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조명숙 ( Cho Myoung-Sook ) - 성균관대학교 의과대학 삼성서울병원 임상간호학교실
권인각 ( Kwon In-Gak ) - 성균관대학교 의과대학 삼성서울병원 임상간호학교실
김희선 ( Kim Hee-Sun ) - 삼성서울병원 간호본부
김경희 ( Kim Kyung-Hee ) - 중앙대학교 간호학과
류은정 ( Ryu Eun-Jung ) - 건국대학교 간호학과
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Abstract
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Purpose:The purpose of this study was to identify cancer-related symptom clusters and to validate the conceptual meanings of the revealed symptom clusters in patients with hepatocellular carcinoma.
Methods:This study was a cross-sectional survey and methodological study. Patients with hepatocellular carcinoma (N=194) were recruited from a medical center in Seoul. The 20-item Symptom Checklist was used to assess patients’ symptom severity. Selected symptoms were factored using principal-axis factoring with varimax rotation. To validate the revealed symptom clusters, the statistical differences were analyzed by status of patients’ performance status, Child-Pugh classification, and mood state among symptom clusters.
Results:Fatigue was the most prevalent symptom (97.4%), followed by lack of energy and stomach discomfort. Patients’ symptom severity ratings fit a four-factor solution that explained 61.04% of the variance. These four factors were named pain-appetite cluster, fatigue cluster, itching-constipation cluster, and gastrointestinal cluster. The revealed symptom clusters were significantly different for patient performance status (ECOG-PSR), Child-Pugh class, anxiety, and depression.
Conclusion:Knowing these symptom clusters may help nurses to understand reasonable mechanisms for the aggregation of symptoms. Efficient symptom management of disease-related and treatment-related symptoms is critical in promoting physical and emotional status in patients with hepatocellular carcinoma.
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KeyWords
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증상군, 간세포암
Symptom, Cluster, Hepatocellular carcinoma
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원문 및 링크아웃 정보
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등재저널 정보
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