Objective To explore the composition and trajectory of symptom clusters during perioperative period in middle-aged and elderly patients with gynecological malignant tumors,so as to provide reference for formulating symptom management programs.Methods From December 2022 to September 2023,convenience sampling was used to select 145 middle-aged and elderly patients with gynecological malignant tumors who underwent surgical treatment at the Affiliated Cancer Hospital of Xinjiang Medical University as the study subject.A longitudinal survey was conducted on patients at four time points[1 day before surgery(T1),1 day after surgery(T2),3 days after surgery(T3),and 7 days after surgery(T4,before discharge)]using the General Information Questionnaire and the Chinese version of the Anderson Symptom Inventory-Perioperative Module in Patients with Gynecological Cancer.Results A total of 145 questionnaires were distributed,and 130 valid questionnaires were collected,with an effective response rate of 89.66％(130/145).Exploratory factor analysis extracted six symptom clusters,namely perimenopausal symptom cluster,psychological symptom cluster,fatigue-pain symptom cluster,gastrointestinal symptom cluster,energy deficiency symptom cluster,and surgery related symptom cluster.Perimenopausal symptom group was a specific symptom cluster of gynecological malignant tumor patients,existing at T1.Psychological symptom cluster persisted during the patient's perioperative period.Fatigue-pain symptom cluster and surgery related symptom cluster existed at T2 to T4.Gastrointestinal symptom cluster and energy deficiency symptom cluster existed at T2 and T3.Conclusions Middle aged and elderly patients with gynecological malignant tumors have various symptoms during the perioperative period,and the symptoms can cluster at different time points.The number of symptom clusters increases with the progress of surgical treatment,while the core symptoms within the cluster remain relatively stable over time.Clinical nursing staff should pay attention to the dynamic changes in the patient's perioperative symptom cluster,adopt efficient and targeted management measures based on the trajectory of symptom clusters,and reduce the burden of perioperative symptoms on patients.
关键词
围手术期/恶性肿瘤/中老年/妇科/纵向研究/症状群/症状管理
Key words
Perioperative period/Neoplasms/Middle aged and elderly/Department of Gynecology/Longitudinal studies/Syndrome/Symptom management
维普
万方数据