Postoperative Symptom Cluster in NSCLC Patients and Its Relationship with Social Support and Self-Efficacy: A Cross-Sectional Study.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2025-04-17 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S518188

Juan Cao, Keyu Chen, Lihong Gao, Dandan Yang, Wenjuan Zhang, Xiaheng Deng, Changpeng Liu, Qi Dai, Xinyi Xu, Fang Li

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引用次数: 0

Abstract

Purpose: The study aimed to identify symptom clusters among NSCLC patients within 3 months postoperatively and analyze the relationships between symptom clusters and social support and self-efficacy.

Methods: We conducted a cross-sectional study from January 1 to May 31, 2024, involving NSCLC patients undergoing surgery at hospitals in Jiangsu Province. Data were collected using the MD Anderson Symptom Inventory, the Perceived Social Support Scale (PSSS), and the Strategies Used by People to Promote Health (SUPPH).

Results: Exploratory factor analysis revealed five distinct symptom clusters: respiratory distress, respiratory tract discomfort, physical exhaustion, digestive dysfunction, and nighttime disturbances. The severity of physical exhaustion and nighttime disturbances was negatively correlated with PSSS scores. Conversely, the severity of respiratory distress, respiratory tract discomfort, and digestive dysfunction symptoms was negatively correlated with SUPPH scores.

Conclusion: Our findings may guide medical professionals in managing postoperative symptoms in NSCLC patients. Social support and self-efficacy appear to be significant factors influencing the severity of symptom clusters.

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非小细胞肺癌患者术后症状群及其与社会支持和自我效能感的关系：一项横断面研究。

目的：本研究旨在识别NSCLC患者术后3个月内的症状聚类，分析症状聚类与社会支持和自我效能感的关系。方法：我们于2024年1月1日至5月31日进行了一项横断面研究，涉及江苏省医院接受手术的非小细胞肺癌患者。使用MD安德森症状量表、感知社会支持量表（PSSS）和人们促进健康的策略（SUPPH）收集数据。结果：探索性因素分析显示5个明显的症状群：呼吸窘迫、呼吸道不适、体力衰竭、消化功能障碍和夜间障碍。体力衰竭和夜间干扰的严重程度与PSSS评分呈负相关。相反，呼吸窘迫、呼吸道不适和消化功能障碍症状的严重程度与SUPPH评分呈负相关。结论：我们的研究结果可以指导医疗专业人员处理非小细胞肺癌患者的术后症状。社会支持和自我效能感是影响症状群集严重程度的重要因素。

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

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.