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目的调查老年消化道恶性肿瘤患者化疗期间症状体验的特点,为老年科医务人员进行有效的症状管理提供参考。方法连续抽取2013年10月至2014年3月在福州及泉州市2家三甲医院住院的老年消化道恶性肿瘤术后化疗患者100例为研究对象,用MSAS症状评估量表,调查患者的症状体验特点。结果老年消化道恶性肿瘤患者术后化疗期间的主要症状是缺乏活力、食欲消失、恶心、体重下降、脱发、口干、呕吐、疼痛和悲伤感,症状发生率均>60%,其频繁及严重程度给患者带来较大困扰。MSAS症状评估量表评分:生理症状(0.94±0.39),心理症状(0.57±0.38)、总困扰指数(0.74±0.35),MSAS总分(0.69±0.25)。结论老年消化道恶性肿瘤患者化疗期间主要症状体验,给患者带来较大困扰。临床上可采取相应措施对症状进行干预改善,以提高其生活质量。
Objective To investigate the characteristics of symptomatic patients during the chemotherapy of elderly patients with gastrointestinal cancer and provide reference for the effective management of symptoms of geriatric medical staff. Methods A total of 100 elderly patients with gastrointestinal malignant tumor who were hospitalized in Fuzhou and Quanzhou from October 2013 to March 2014 were enrolled in this study. Symptom experience Features. Results The main symptoms of postoperative chemotherapy in elderly patients with gastrointestinal cancer were the lack of vitality, loss of appetite, nausea, weight loss, hair loss, dry mouth, vomiting, pain and sadness, the incidence of symptoms were> 60%, which were frequent and severe Degree to patients with greater trouble. MSAS symptom rating scale score: physiological symptoms (0.94 ± 0.39), psychological symptoms (0.57 ± 0.38), total disturbance index (0.74 ± 0.35), MSAS score (0.69 ± 0.25). Conclusion The main symptoms of patients with gastrointestinal cancer in elderly patients during chemotherapy experience to patients with more trouble. Clinically, appropriate measures can be taken to improve the symptoms and improve their quality of life.