Correlation between symptom clusters and quality of life in patients with laryngeal cancer
10.3760/cma.j.cn115682-20210819-03688
- VernacularTitle:喉癌患者症状群与生活质量的相关性研究
- Author:
Rui ZHAO
1
;
Xiaoxia XU
;
Tingting DING
;
Jinping MENG
;
Huili MA
;
Miao LEI
Author Information
1. 郑州大学附属肿瘤医院（河南省肿瘤医院）护理部，郑州 450003
- Keywords:
Laryngeal neoplasms;
Quality of life;
Symptom cluster;
Correlation research
- From:
Chinese Journal of Modern Nursing
2022;28(9):1189-1194
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the symptom clusters and quality of life of patients with laryngeal cancer at different times, and to explore the correlation between the two.Methods:From June 2020 to June 2021, convenience sampling was used to select 155 laryngeal cancer patients with operation in the Head and Neck Thyroid Surgery of Affiliated Cancer Hospital of Zhengzhou University as the research object. The General Information Questionnaire, the Chinese version of Anderson Symptom Inventory-Head and Neck, and Functional Assessment of Cancer Therapy Generic Scale (FACT-G) were used to investigate on the day of admission, 3 days after operation, and 30 days after operation. Symptom clusters were extracted using exploratory factor analysis. Spearman correlation analysis was used to analyze the correlation between the severity of symptom clusters and quality of life in patients with laryngeal cancer.Results:A total of 4 symptom clusters were extracted, namely pain-gastrointestinal symptom cluster, fatigue-sleep-mood symptom cluster, laryngeal cancer-specific symptom cluster, and vocalization-dysphagia symptom cluster. The number and composition of symptom clusters were different on the day of admission, 3 days after operation and 30 days after operation. There were statistically significant differences in FACT-G scores on the day of admission, 3 days after operation and 30 days after operation in patients with laryngeal cancer ( P<0.01) . The FACT-G total score and physiological dimension score on the day of admission, 3 days after operation and30 days after operation of laryngeal cancer patients were negatively correlated with the severity of different symptom clusters ( P<0.05) . Conclusions:The number and composition of symptom clusters in patients with laryngeal cancer at different times are different. The more severe the symptom clusters, the worse the quality of life. Medical and nursing staff should manage patients' symptom clusters to improve the quality of life.
