市哲学社会科学重点研究基地"自贡市医学科学院患者安全研究中心"基金资助项目(编号:HZAQ-2024-04)成渝双城经济圈现代护理职业教育联盟2023年度科研立项(编号:2023CYLMY03)
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