Preventive suggestions and development trajectories of symptom clusters in 286 patients with acute pancreatitis
10.3969/j.issn.1006-2483.2025.05.034
- VernacularTitle:286例急性胰腺炎患者症状群发展轨迹影响因素及预防建议
- Author:
Hongliang SHANG
1
;
Gang LI
1
;
Yuanyuan LIU
1
;
Cheng WANG
1
;
Xue YAN
2
Author Information
1. Gastroenterology Ward 1 , Hanzhong City Centre Hospital , Hanzhong , Shaanxi 723000 , China
2. Neurology Ward 1, Hanzhong City Centre Hospital , Hanzhong , Shaanxi 723000 , China
- Publication Type:Journal Article
- Keywords:
Acute pancreatitis;
Symptom clusters;
Development trajectories;
Preventive suggestions
- From:
Journal of Public Health and Preventive Medicine
2025;36(5):154-158
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the occurrence and development trajectories of symptoms at different time points in patients with acute pancreatitis (AP), and to analyze the influencing factors and preventive measures of development trajectories of AP symptom clusters. Methods A convenient sampling method was used to select AP who were admitted from January 2023 to December 2023 were selected and included in the study. The symptoms at different time points were recorded. The severities of symptom clusters in AP patients were explored, and the development trajectories of main symptom clusters were analyzed. Univariate and multivariate logistic regression analyses were used to analyze the influencing factors of development trajectories of symptom clusters in AP patients. Results The incidence rates of abdominal pain, dry mouth, abdominal distension and lack of energy were higher in AP patients during hospitalization. The incidence rates of lack of energy, anxiety, abdominal pain and sleep disturbance were higher on the 1st month after discharge. The incidence rates of abdominal distension, abdominal pain, sleep disturbance and anxiety were higher on the 3rd month after discharge. The incidence rates of anxiety, abdominal pain and irritability were higher on the 6th month after discharge. The fatigue symptom cluster, psychological symptom cluster and gastrointestinal symptom cluster were extracted during hospitalization and on the 1st month and the 3rd month after discharge, and the psychological symptom cluster and gastrointestinal symptom cluster were extracted on the 6th month. The severity scores of symptom clusters at each time point were statistically different (P<0.05). The development of gastrointestinal symptom cluster in AP patients was mainly low decline. The development of psychological symptom cluster was mainly high decline. Drinking history and diabetes mellitus were the influencing factors of development trajectory of gastrointestinal symptom cluster in AP patients (P<0.05). High disease severity, drinking history and biliary tract disease were the influencing factors of development trajectory of psychological symptom cluster in AP patients (P<0.05). Conclusion The symptom clusters of AP patients changes over time, with digestive, fatigue, and psychological symptoms being the main groups in the early stage, and psychological and digestive symptoms persisting in the later stage. Early identification and intervention are crucial for improving the prognosis of AP patients.
