Objective To establish a contemporaneous network for multidimensional symptom experiences in patients with gastric cancer after surgery,explore important indicators of the symptom network,identify the core symptoms,and ana-lyze the associations between symptoms.Methods Using the convenience sampling method,269 patients with gastric cancer after surgery admitted to the Department of Gastric Surgery at Zhejiang Cancer Hospital from January to April 2024 were selected as the research subjects.The Chinese version of the MD Anderson Symptom Inventory Gastrointestinal Cancer Mo-dule was used to investigate symptom occurrence in gastric cancer patients.The R software was employed to construct the contemporaneous network,calculate network-related indicators,conduct stability and accuracy tests,analyze centrality indica-tors,calculate node predictability,and explore core symptoms.Results The density of the contemporaneous network in pa-tients with cancer after surgery was 15.170.The correlation stability coefficient for strength centrality was 0.589,and for betweenness centrality,it was 0.291.The network demonstrated good stability and accuracy,with nodes showing high pre-dictability.Vomiting and fatigue emerged as the two core symptoms in gastric cancer patients after surgery.Specifically,vomiting(rs=2.424)had the highest strength centrality,while fatigue(rb=1.945,rc=1.548)had the highest betweenness and closeness centrality.Conclusion Patients with gastric cancer after surgery exhibit multidimensional symptoms.Clinicians should consider the incidence and severity of symptoms and prioritize core and highly predictable symptoms within the symp-tom network to implement targeted intervention measures promptly,thereby enhancing the efficiency of symptom management.
维普
万方数据