CAJ | 학술논문

目的：调查并分析宫颈癌患者患病期间的症状发生情况及严重程度,全面了解其症状群,以期提高临床护理工作的针对性和有效性.方法便利抽样法选取2012年11月至2013年8月在上海市第一妇婴保健院住院手术的92名宫颈癌患者为研究对象,采用中文版记忆症状评估量表(chinese version memorial symptom assessment scale,MSAS-Ch)对其进行调查,并分析其调查结果.结果发生频度最高的症状是缺乏活力/乏力(占98．91％),其次是感到悲伤(占97．83％),再次为睡眠不好及没有食欲(占96．74％)；症状严重程度评分依次是脱发(3．06±1．28)分、感到“看起来不像自己”(2．74±1．28)分、皮肤改变(2．48±1．29)分,其次是乏力(1．86±0．88)分、睡眠不好(1．85±0．89)分、感到悲伤(1．76±0．76)分、没有食欲(1．71±0．98)分和急躁易怒(1．71±0．98)分.因子分析得出的7个公因子的累计方差贡献率达98．354％,分别为乏力-负面心理症状群、自我形象紊乱症状群、治疗相关症状群、胃肠道症状群、体重下降-皮肤瘙痒症状群、拒性-焦虑症状群、厌食-病态行为症状群,其中因子1、2、3解释总体方差的88．953％.结论乏力-心理症状群、自我形象紊乱症状群和治疗相关症状群是宫颈癌较为常见的症状群.
목적：조사병분석궁경암환자환병기간적증상발생정황급엄중정도,전면료해기증상군,이기제고림상호리공작적침대성화유효성.방법편리추양법선취2012년11월지2013년8월재상해시제일부영보건원주원수술적92명궁경암환자위연구대상,채용중문판기억증상평고량표(chinese version memorial symptom assessment scale,MSAS-Ch)대기진행조사,병분석기조사결과.결과발생빈도최고적증상시결핍활력/핍력(점98．91％),기차시감도비상(점97．83％),재차위수면불호급몰유식욕(점96．74％)；증상엄중정도평분의차시탈발(3．06±1．28)분、감도“간기래불상자기”(2．74±1．28)분、피부개변(2．48±1．29)분,기차시핍력(1．86±0．88)분、수면불호(1．85±0．89)분、감도비상(1．76±0．76)분、몰유식욕(1．71±0．98)분화급조역노(1．71±0．98)분.인자분석득출적7개공인자적루계방차공헌솔체98．354％,분별위핍력-부면심리증상군、자아형상문란증상군、치료상관증상군、위장도증상군、체중하강-피부소양증상군、거성-초필증상군、염식-병태행위증상군,기중인자1、2、3해석총체방차적88．953％.결론핍력-심리증상군、자아형상문란증상군화치료상관증상군시궁경암교위상견적증상군.
Objective To investigated the incidence and severity level of symptoms of cervical cancer,in order to comprehensively understand the symptom cluster,and thus to enhance the pertinence and effec-tiveness in clinical nursing.Methods By convenience sampling,92 patients were selected and investigated by the Chinese version memorial symptom assessment scale (MSAS-Ch),and the results were analyzed.Re-sults The highest frequency symptom was lacking vitality/lacking in strength (98.91%),followed by the feeling sad (97.83%),thirdly was poor sleep and inappetence (96.74%).Marks of symptom severity degree from high to low in sequence were losing hair(3.06±1.28),not feeling like themselves(2.74±1.28),skin condition changed(2.48±1.29);followed by lacking in strength (1.86±0.88),not sleeping well(1.85±0. 89),feeling sad(1.76±0.76),inappetence(1.71±0.98)and irritability(1.71±0.98).The outcome of factor a-nalysis accumulating variance contribution of the 7 common factors reach up to 98.354%.Seven common factors named feeble-negative mentality symptom cluster,self-image disorder symptom cluster,treatment related symptom cluster ,gastrointestinal tract symptom cluster,weight lose-skin itch symptom cluster, anorexia-morbidity behavior symptom cluster.Factor 1,2,3 explained population variance of 88.953%.Con-clusion In the symptom of cervical cancer patients,feeble-mentality symptom cluster,self-image disorder symptom cluster,treating related symptom cluster are more common.