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肺癌患者免疫治疗期间相关症状发生情况及症状群分析

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目的 调查分析肺癌免疫治疗患者治疗期间症状发生情况,探讨症状群组成。方法 采用横断面调查法,选取2021年12月至2022年7月厦门市复旦大学附属中山医院厦门医院胸外科收治的肺癌免疫治疗患者84例,使用安德森症状评估量表-肺癌模块评估患者症状发生情况。结果 19个症状中,肺癌免疫治疗患者疲乏发生率最高(88。1%)、其次为疼痛(83。3%);生活困扰发生率最高的是工作(82。1%),其次是生活乐趣(81。0%)。探索性因子分析得出,肺癌免疫治疗患者存在消化道症状群、呼吸道症状群、神经系统症状群、心理症状群、感知症状群。结论 肺癌免疫治疗患者治疗期间存在多个症状群,这些症状群相互影响,影响患者预后及生活质量。护士要重视患者主诉,正确评估患者症状,及时采取干预措施,从而减少症状的出现及降低症状的严重程度。
Analysis of occurrence and symptom groups of lung cancer patients dur-ing immunotherapy
Objective To investigate and analyze the occurrence of symptoms in patients with lung cancer immunotherapy during treatment,and to explore the composition of symptom groups.Methods A total of 84 patients with lung cancer im-munotherapy in the Department of Thoracic Surgery,Zhongshan Hospital,Fudan University(Xiamen Branch),from Decem-ber 2021 to July 2022 were selected by cross-sectional investigation.The occurrence of symptoms of the patients was as-sessed using the Anderson symptom assessment scale-lung cancer module.Results Among 19 symptoms,the incidence of fatigue was the highest(88.1%),followed by pain(83.3%).The highest incidence of life distress was found in work(82.1%),followed by enjoyment of life(81.0%).Simple factor analysis shows that patients with lung cancer immunotherapy have gas-trointestinal symptoms,respiratory symptoms,nervous system symptoms,psychological symptoms and perceptual symptoms.Conclusion There are multiple symptom groups in patients with lung cancer immunotherapy during treatment,and these symptom groups interact with each other,affecting the prognosis and quality of life of patients.Nurses should pay attention to the complaints of patients,correctly evaluate the symptoms of patients,and take timely intervention measures to reduce the occurrence and severity of symptoms.

Symptom groupLung cancerImmunotherapyNurse

吴巧梅、杨晶琳、彭娅、朱莉芳

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复旦大学附属中山医院厦门医院胸外科,福建厦门 361015

症状群 肺癌 免疫治疗 护理

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(4)
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