Longitudinal study of symptom clusters in patients with rectal cancer during perioperative period
Objective To clarify the types,composition,and dynamic changes of symptom clusters experienced by patients undergoing radical resection of rectal cancer during the perioperative period,and to provide reference for the management of symptom clusters before and after surgery.Methods A total of 140 patients who underwent radical rectal cancer surgery in the Department of Gastrointestinal Surgery of the Oncology Hospital from February to July 2023 were selected as the research object by using convenience sampling method.The general information question-naire,Anderson Symptom Assessment Scale+Colorectal Cancer Module were used to collect the patients'informa-tion for a longitudinal survey at 4 time points,and the symptom clusters were determined by exploratory factors.Re-sults Finally,121 patients completed the survey.The number of symptoms with symptom incidence greater than 20％at 4 time points was 11,11,10,and 10,respectively.tudinal survey at 4 time points:Before the surgery(T1),1 day after the surgery(T2),3 days after the surgery(T3),and 7 days after the surgery(T4).The symptom clus-ters were determined by exploratory factors.There were three symptom clusters in patients with rectal cancer before operation,including gastrointestinal symptom cluster,energy deficiency symptom cluster and emotion-related symp-tom cluster.There were 4 symptom clusters on the 1st,3rd,and 7th day after operation,including gastrointestinal symptom cluster,energy deficiency symptom cluster,emotion-related symptom cluster,and fatigue-pain-dryness symptom cluster.The composition of symptoms in these 4 time points clusters was different.Conclusion Patients undergoing radical rectal cancer surgery have stable and dynamically changing symptom clusters during the perioper-ative period,and symptom changes should be closely monitored and appropriate symptom cluster management should be carried out.
radical resection of rectal carcinomaperioperative periodsymptom clusterslongitudinal study
万方数据
维普
