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Nursing Science 2024
症状同期网络在慢性病患者中的研究进展
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Abstract:
慢性病患者病程长,病情复杂,需要长时间的治疗和康复,在这一病程中会存在多种症状并存的情况,这将会严重影响着患者的生命质量。目前,为明确患者的多重症状之间的关系,提出了症状网络新范式,以便精准干预改善患者生命质量。对症状同期网络的发展理论和症状识别指标、在慢性病患者中的应用分析以及同期网络在各慢性病患者中所存在的困难和对未来的展望进行综述,以期为临床制定精准护理干预及症状管理提供参考。
Abstract Chronic illness patients experience long disease courses and complex symptoms, necessitating prolonged treatment and rehabilitation. During this course, multiple symptoms may coexist, severely impacting the patients’ quality of life. To clarify the relationship between these multiple symptoms, a new paradigm called symptom network analysis has been proposed, aiming for precise interventions to improve patients’ quality of life. This review provides an overview of the theoretical development of symptom network analysis, symptom identification indicators, its application in chronic illness patients, challenges encountered in different patient populations, and prospects for the future. It aims to provide insights for clinical interventions and symptom management in order to enhance patient care.
[1] | 张敬颖, 曹文卓, 欧敏行, 等. 实施科学在慢性病健康照护中的应用研究进展[J]. 护理学杂志, 2024, 39(3): 112-116. |
[2] | World Health Organization (2019) Global Health Estimates: Life Expectancy and Leading Causes of Death and Disability, Noncommunicable Diseases. https://www.who.int/data/gho/data/themes/theme-details/GHO/mortality-and-global-health-estimates |
[3] | Zeng, L., Huang, H., Liu, Y., et al. (2023) The Core Symptom in Multiple Myeloma Patients Undergoing Chemotherapy: A Network Analysis. Supportive Care in Cancer, 31, Article No. 297. https://doi.org/10.1007/s00520-023-07759-7 |
[4] | 朱政, 胡天天, 金依霖, 等. 症状网络的基本概念及其在症状管理中的应用[J]. 护士进修杂志, 2023, 38(24): 2214-2218, 2224. |
[5] | Zhou, M., Gu, X., Cheng, K., et al. (2023) Exploration of Symptom Clusters during Hemodialysis and Symptom Network Analysis of Older Maintenance Hemodialysis Patients: A Cross-Sectional Study. BMC Nephrology, 24, Article No. 115. https://doi.org/10.1186/s12882-023-03176-4 |
[6] | Fried, E.I., Boschloo, L., Van Borkulo, C.D., et al. (2015) Commentary: “Consistent Superiority of Selective Serotonin Reuptake Inhibitors over Placebo in Reducing Depressed Mood in Patients with Major Depression”. Frontiers in Psychiatry, 6, Article 117. https://doi.org/10.3389/fpsyt.2015.00117 |
[7] | 胡天天, 余骏雯, 何加敏, 等. 个体化症状网络的应用方法及实现[J]. 护士进修杂志, 2023, 38(24): 2246-2249. |
[8] | Hyat, M., Miller, J.G. and Gotlib, I.H. (2024) A Network Analysis of Psychopathology in Young Black Children: Implications for Predicting Outcomes in Adolescence. Journal of Affective Disorders, 349, 262-271. https://doi.org/10.1016/j.jad.2024.01.071 |
[9] | Cai, T., Zhou, T., Huang, Q., et al. (2023) Cancer-Related Symptoms among Young and Middle-Aged Women Undergoing Chemotherapy for Breast Cancer: Application of Latent Class Analysis and Network Analysis. European Journal of Oncology Nursing, 63, Article 102287. https://doi.org/10.1016/j.ejon.2023.102287 |
[10] | Li, Y., Jia, S., Cao, B., et al. (2023) Network Analysis of Somatic Symptoms in Chinese Patients with Depressive Disorder. Frontiers in Public Health, 11, Article 1079873. https://doi.org/10.3389/fpubh.2023.1079873 |
[11] | Zhu, Z., Xing, W., Hu, Y., et al. (2022) Paradigm Shift: Moving from Symptom Clusters to Symptom Networks. Asia-Pacific Journal of Oncology Nursing, 9, 5-6. https://doi.org/10.1016/j.apjon.2021.12.001 |
[12] | 朱政, 余骏雯, 杨中方, 等. 症状同期网络的分析方法介绍及R软件实现[J]. 护士进修杂志, 2023, 38(24): 2235-2239. |
[13] | Lin, Y., Bruner, D.W., Paul, S., et al. (2022) A Network Analysis of Self-Reported Psychoneurological Symptoms in Patients with Head and Neck Cancer Undergoing Intensity-Modulated Radiotherapy. Cancer, 128, 3734-3743. https://doi.org/10.1002/cncr.34424 |
