肺移植患者术后症状群研究的范围综述

Symptom clusters in patients after lung transplantation:a scoping review

目的对肺移植患者术后症状群研究文献进行范围综述,为完善肺移植术后患者症状群管理提供参考。方法检索国内外9个数据库建库至2022年3月10日收录的肺移植患者术后症状群相关研究。结果共纳入11篇文献。提取9个症状群,频次排在前3位的分别是心理、神经肌肉、胃肠道症状群。症状群评估工具包括单一症状评估量表和多症状评估量表;症状群的影响因素主要包括性别、免疫抑制剂不良反应、并存疾病等。结论肺移植患者术后症状群随时间变化,受多种因素影响,特异性测评工具有待开发。

Objective To review the literature on symptom clusters in lung transplant recipients,and to provide reference for symptom management.Methods Nine domestic and international electronic databases were searched from database construction until 10 March 2022.The studies regarding symptom clusters in patients after lung transplantation were retrieved according to the eligibility criteria.Results Finally,11 studies were included,and 9 symptom clusters were extracted.The top 3 symptom clusters in frequency were psychological,neuromuscular,and gastrointestinal.Tools used in these studies for assessing symptoms were categorized into two types:single-symptom and multi-symptom assessment tools.Factors affecting symptom clusters were sex,adverse effects of immunosuppressant drugs,and coexisting disease,etc.Conclusion Symptom clusters in lung transplantation patients change over time and are affected by many factors.Specific measurement tools need to be developed.