Xác định tỉ lệ các triệu chứng và cụm triệu chứng của người bệnh ung thư vú và phụ khoa trong quá trình điều trị hóa chất tại các bệnh viện ở Hà Nội=Identifying prevalence of symptoms and symptom clusters in breast and gynecological cancer patients undergoing chemotherapy in some hospitals in Hanoi

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Tác giả: Thị Xuân Hương Hoàng

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.318-324

Bộ sưu tập: Metadata

ID: 478173

Thêm vào giỏ

Mô tả tỉ lệ các triệu chứng của người bệnh ung thư vú và phụ khoa trong quá trình điều trị hoá chất
và xác định các cụm triệu chứng trên nhóm đối tượng này. Đối tượng và phương pháp nghiên cứu: phân tích số liệu thứ cấp từ một nghiên cứu cắt ngang trên bệnh nhân ung thư vú và ung thư phụ khoa đang điều trị hoá chất tại Bệnh viện Ung Bướu Hà Nội, Bệnh viên K cơ sở Tân Triều, Bệnh viện Bạch Mai từ tháng 5 đến tháng 7 năm 2017 Kết quả: 83 bệnh nhân được lựa chọn vào nghiên cứu. Tuổi trung bình của dối tượng nghiên cứu là 50,3 ± 11,73. Có 59 (71,1%) bệnh nhân ung thư vú, 14 (16,9%) bệnh nhân ung thư buồng trứng, 10 (12,0%) bệnh nhân ung thư cổ tử cung. Nghiên cứu chỉ ra 8 cụm triệu chứng trên nhóm người bệnh này. Các triệu chứng phố biến (có tỉ lệ mắc từ 60%) bao gồm rụng tóc, thay đổi vị giác, mất vị giác, khó tập trung, thiếu năng lượng, khô miệng, tê bì tay chân, và mất ngủ. Kết luận: Người bệnh ung thư vú và phụ khoa phải chịu đựng nhiều triệu chứng khác nhau. Các triệu chứng không xảy ra đơn lẻ và thường có mối liên quan lẫn nhau để tạo ra các cụm triệu chứng làm gia tăng gánh nặng bệnh tật. Điều này khẳng định sự cần thiết của việc đánh giá tổng quát bằng thang đo được chuẩn hoá khi thăm khám của Điều dưỡng viên nhằm tránh bỏ sót các triệu chứng.To describe symptoms that breast cancer and gynecological cancer patients experienced during chemotherapy treatment and to identify symptom clusters among them. Methods: Secondary analysis from data of a cross-sectional study on breast and gynecological cancer patients treated with chemotherapy from May to July, 2017 at Hanoi Oncology Hospital, Tan Trieu Campus of K Hospital, and Bach Mai hospital. Results: 83 patients were selected. Their mean age was 50.3 ± 11.73. There were 59 (71.1%) breast cancer patients, 14 (16.9%) ovarian cancer patients, and 10 (12%) cervical cancer patients. Eight symtom clusters were identified. The most prevalence symptoms (60%) that participants reported were: hair loss, taste changes, loss of appetite, concentrating difficulty, lack of energy, dry mouth, numbness/tingling in hands/feet, and trouble sleeping. Conclusions: Breast or gynecological cancer patients suffered a large range of symptoms. These symptoms did not occur alone but often correlated to form a cluster that increase the burden of disease. Hence, it’s important to have a nurses’ comprehenvise assessment for such patients to avoid missing symptoms.

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