Preliminary Study Concerning Life Support Program Development for Persons with Advanced Non-Small-Cell Lung Cancer

本研究的目的是确定接受标准治疗的晚期NSCLC患者的症状群。受试者为60例晚期NSCLC患者。日本版的M. D.采用安德森症状自评量表等。进行探索性因素分析，以确定症状群。以多元回归分析评估症状群与医疗结果的关系，结果发现四个症状群。影响生活质量（P<0.05）。因此，早期发现病人的经历复杂的症状，通过评估集中在症状集群被认为是必要的护理，将避免恶化的生活质量。

The aim of this study is to identify symptom clusters in patients with advanced NSCLC receiving standard therapy. The subjects were sixty patients with advanced NSCLC. The Japanese version of the M. D. Anderson Symptom Inventory etc were used. Explorative factor analysis was conducted to identify symptom clusters. The relationship between symptom clusters and healthcare outcomes was assessed by multiple regression analysis.As a result,four symptom clusters were identified. These affected QOL (P<0.05). Therefore, early detection of patients' experiencing complex symptoms through assessment focused on symptom clusters was considered essential for nursing care that will avoid deterioration of QOL.