Early postoperative core symptoms and their relationship with resilience in oesophageal cancer patients-A multicentre cross-sectional study.

IF 3.8 3区 医学 Q1 NURSING
Shaoxue Li, Lijun Wu, Jie He, Yaping Ge, Shuwen Li
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引用次数: 0

Abstract

Aim: To assess early postoperative core symptoms in oesophageal cancer patients and their relationship with resilience.

Background: Patients with oesophageal cancer face a high number of severe symptoms in the early post-operative period and require the development of an effective symptom management programme. Identifying core symptoms through network analysis helps in accurate patient care.

Design: A multicentre cross-sectional study.

Methods: A cross-sectional survey was conducted from August 2022 to August 2023 at three hospitals in Anhui Province, China. A total of 469 patients were recruited for this study and 418 (89.1%) patients completed this investigation. Using network analysis to find early post-operative core symptoms in oesophageal cancer patients. Multiple linear regression was used to analyse resilience factors affecting core symptoms.

Results: Sadness was the most core symptom in oesophageal cancer patients in the early post-operative period (rs = 1.41), followed by incision pain and difficulty breathing while resting (rs = 1.20, rs = 1.08). Resilience was significantly associated with patients' feelings of sadness, with optimism having the greatest impact on sadness (p < .01).

Conclusion: Sadness is the most core symptom in patients in the early post-operative period and special attention should be paid to improving their level of resilience. Local symptoms and dysfunction in the early post-operative period should be treated in a synergistic manner.

Impact: This study identifies core symptoms and their relationship to resilience in patients with oesophageal cancer in the early post-operative period. Symptoms as the main core symptom in patients in the early post-operative period, which was sadness and was significantly associated with resilience. Precise interventions can be made to target patients' core post-operative symptoms, which can help improve the effectiveness of symptom management.

Reporting method: We have complied with the relevant EQUATOR research reporting checklist.

Patient or public contribution: No patient or public contribution in the study.

食道癌患者术后早期核心症状及其与恢复力的关系--一项多中心横断面研究。
目的:评估食道癌患者术后早期的核心症状及其与复原力的关系:背景:食道癌患者在术后早期面临大量严重症状,需要制定有效的症状管理方案。通过网络分析确定核心症状有助于准确护理患者:多中心横断面研究:方法:2022 年 8 月至 2023 年 8 月在中国安徽省的三家医院进行了一项横断面调查。本研究共招募了 469 名患者,其中 418 名(89.1%)患者完成了调查。利用网络分析发现食道癌患者术后早期核心症状。采用多元线性回归分析影响核心症状的复原力因素:结果:悲伤是食道癌患者术后早期最主要的核心症状(rs = 1.41),其次是切口疼痛和休息时呼吸困难(rs = 1.20,rs = 1.08)。复原力与患者的悲伤情绪有明显相关性,其中乐观情绪对悲伤情绪的影响最大(p 结论:悲伤情绪是癌症患者最核心的症状:悲伤是术后早期患者最主要的症状,应特别注意提高他们的恢复能力。应协同治疗术后早期的局部症状和功能障碍:本研究确定了食道癌患者术后早期的核心症状及其与恢复力的关系。症状是患者术后早期的主要核心症状,其中以悲伤为主,且与恢复力显著相关。针对患者术后核心症状进行精准干预,有助于提高症状管理的有效性:我们遵守了相关的EQUATOR研究报告清单:本研究中无患者或公众贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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