CAJ | 학술논문

[目的]探讨乳腺癌术后化疗病人症状群的种类，分析影响症状群严重程度的因素。[方法]采用一般资料调查表、乳腺癌化疗病人症状测评量表、医院焦虑抑郁量表对169例乳腺癌术后化疗病人进行调查；通过探索性因子分析统计病人症状群的种类，通过多元线性回归探索症状群的影响因素。[结果]乳腺癌术后化疗病人存在4个症状群，分别为精神神经症状群、皮肤黏膜症状群、上消化道症状群及激素相关性症状群；焦虑、抑郁、年龄、化疗方案、化疗疗程和职业状态是症状群严重程度的影响因素。[结论]医护人员应从症状群的角度对病人进行症状管理，并根据影响症状群严重程度的因素对病人实施个体化干预措施，在减轻病人症状负担的同时，提高其生存期生活质量。
[목적]탐토유선암술후화료병인증상군적충류，분석영향증상군엄중정도적인소。[방법]채용일반자료조사표、유선암화료병인증상측평량표、의원초필억욱량표대169례유선암술후화료병인진행조사；통과탐색성인자분석통계병인증상군적충류，통과다원선성회귀탐색증상군적영향인소。[결과]유선암술후화료병인존재4개증상군，분별위정신신경증상군、피부점막증상군、상소화도증상군급격소상관성증상군；초필、억욱、년령、화료방안、화료료정화직업상태시증상군엄중정도적영향인소。[결론]의호인원응종증상군적각도대병인진행증상관리，병근거영향증상군엄중정도적인소대병인실시개체화간예조시，재감경병인증상부담적동시，제고기생존기생활질량。
Objective:To probe into the species of breast cancer patients receiving postoperative chemotherapy and analyze the influencing factors of the severity of symptom clusters.Methods:A total of 1 69 breast cancer pa-tients receiving postoperative chemotherapy were investigated by the general information questionnaire,Symp-tom Assessment Scale for breast cancer patients receiving chemotherapy and Hospital Anxiety and Depression Scale.The species of patient’s symptoms clusters were counted by exploratory factor analysis,the influencing factors of symptoms clusters were explored by multiple linear regressions.Results:There were four symptom clusters in breast cancer patients receiving postoperative chemotherapy,and they were respectively neuropsychi-atric symptom clusters,mucocutaneous symptom clusters,upper gastrointestinal symptom clusters and hor-mone related symptom clusters.The influencing factors of the severity of symptom clusters included anxiety, depression,age,chemotherapy program,chemotherapy treatment course and occupational status.Conclusion:Medical personnel should manage patients from the perspective of symptom clusters and carry out individual in-tervention for patients based on the influencing factors of the severity of symptom clusters.While alleviating the burden of patient’s symptoms,they should improve their quality of life during survival period.