Correspondence analysis of symptom cluster in patients with gastric cancer before chemotherapy
10.3760/cma.j.issn.1674-2907.2018.25.006
- VernacularTitle:胃癌患者化疗前症状群的对应分析
- Author:
Dandan WANG
1
;
Shouchao HOU
;
Wei ZHENG
;
Yanping SHI
Author Information
1. 郑州大学第二附属医院肿瘤科
- Keywords:
Stomach neoplasms;
Pre-chemotherapy;
Symptom cluster;
Correspondence analysis
- From:
Chinese Journal of Modern Nursing
2018;24(25):2998-3002
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the symptom clusters of gastric cancer patients before chemotherapy,so as to provide a theoretical basis for the development of targeted management strategies.Methods A total of 228 gastric cancer patients who were treated in the General Surgery Department and Oncology Department of the Second Affiliated Hospital of Zhengzhou University from September 2016 to August 2017 were selected as the survey subjects by convenience sampling method.A cross-sectional survey was used to conduct a questionnaire survey.The Chinese Version Memorial Symptom Assessment Scale(MSAS)was used to evaluate the patients' symptoms before chemotherapy.Correspondence analysis was used to extract symptom clusters.Results A total of 228 questionnaires were distributed,and 224 were effective.The effective recovery rate was 98.2％.Before chemotherapy,the 5 most prevalent symptoms of gastric cancer patients were weight loss(97.8％),dry mouth(95.1％),pain(90.6％),sweating(84.4％)and lack of vitality/fatigue(79.5％).The top 5 symptoms of severity were lack of vitality/fatigue,difficult to focus,body swelling/bloating,swelling of the arms or legs and anxiety.Using the correspondence analysis to get 5 symptom clusters,the 5 symptom clusters were the energy deficiency symptom cluster,digestive tract symptom cluster,physical and mental symptom cluster,surgical related symptom cluster and neurological symptom cluster.The Cronbach's α coefficient was 0.95,0.89,0.92,0.93 and 0.87 respectively.Conclusions This study clarified the pre-chemotherapy symptom clusters of gastric cancer patients,and provided a scientific basis for exploring practical and effective methods of symptom management.At the same time,this research can also provide reference for the applicationof correspondence analysis method in the study of cancer symptom clusters.
