宫颈癌患者症状群的调查分析

Analysis of the Symptom Cluster of Cervical Cancer Patients

目的调查并分析宫颈癌患者患病期间的症状发生情况及严重程度,全面了解其症状群,以期提高临床护理工作的针对性和有效性。方法便利抽样法选取2012年11月至2013年8月在上海市第一妇婴保健院住院手术的92名宫颈癌患者为研究对象,采用中文版记忆症状评估量表(Chinese version memorial symptom assessment scale,MSAS-Ch)对其进行调查,并分析其调查结果。结果发生频度最高的症状是缺乏活力/乏力(占98.91%),其次是感到悲伤(占97.83%),再次为睡眠不好及没有食欲(占96.74%);症状严重程度评分依次是脱发(3.06±1.28)分、感到"看起来不像自己"(2.74±1.28)分、皮肤改变(2.48±1.29)分,其次是乏力(1.86±0.88)分、睡眠不好(1.85±0.89)分、感到悲伤(1.76±0.76)分、没有食欲(1.71±0.98)分和急躁易怒(1.71±0.98)分。因子分析得出的7个公因子的累计方差贡献率达98.354%,分别为乏力-负面心理症状群、自我形象紊乱症状群、治疗相关症状群、胃肠道症状群、体重下降-皮肤瘙痒症状群、拒性-焦虑症状群、厌食-病态行为症状群,其中因子1、2、3解释总体方差的88.953%。结论乏力-心理症状群、自我形象紊乱症状群和治疗相关症状群是宫颈癌较为常见的症状群。

Objective To investigated the incidence and severity level of symptoms of cervical cancer,in order to comprehensively understand the symptom cluster,and thus to enhance the pertinence and effectiveness in clinical nursing.Methods By convenience sampling,92 patients were selected and investigated by the Chinese version memorial symptom assessment scale（MSAS-Ch）,and the results were analyzed.Results The highest frequency symptom was lacking vitality/lacking in strength（98.91%）,followed by the feeling sad（97.83%）,thirdly was poor sleep and inappetence（96.74%）.Marks of symptom severity degree from high to low in sequence were losing hair（3.06±1.28）,not feeling like themselves（2.74±1.28）,skin condition changed（2.48±1.29）;followed by lacking in strength（1.86±0.88）,not sleeping well（1.85±0.89）,feeling sad（1.76±0.76）,inappetence（1.71±0.98）and irritability（1.71±0.98）.The outcome of factor analysis accumulating variance contribution of the 7common factors reach up to 98.354%.Seven common factors was named feeble-negative mentality symptom cluster,self-image disorder symptom cluster,treatment related symptom cluster,gastrointestinal tract symptom cluster,weight lose-skin itch symptom cluster,anorexia-morbidity behavior symptom cluster.Factor 1,2,3explained population variance of 88.953%.Conclusion In the symptom of cervical cancer patients,feeble-mentality symptom cluster,self-image disorder symptom cluster,treating related symptom cluster are more common.