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非小细胞肺癌患者的症状群。研究对象为60例晚期非小细胞肺癌患者。采用日文安德森症状量表等。探索性因子分析识别症状聚类。采用多元回归分析评估症状聚类与保健结果的关系。结果，确定了四个症状集群。影响生活质量（P<0.05）。因此，通过以症状群为重点的评估，及早发现出现复杂症状的患者，对于护理避免患者生活质量恶化至关重要。

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.