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结直肠癌造口术后患者症状群的纵向研究:上海的一项研究。

Symptom clusters in patients with colorectal cancer after colostomy: a longitudinal study in Shanghai.

机构信息

General Surgery Department, Changhai Hospital Affiliated with Naval Medical University, Shanghai, China.

Department of Neurology, No. 905 Hospital of P.L.A. Navy, Shanghai, China.

出版信息

J Int Med Res. 2021 Dec;49(12):3000605211063105. doi: 10.1177/03000605211063105.

DOI:10.1177/03000605211063105
PMID:34904459
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8689628/
Abstract

OBJECTIVE

Research is lacking regarding the experiences of patients after colostomy, which is needed so as to take necessary specific actions. In this study, we aimed to describe the trajectory of symptom clusters experienced by patients after colostomy over time.

METHODS

This was a longitudinal observational study using data from 149 patients with colorectal cancer after colostomy. We investigated symptoms and symptom clusters at 2 weeks, 1 month, 3 months, 6 months, and 1 year after colostomy.

RESULTS

Four main symptom clusters were identified, including a psychological symptom cluster, digestive and urinary symptom cluster, lack of energy symptom cluster, and pain symptom cluster in patients after colostomy in the first year after surgery. We further explored the symptom trajectory.

CONCLUSIONS

We explored symptom clusters and the trajectory of symptom resolution in patients after colostomy during the first year after surgery. Four stages were proposed to describe the different statuses of symptom clusters experienced by patients. Our findings may provide insight into how to improve symptom management and postoperative quality of life for patients after colostomy.

摘要

目的

缺乏关于造口术后患者体验的研究,这是必要的,以便采取必要的具体措施。本研究旨在描述造口术后患者随时间推移经历的症状群轨迹。

方法

这是一项纵向观察研究,使用了 149 例结直肠癌造口术后患者的数据。我们在造口术后 2 周、1 个月、3 个月、6 个月和 1 年时调查了症状和症状群。

结果

在术后第一年,我们确定了四个主要的症状群,包括心理症状群、消化和泌尿症状群、乏力症状群和疼痛症状群。我们进一步探讨了症状的轨迹。

结论

我们探讨了造口术后患者在术后第一年的症状群和症状缓解的轨迹。提出了四个阶段来描述患者经历的症状群的不同状态。我们的研究结果可能为改善造口术后患者的症状管理和术后生活质量提供了思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ea8/8689628/65429560dae9/10.1177_03000605211063105-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ea8/8689628/65429560dae9/10.1177_03000605211063105-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ea8/8689628/65429560dae9/10.1177_03000605211063105-fig1.jpg

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Epidemiology and risk factors of colorectal cancer in China.中国结直肠癌的流行病学及危险因素
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Quality of Life and Its Influencing Factors Among Chinese Patients With Permanent Colostomy in the Early Postoperative Stage: A Longitudinal Study.中国永久性结肠造口术后早期患者的生活质量及其影响因素:一项纵向研究
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Exploration of symptom clusters during hemodialysis and symptom network analysis of older maintenance hemodialysis patients: a cross-sectional study.探讨血液透析过程中的症状群,并对老年维持性血液透析患者进行症状网络分析:一项横断面研究。
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