Dimensions of symptom distress in women with advanced lung cancer: A factor analysis
Dimensions of symptom distress in women with advanced lung cancer: A factor analysis
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DOI：
10.1016/s0147-9563(97)90006-6
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发表时间：
1997-01-01
期刊：
影响因子：
2.8
通讯作者：
Brecht, ML
中科院分区：
文献类型：
--
作者：
Sarna, L;Brecht, ML
目的：探讨晚期肺癌女性症状困扰的结构。设计：描述性。地点：肿瘤诊所和私人办公室。对象：60 名晚期肺癌女性（71% 非小细胞）；大多数人接受姑息治疗 (88%)。结果测量：症状困扰量表和卡诺夫斯基表现状态量表。方法：采用因子分析技术（主要成分、最大方差旋转）来研究症状困扰量表中所有症状的组合以及严重症状的组合。结果：疲劳、前景混乱、频繁疼痛和睡眠困难被评为最令人痛苦的，也是最普遍的严重症状干扰。症状痛苦评级的四因素解决方案解释了 63.3% 的差异，并揭示了代表情绪和身体痛苦、胃肠道不适、呼吸窘迫和不适的项目组。具有严重痛苦等级的症状由五个因素代表，其中情绪和身体痛苦作为单独的因素。症状与卡诺夫斯基表现状态显着相关。结论：多种症状形成不同的痛苦集合。症状控制需要考虑采用多变量方法。
OBJECTIVE: To explore the structure of symptom distress in women with advanced lung cancer.DESIGN: Descriptive.SETTING: Oncology clinics and private offices.SUBJECTS: Sixty women with advanced lung cancer (71% non-small-cell); the majority received palliative treatment (88%).OUTCOME MEASURES: Symptom Distress Scale and Karnofsky Performance Status Scale.METHOD: Factor analytic techniques (principal components, varimax rotation) to investigate combinations of all symptoms in the Symptom Distress Scale and combinations of serious symptoms.RESULTS: Fatigue, disruptions in outlook, frequent pain, and difficulties in sleeping were rated the most distressing and were the most prevalent serious disruptions. A four-factor solution for the symptom distress ratings explained 63.3% of the variance and revealed groups of items representing emotional and physical suffering, gastrointestinal distress, respiratory distress, and malaise. Symptoms with a rating of serious distress were represented by five factors with emotional and physical suffering as separate factors. Symptoms were significantly related to Karnofsky Performance Status.CONCLUSIONS: Multiple symptoms formed distinct congregations of distress. Symptom control requires consideration as a multivariate approach.