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[乳腺癌患者的症状体验]

[Symptom Experiences of Breast Cancer Patients].

作者信息

Lo Chyi, Liao Fang-Zi, Chen Shu-Ling

机构信息

School of Nursing, China Medical University, Taiwan, ROC.

Department of Nursing, HungKuang University, Taiwan, ROC.

出版信息

Hu Li Za Zhi. 2017 Apr;64(2):19-27. doi: 10.6224/JN.000021.

Abstract

Breast cancer is a major disease threating women. From diagnosis and treatment through regular follow-ups, patients with breast cancer may experience physical and mental discomfort and pain caused by disease and treatment-related symptoms. These symptoms may further affect disease progression, emotional state, health function status, quality of life, and survival. Symptom experience is as a dynamic process that expresses a patient's feeling regarding the totality of his or her experience. Symptom experience involves the patient's perception of the frequency, intensity, distress, and meaning that accompany the production and expression of symptoms. Cancer patients often experience multiple symptoms distress. Although these symptoms may occur in isolation, multiple symptoms are typically experienced simultaneously. Therefore, obtaining information from patients about the occurrence and distress of their symptom experience is essential to assess their symptom experiences. The present article presents an overview of symptom experiences, explores breast cancer symptom clusters, and analyzes related factors of influence for patients with breast cancer. The authors hope that the findings will help nurses better understand the symptom experiences of breast cancer patients and further apply this understanding in clinical practice in order to assess symptom experiences correctly and to provide more appropriate interventions to improve quality of care.

摘要

乳腺癌是威胁女性健康的主要疾病。从诊断、治疗到定期随访,乳腺癌患者可能会经历由疾病及与治疗相关的症状所引起的身心不适与疼痛。这些症状可能会进一步影响疾病进展、情绪状态、健康功能状况、生活质量及生存期。症状体验是一个动态过程,它表达了患者对自身全部体验的感受。症状体验涉及患者对伴随症状产生和表现的频率、强度、痛苦程度及意义的感知。癌症患者常常会经历多种症状困扰。虽然这些症状可能单独出现,但通常会同时出现多种症状。因此,从患者那里获取有关其症状体验的发生及困扰的信息对于评估他们的症状体验至关重要。本文概述了症状体验,探讨了乳腺癌症状群,并分析了乳腺癌患者的相关影响因素。作者希望这些研究结果能帮助护士更好地理解乳腺癌患者的症状体验,并将这种理解进一步应用于临床实践,以便正确评估症状体验,并提供更恰当的干预措施来提高护理质量。

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