Patterns of symptoms in women after gynecologic surgery.
Patterns of symptoms in women after gynecologic surgery.
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DOI：
10.1188/10.onf.e133-e140
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发表时间：
2010-03-01
影响因子：
1.9
通讯作者：
McCorkle, Ruth
中科院分区：
文献类型：
--
作者：
Liu, Shan;Ercolano, Elizabeth;McCorkle, Ruth
目的/目的：探索症状随时间的变化模式以及选定的人口学和临床特征之间的关系。设计：纵向数据的二次分析。设置：美国东北部的一家医院和综合癌症中心。SAMPLE：66名妇科癌症患者，术后，并计划接受化疗。方法：在一项更大的护理干预研究的子集中，使用描述性和一般估计方程统计程序对症状和疾病数据进行二次分析。主要研究变量：人口统计学和临床变量，包括癌症部位、新诊断或复发、阶段、治疗、合并症、情绪困扰、症状管理工具包的使用、随着时间的推移有10种症状。FINDINGS：确定了两种症状模式。第一种模式(疼痛、肠功能障碍、睡眠障碍、抑郁、恶心和食欲不振)减少，第二种模式(疲劳、焦虑、脱发和麻木)随着时间的推移保持不变。症状总数随着时间的推移而减少。与症状相关的因素，如使用工具包和情绪困扰，被识别出来。结论：工具包的使用表明，经历疲劳、肠功能障碍和焦虑的妇女使用工具包作为自我护理指南是有用的。对两种症状的原因进行了讨论。护理应用：术后管理应包括与治疗相关的症状的管理和监测。建议在这一人群中进行情绪困扰的筛查。对于患有妇科癌症的妇女，使用该工具包可能是一种有效的术后管理策略。
PURPOSE/OBJECTIVES: To explore patterns of symptoms over time and the relationships between selected demographic and clinical characteristics.DESIGN: Secondary analysis of longitudinal data.SETTING: A hospital and comprehensive cancer center in the northeastern United States.SAMPLE: 66 women with gynecologic cancers, postsurgical, and scheduled to receive chemotherapy.METHODS: A secondary analysis using descriptive and general estimating equation statistical procedures was conducted on symptom and disease data in a subset of a larger nursing intervention study.MAIN RESEARCH VARIABLES: Demographic and clinical variables including cancer site, new diagnosis or recurrence, stage, treatment, comorbidities, emotional distress, use of a symptom management tool kit, and 10 symptoms over time.FINDINGS: Two patterns of symptoms were identified. The first pattern (pain, bowel dysfunction, disturbed sleep, depression, nausea, and lack of appetite) decreased, and the second pattern (fatigue, anxiety, hair loss, and numbness) remained constant over time. The total number of symptoms decreased over time. Factors associated with symptoms, such as the use of a tool kit and emotional distress, were identified.CONCLUSIONS: Tool kit use by women who experienced fatigue, bowel dysfunction, and anxiety suggests its usefulness as a self-care guide. Explanations for the two patterns of symptoms are discussed.IMPLICATIONS FOR NURSING: Postsurgical management should include management and monitoring of symptoms associated with treatment. Screening for emotional distress is recommended in this population. Use of the tool kit could be an effective postsurgical management strategy for women with gynecologic cancers.