Sentinel symptoms survey in gastric cancer chemotherapy patients based on symptom cluster theory
10.3760/cma.j.cn115682-20240529-03030
- VernacularTitle:基于症状群理论的胃癌化疗患者前哨症状调查
- Author:
Weixia SONG
1
;
Xiuzhen ZHANG
1
;
Weili NIU
1
;
Qingxia FAN
1
;
Weijie ZHANG
1
Author Information
1. 郑州大学第一附属医院肿瘤科一病区，郑州 450000
- Publication Type:Journal Article
- Keywords:
Stomach meoplasms;
Chemotherapy;
Symptom cluster;
Sentinel symptoms
- From:
Chinese Journal of Modern Nursing
2025;31(7):946-950
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze sentinel symptoms in gastric cancer chemotherapy patients based on symptom cluster theory and provide a basis for effective symptom assessment and management.Methods:A convenience sampling method was used to select gastric cancer patients undergoing chemotherapy at the First Affiliated Hospital of Zhengzhou University from June 2022 to May 2023. Patients were surveyed using a basic demographic questionnaire and the M.D. Anderson Symptom Inventory (MDASI). The Apriori algorithm was applied to identify sentinel symptoms within symptom clusters during chemotherapy.Results:A total of 195 questionnaires were distributed, and 187 valid responses were collected, yielding a response rate of 95.90% (187/195). A total of four symptom clusters were identified: physical symptom cluster (fatigue-pain-restless sleep-drowsiness-weight loss), gastrointestinal symptom cluster (nausea-appetite loss-dry mouth-vomiting), emotional symptom cluster (sadness-distress), and gastric cancer-specific symptom cluster (feeling full-changed appetite-diarrhea-constipation). Fatigue, nausea, sadness, and feeling full were identified as sentinel symptoms for the physical, gastrointestinal, emotional, and gastric cancer-specific symptom clusters, respectively.Conclusions:Gastric cancer chemotherapy patients experience various symptom clusters, with fatigue, nausea, sadness, and feeling full being potential sentinel symptoms within their respective clusters.
