Dynamic network analysis of postoperative core symptoms in hepatocellular carcinoma patients and nursing insights
10.3761/j.issn.0254-1769.2025.15.010
- VernacularTitle:肝癌患者术后核心症状的动态网络分析及护理启示
- Author:
Chengxin SUN
1
;
Yuying WANG
;
Qinghong YANG
;
Fan XUE
;
Ke LIN
Author Information
1. 650500 昆明市 昆明医科大学护理学院
- Publication Type:Journal Article
- Keywords:
Hepatocellular Carcinoma;
Symptom Management;
Core Symptoms;
Network Analysis;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(15):1857-1863
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study conducted a dynamic network analysis of the symptoms in patients with hepatocellular carcinoma(HCC)at different postoperative time points,aiming to explore evolving core symptoms and provide a basis for developing precise clinical symptom management programs.Methods A longitudinal study was carried out involving 370 HCC patients who underwent surgical treatment at a hospital in Kunming city between February and December 2024.Questionnaires were administered on postoperative day 2(T1)and day 7(T2),using the Chinese version of the Memory Symptom Assessment Scale.Symptom networks of 18 symptoms were constructed for both time points using R software to explore core symptoms and their interconnections.A network comparison test was also performed to assess differences between the 2 time points.Results All 370 patients completed the questionnaire at T1,and 357 valid responses were collected at T2,yielding a response rate of 96.49％.At T1,"feeling nervous"had the highest centrality(rs=1.29),while at T2,"feeling sad"was most central(rs=1.11).Overall strength of the symptom networks showed that notable changes were observed in the edge weights between symptoms(P=0.01).Conclusion While the overall structure of early postoperative symptoms in HCC patients remained relatively stable over time,the core symptoms shifted."Feeling nervous"emerged as the central symptom at T1,whereas"feeling sad"became predominant.Digestive-related symptoms are progressively more closely linked over time.Healthcare professionals should dynamically assess patients' early postoperative psychological symptoms and digestive system related symptoms,and focus on intervening with symptoms of tension and sadness.
