| 夏碧莹.乳腺癌患者确诊期症状群特征的潜在剖面分析[J].上海护理,2023,23(12): |
| 乳腺癌患者确诊期症状群特征的潜在剖面分析 |
| Latent profile analysis of symptom cluster characteristics in breast cancer patients at diagnosis stage |
| 投稿时间：2023-03-09 修订日期：2023-09-21 |
| DOI： |
| 中文关键词: 乳腺癌 确诊期 症状管理 潜在剖面分析 |
| 英文关键词:Breast cancer Newly diagnosed patients Symptom management Latent profile analysis |
| 基金项目:上海交通大学医学院附属瑞金医院院级课题基金(RJHK-2021-7) |
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| 中文摘要: |
| 目的 调查我国首次确诊乳腺癌患者术前症状群的内部特征，并分析不同类别间人口学变量的分布差异。 方法 2021年6－12月，采用便利抽样方法选取上海市某三甲医院收治的首次确诊为乳腺癌患者198例作为研究对象。采用一般人口学问卷、疼痛数字评分表、状态-特质焦虑量表、匹兹堡睡眠质量指数量表、FACIT疲劳量表进行调查，对该症状群的结果进行潜在剖面分析，检验不同类别间的人口学变量分布差异。 结果 乳腺癌患者术前疼痛-焦虑-疲乏-睡眠障碍症状群可分为高症状组、中症状组和低症状组3个类别。3组患者分别有80例（40.40%）、91例（45.96%）、27例（13.64%）。相比于低症状组，高症状组、中症状组患者生活质量得分较低，但差异无统计学意义（P＞0.05）。不同类别的乳腺癌患者术前症状群在年龄（F=3.310，P=0.039）、职业分布上（χ2=15.041，P=0.020）存在差异（P＜0.05）。结论 首次确诊乳腺癌患者术前症状群存在异质性，年龄和职业是影响首次确诊乳腺癌术前症状群潜类别的重要影响因素。医护人员应关注年轻在职的首次确诊的乳腺癌患者，提供个性化的护理措施，从而提高患者的生活质量。 |
| 英文摘要: |
| Objective To investigate the distinct subgroups of breast cancer patients who were first confirmed at preoperative stage, and to identify the differences in demographic variables for each latent category. Methods A total of 198 Chinese patients newly diagnosed with breast cancer at preoperative stage of a tertiary hospital in Shanghai were investigated with a self-developed questionnaire about demographic information, Numerical Rating Seale, State-Trait Anxiety Inventory Form Y, Pittsburgh sleep quality index scale and Functional Assessment of Chronic Illness Therapy-Fatigue. Latent profile class analysis was used to conduct the difference of demographic variable among categories. Results Preoperative pain-anxiety-fatigue-sleep disorders in patients with breast cancer can be divided into high-symptom group, moderate-symptom group and low-symptom group. There were 80 cases (40.40%) , 91 cases (45.96%) and 27 cases (13.64%) in the three groups respectively. Compared with the low-symptom group, the high-symptom group and the middle-symptom group had lower QOL scores, but there was no significant difference (P > 0.05) . There were significant differences in age (F=3.310，P=0.039) and occupation (χ2=15.041, p=0.020) among different categories of breast cancer patients before operation (P＜0.05) .. Conclusion There is heterogeneity in the preoperative symptom groups of the first diagnosed breast cancer patients. Age and occupation are important influencing factors for the potential categories of symptom cluster characteristics of the first diagnosed breast cancer patients at preoperative stage. Medical staff should pay attention to young and in-service breast cancer patients diagnosed for the first time, and provide personalized nursing measures to improve the quality of life of patients. |
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