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系统性红斑狼疮患者的症状群及其网络分析

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目的 描述系统性红斑狼疮患者症状群的构成,并运用网络分析探索群内症状之间的关系,为症状管理提供依据.方法 采取便利抽样原则选取201例系统性红斑狼疮患者为研究对象.采用一般资料调查表、系统性红斑狼疮症状清单对患者进行调查.症状群的提取采用探索性因子分析,以JASP软件绘制网络分析图及各症状中心指标图,分析群内症状之间的关系.结果 系统性红斑狼疮患者疲劳的发生率最高(64.7%),共提取5个症状群:疲劳相关症状群、体质量增加相关症状群、瘙痒-疼痛相关症状群、皮肤改变症状群、身体形象症状群.经过网络分析,对太阳光过敏在所有集群中的强度和紧密度最高,情绪改变的中介度最高.结论 系统性红斑狼疮患者存在症状群,各症状的影响强度不同.临床医护人员需密切关注患者症状,通过改善核心症状来改变群内与之相关的其他症状,进一步提高患者的生活质量.
Symptom clusters and its network analysis of patients undergoing Systemic Lupus Erythematosus
Objective To describe the symptom clusters of Systemic Lupus Erythematosus(SLE)patients and explore the relation-ship between symptoms within the clusters by network analysis,so as to provide evidence for symptom management.Methods A total of 201 SLE patients were selected by convenience sampling.General Information Questionnaire and SLE Symptom Checklist were used to investigate the patients.Exploratory factor analysis(EFA)was used to extract symptom clusters.Network analysis charts and symptom center index charts were drawn by J ASP software to analyze the relationship between symptoms in clusters.Results SLE patients had the highest incidence of fatigue(64.7%).Five symptom clusters were extracted:fatigue-related symptom cluster,weight-related symptom cluster,itch-pain related symptom cluster,skin change symptom cluster,and body image symp-tom cluster.After network analysis,we found that the strength and closeness of allergy to sunlight were the highest among all clusters,and the betweenness of mood change was the highest.Conclusion SLE patients have symptom clusters,and the influence intensity of each symptom is different.Clinical staff should pay close attention to the symptoms of patients,and change other symptoms related to them in the group by improving the core symptoms,so as to improve the quality of life of patients.

Systemic Lupus Erythematosussymptom clustersymptom managementallergy to sunlightmood changefatiguebody massnetwork analysis

白丽娜、杨旭颖、张丹丹、李雨蔚、王飒、苗华丽

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山西医科大学护理学院(山西 太原,030001)

浙江中医药大学护理学院

山西中医药大学护理学院

山西医科大学第三医院/山西白求恩医院护理部

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系统性红斑狼疮 症状群 症状管理 光过敏 情绪改变 疲乏 体质量 网络分析

山西省卫生健康委科研项目山西白求恩医院院级护理基金

20221492022YH10

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(5)
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