Network analysis of symptom clusters in early postoperative patients with laryngeal cancer
10.3760/cma.j.cn115682-20240630-03651
- VernacularTitle:喉癌术后早期患者症状群网络分析
- Author:
Xuejie YU
1
;
Wan ZHAO
;
Xiaolei JING
;
Caixia DING
;
Jingwu SUN
;
Guiqi SONG
Author Information
1. 安徽医科大学护理学院，合肥 230023
- Publication Type:Journal Article
- Keywords:
Laryngeal neoplasms;
Syndrome;
Network analysis;
Nursing
- From:
Chinese Journal of Modern Nursing
2024;30(35):4856-4861
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the symptom clusters, core symptoms and bridging symptoms in the symptom network of early postoperative patients with laryngeal cancer.Methods:From January 2021 to April 2024, convenience sampling was used to select early postoperative patients with laryngeal cancer admitted to the Department of Otolaryngology at the First Affiliated Hospital of the University of Science and Technology of China as participants. The General Information Questionnaire and M.D. Anderson Symptom Inventory-Head & Neck were used for the survey. R language software was used to analyze symptom clusters, core symptoms, and bridging symptoms in early postoperative patients with laryngeal cancer.Results:A total of 300 questionnaires were distributed and 287 valid questionnaires were collected, with a valid response rate of 95.7%. Network analysis extracted three symptom clusters (oropharyngeal specific symptom cluster, shortness of breath and fatigue symptom cluster, and sleep emotion symptom cluster), among which the oropharyngeal specific symptom cluster was the most severe. Symptom network analysis showed a strong correlation between oropharyngeal pain and swallowing difficulties, distress and fatigue, and restless sleep and sadness. Shortness of breath exhibited the highest intensity centrality ( rs=1.29) and mediation centrality ( rb=96) in the symptom network. It was the core symptom and bridging symptom in the symptom network of early postoperative patients with laryngeal cancer. Conclusions:Early postoperative patients with laryngeal cancer have a severe oropharyngeal-specific symptom cluster, with shortness of breath being the core symptom and bridging symptom in the symptom network. Medical and nursing staff should focus on the mutual influence between early symptoms of patients after laryngectomy and correctly identify core symptoms and bridging symptoms to improve symptom management accuracy.
