乳腺癌化疗病人症状群轨迹的潜在类别及影响因素

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Potential categories and influencing factors of symptom cluster trajectories in breast cancer patients undergoing chemotherapy

YANG Qianyao，GUO Rong，JIA Chengfang，LIU Ying，TANG Huiyan*

College ofNursingandRehabilitation，North China UniversityofScienceand Technology，HebeiO63210 China

*Corresponding Author TANG Huiyan，E-mail： tanghuiyan2oo8@163.com

AbstractObjective：Toexplorethepotentialcategoriesandifluencingfactorsofsymptomclustertrajectoriesinbreastcanerpatints undergoingchemotherapy.Methods：Aconveniencesamplingmethod wasadoptedtoselect225breastcancer inpatients whounderwent theirfirstchemotherapyatatertiarygradeAhospitalinacertaincityfromJulytoDecember2O24asthesurveysubjects.General informatinquestioaires，Memorial SymptomAssessmentScale，SenseofCoherenceScale，andFemaleSelf-AdvocacyinCancer Survivorshipwereusedtoconductthesurveyonlstdaybeforechemotherapy，7thdayafterthefirstchemotherapy，7thdayafterthe secondchemothrapy，thdafterthetidemotherapy，andthdayfterthefourthemotherapyDataaalysisasperfodsing thelatentclassgrowthmodel.Results：Thereweretwopotentialcategoriesinthesymptomclustertrajectoriesofbreastcancerpatients undergoing chemotherapy，namely the high-level significant increase group （20.4% ）and the low-level slow increase group （79.6% ） Logisticrgressalysisoedthatoccupainlacofsidence，resecofomorbdi，elfdvocacybilityndef coherence were theinfluencing factors forthe symptomclustertrajectorycategoriesof breastcancer patients undergoing chemotherapy（ P<0.05） . Conclusions： The symptom clusters of breast cancer patients undergoing chemotherapy could be divided into twodiferenttrajectories.TereisalsogrouphterogeneityNursingstafsouldprovidepersonalizedsupportcareforpatientseloging to different trajectory categories.

Keywordsbreast cancer; symptom cluster; latent class growth model; influencing factors; nursing

2022年全球癌症统计报告显示，乳腺癌新增病例

约230万例，占所有新发癌症病例的 11.6% ，是女性中最常见的癌症类型，也是全球癌症死亡的主要原因[]。（剩余11049字）