Network analysis of core symptoms and bridge symptoms of patients after hepatectomy
10.3760/cma.j.cn211501-20241022-02885
- VernacularTitle:肝癌切除术后患者核心症状及桥梁症状的网络分析
- Author:
Renfang WANG
1
;
Ruiyi ZHAO
1
;
Juehua XU
1
;
Shuai LIU
1
;
Weixi LIN
1
Author Information
1. 浙江大学医学院附属第二医院护理部，杭州 310009
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Nursing care;
Core symptoms;
Bridge symptoms;
Network analysis
- From:
Chinese Journal of Practical Nursing
2025;41(19):1487-1493
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the symptom network of patients after hepatectomy, analyze the core symptoms and bridge symptoms in the network, and provide evidence for symptom management of patients after hepatectomy.Methods:A cross-sectional study was conducted to select the patients after hepatectomy in the Second Affiliated Hospital of Zhejiang University from January to July 2024 by convenient sampling method. M.D. Anderson Sympotom Inventory and the Symptom Module Specific to Primary Liver Cancer were used to investigate the composition of symptoms. Symptom clusters were extracted by exploratory factor analysis, and simultaneous network layout was constructed by R language to describe the relationship between symptoms and analyze the central indicators.Results:A total of 228 questionnaires were distributed and 220 valid questionnaires were collected. There were 174 males and 46 females, aged (60.31 ± 10.69) years old. The four symptom groups were neuroaffective symptom group, gastrointestinal symptom group, fatigue-related symptom group and pain-related symptom group, and the cumulative variance contribution rate was 54.592%.In the concurrent symptom network analysis, distress was the core symptom of node centrality index, and the top 3 bridge symptoms were pain (r bs=2.40), decreased appetite (r bs=2.10) and nausea (r bs=2.00), the correlation stability coefficients of network strength centrality, compact centrality and expected influence values were 0.595, 0.595 and 0.673, the symptom group network was stable. Conclusions:Distress is the core symptom of patients after hepatectomy, and pain, decreased appetite and nausea are bridge symptoms. It is recommended that medical staff construct intervention programs based on core symptoms and bridge symptoms, implement precise symptom management, and improve the outcome of symptom management of patients.
