• Analysis of symptom cluster and influencing factors for patients with gynecological cancer during chemotherapy

    Subjects: Nursing >> Nursing submitted time 2023-05-12

    Abstract: Objective To investigate the related symptoms, symptom cluster and influencing factors among patients with gynecological cancer during chemotherapy. Methods A total of 430 inpatients with gynecological cancer treated by chemotherapy were investigated by using the General Information Questionnaire and Chinese version of M. D. Anderson Symptom Inventory (MDASI). Results There were many symptoms in gynecological cancer patients during chemotherapy. The top three symptom incidence were vomiting (91.86%), drowsiness (90.70%) and fatigue (90.00%). The top three incidence of symptomatic distress were walking (76.74%), interpersonal (76.30%) and emotion (72.79%). Four symptom groups were extracted by exploratory factor analysis, namely emotional symptom cluster, disease symptom cluster, fatigue symptom cluster and digestive tract symptom cluster. Multivariate stepwise regression analysis showed that metastasis, family monthly income, recurrence, expected hospital stay, number of chemotherapy, chemotherapy regimen, tumor staging and work status were the influencing factors of symptoms. Conclusion There are many symptoms in gynecological cancer patients during chemotherapy. Clinical nurses should start from the point of view of symptom cluster, and provide effective symptoms management measures for patients, to improve their quality of life.