| 顾艳玫,徐佩,张燕,徐雯靖.原发性肝癌患者症状自评与症状他评的一致性研究[J].上海护理,2018,18(10): |
| 原发性肝癌患者症状自评与症状他评的一致性研究 |
| Study on the consistency of symptom self-evaluation and symptom evaluation in patients with primary liver cancer |
| DOI： |
| 中文关键词: 原发性肝癌 症状自评 症状他评 一致性 |
| 英文关键词:Primary liver cancer Symptom Symptoms of his assessment Consistency |
| 基金项目:上海市浦东新区周浦医院重点学科资助（ZP-XP-2015B-1）【替换原周浦医院院级青年基金（ZP-rc-2012B-3）浦东新区卫生系统人才培养（PWRq2013-27）】 |
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| 中文摘要: |
| 目的: 调查分析原发性肝癌(HCC)患者症状自评与症状他评的一致性，进而探讨对肝癌患者进行症状他评的可行性。方法：随机抽取我院肝胆科原发性HCC患者88例，通过调查问卷的方法对患者一般资料进行记录。由患者和其责任护士分别完成19项原发肝癌患者常见临床症状的评估，包括疼痛、体温升高、悲伤感、疲乏、恶心、腹胀、苦恼、气短、睡眠、胃口、呕吐、口干、腹泻、麻木、健忘、黄疸、嗜睡、皮肤瘙痒及体重情况。分析患者的自评结果和他评结果的一致性，并对其可能原因进行研究。探讨由责任护士为患者做症状他评的可行性。结果：患者症状自评和他评之间的一致性评定结果显示，疼痛、体温升高、疲乏、黄疸和体重减轻这5项指标的评价基本一致，相关性较好，差异均有统计学意义(ICC＞0.61，P＜0.05)；呕吐、腹泻、皮肤瘙痒、麻木、健忘、恶心、腹胀、气短、睡眠不安、胃口差、口干、嗜睡这12项指标的一致性水平较好，差异均有统计学意义(ICC＞0.21，P<0.05)；而苦恼和悲伤这2项指标的一致性较差，有统计学差异(ICC≤0.20，P＜0.05)。结论：责任护士在患者身体方面的症状他评具有较好的可行性，对患者身体症状的评估在一定程度上可以作为医护人员对患者症状管理的依据。 |
| 英文摘要: |
| Objective: To explore the consistency between self-assessment of symptoms and nurse symptom assessment in patients with HCC. Methods: Eighty-eight patients with primary HCC in Hepatology in our hospital were randomly selected. General information and record symptoms of patients was recorded through the questionnaire, while general information on the responsibilities of nurses was recorded at the same time. The consistency between self-assessment of symptoms and nurse symptom assessment, and possible causes were analyzed. Results: Substantial agreement :Five indicators of pain, elevated body temperature, fatigue, lose weight, jaundice. The difference had statistical significance(ICC＞0.61, P＜0.05). Moderate agreement or Fair agreement: nausea, bloating, shortness of breath, poor sleep, bad appetite , vomiting , dry mouth, diarrhea, numbness, forgetfulness, lethargy, pruritus. The difference had statistical significance(ICC＞0.21, P<0.05). Poor agreement: Distress and sadness. The difference had statistical significance (ICC≤0.20, P＜0.05). Conclusions: Duty nurse in patients with physical symptoms he has better feasibility assessment. Evaluation of the physical symptoms of the patient to a certain extent, can be used as the medical care personnel to the patient symptom management basis. |
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