Symptom clusters in elderly patients with lung cancer
Symptom clusters in elderly patients with lung cancer
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DOI：
10.1188/04.onf.203-212
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发表时间：
2004-03-01
影响因子：
1.9
通讯作者：
Given, CW
中科院分区：
文献类型：
--
作者：
Gift, AG;Jablonski, A;Given, CW
目的/目标：为了确定肺癌患者经历的症状的数量、类型和组合（簇），设计：作为一项大型研究的一部分收集的数据的二次分析，设置：24个站点，包括社区医院、医疗诊所、肿瘤诊所和放射肿瘤诊所。样品：220例新诊断肺癌患者，年龄65-89岁（（x）over bar = 72岁，SD = 5.02），38%为早期肺癌，62%为晚期肺癌。方法：受试者自我报告。癌症的初始分期、合并症的数量以及是否接受化疗是报告症状的重要预测因素。男女之间几乎没有差别。相关性被发现之间的症状报告，症状的严重程度和限制归因于symptoms.Conclusions：肺癌患者报告多个令人痛苦的症状有关的症状的严重程度和limits.Implications护理：多症状的评估，建议在肺癌患者。
Purpose/Objectives: To identify the number, type, and combination (cluster) of symptoms experienced by patients with lung cancer.Design: A secondary analysis of data collected as part of a larger study.Setting: 24 sites that included community hospitals, medical clinics, oncology clinics, and radiation-oncology clinics. Sample: 220 patients newly diagnosed with lung cancer, ranging in age from 65-89 years ((x) over bar = 72 years, SD = 5.02), 38% with early-stage and 62% with late-stage lung cancer.Methods: Subject self-report.Findings: Factor analysis found that the symptoms of fatigue, nausea, weakness, appetite loss, weight loss, altered taste, and vomiting form a cluster. Initial staging of cancer, the number of comorbid conditions, and being treated with chemotherapy emerged as significant predictors of the symptoms reported. Few differences were noted between men and women. Correlation was found among the numbers of symptoms reported, symptom severity, and limitations attributed to symptoms.Conclusions: Patients with lung cancer report multiple distressing symptoms related to symptom severity and limitations.Implications for Nursing: Assessment of multiple symptoms is recommended in patients with lung cancer.