[14] | Liu, X., Wang, H., Zhu, Z., et al. (2022) Exploring Bridge Symptoms in HIV-Positive People with Comorbid Depressive and Anxiety Disorders. BMC Psychiatry, 22, Article No. 448. https://doi.org/10.1186/s12888-022-04088-7 |
[15] | Zhu, Z., Sun, Y., Kuang, Y., et al. (2023) Contemporaneous Symptom Networks of Multidimensional Symptom Experiences in Cancer Survivors: A Network Analysis. Cancer Medicine, 12, 663-673. https://doi.org/10.1002/cam4.4904 |
[16] | 余骏雯, 朱政, 胡天天, 等. 症状网络的特异性指标[J]. 护士进修杂志, 2023, 38(24): 2229-2234, 2245. |
[17] | Kalantari, E., Kouchaki, S., Miaskowski, C., et al. (2022) Network Analysis to Identify Symptoms Clusters and Temporal Interconnections in Oncology Patients. Scientific Reports, 12, Article No. 17052. https://doi.org/10.1038/s41598-022-21140-4 |
[18] | 王小波, 王慧虹, 侯礼佳, 等. 基于网络分析肺癌围术期核心症状的调查性研究[J]. 护士进修杂志, 2023, 38(24): 2333-2339. |
[19] | Liao, J., Wang, Y., Dai, W., et al. (2022) Profiling Symptom Burden and Its Influencing Factors at Discharge for Patients Undergoing Lung Cancer Surgery: A Cross-Sectional Analysis. Journal of Cardiothoracic Surgery, 17, Article No. 229. https://doi.org/10.1186/s13019-022-01974-9 |
[20] | 殷秀敏, 高金萍, 彭英, 等. 肺癌术后患者同期症状网络分析及核心症状识别[J]. 护士进修杂志, 2023, 38(24): 2255-2261. |
[21] | 余骏雯, 杨中方, 何加敏, 等. 症状网络研究的报告规范[J]. 护士进修杂志, 2023, 38(24): 2250-2254, 2261. |
[22] | Kaiser, T., Herzog, P., Voderholzer, U., et al. (2021) Unraveling the Comorbidity of Depression and Anxiety in a Large Inpatient Sample: Network Analysis to Examine Bridge Symptoms. Depression and Anxiety, 38, 307-317. https://doi.org/10.1002/da.23136 |
[23] | Chen, J., Wang, Q., Liang, Y., et al. (2023) Comorbidity of Loneliness and Social Anxiety in Adolescents: Bridge Symptoms and Peer Relationships. Social Science & Medicine, 334, Article ID: 116195. https://doi.org/10.1016/j.socscimed.2023.116195 |
[24] | De la Torre‐Luque, A., Ojagbemi, A., Caballero, F.F., et al. (2020) Cross-Cultural Comparison of Symptom Networks in Late-Life Major Depressive Disorder: Yoruba Africans and the Spanish Population. International Journal of Geriatric Psychiatry, 35, 1060-1068. https://doi.org/10.1002/gps.5329 |
[25] | 吴贤群, 尚彬, 周燕, 等. 基于网络分析的维持性血液透析患者透析期间核心症状研究[J]. 实用临床医药杂志, 2023, 27(15): 56-61, 67. |
[26] | 黄瑞, 单芳, 席礼艳, 等. 识别脑卒中恢复期患者症状群及核心症状: 一项同期症状网络分析[J/OL]. 护士进修杂志, 1-10. http://kns.cnki.net/kcms/detail/52.1063.R.20240204.1603.002.html, 2024-06-11. |
[27] | 白丽娜, 杨旭颖, 张丹丹, 等. 系统性红斑狼疮患者的症状群及其网络分析[J]. 护理学杂志, 2024, 39(5): 22-27. |
[28] | 王陇德, 彭斌, 张鸿祺, 等. 《中国脑卒中防治报告2020》概要[J]. 中国脑血管病杂志, 2022, 19(2): 136-144. |
[29] | Fletcher, B.R., Damery, S., Aiyegbusi, O.L., et al. (2022) Symptom Burden and Health-Related Quality of Life in Chronic Kidney Disease: A Global Systematic Review and Meta-Analysis. PLOS Medicine, 19, e1003954. https://doi.org/10.1371/journal.pmed.1003954 |
[30] | 翟林君, 刘蓉, 郭傲寒, 等. 维持性血液透析患者的症状群及网络分析[J]. 护士进修杂志, 2023, 38(24): 2289-2294, 2302. |
[31] | 马水梅, 杨文君, 帕热旦木?托乎提, 等. 基于网络分析维持性血液透析患者症状群及桥梁症状研究[J]. 中国血液净化, 2024, 23(3): 232-236. |
[32] | Leng, M., Han, S., Sun, Y., et al. (2023) Identifying Care Problem Clusters and Core Care Problems of Older Adults with Dementia for Caregivers: A Network Analysis. Frontiers in Public Health, 11, Article ID: 1195637. https://doi.org/10.3389/fpubh.2023.1195637 |
[33] | Zhao, D., Lv, G., Qi, M., et al. (2023) The Structure of Menopausal Syndrome: Using Network Analysis to Understand Unique Symptomatic Relationships. International Journal of Gynecology & Obstetrics, 160, 289-296. https://doi.org/10.1002/ijgo.14353 |
[34] | McElroy, E. and Patalay, P. (2019) In Search of Disorders: Internalizing Symptom Networks in a Large Clinical Sample. Journal of Child Psychology and Psychiatry, 60, 897-906. https://doi.org/10.1111/jcpp.13044 |
[35] | 邹炎铃, 王晓庆, 李洵, 等. 胃癌术后化疗患者消化道症状群核心症状及影响因素研究[J/OL]. 中国全科医学, 1-8. http://kns.cnki.net/kcms/detail/13.1222.R.20240307.1118.008.html, 2024-06-11. |
[36] | van der Velden, R.M.J., Mulders, A.E.P., Drukker, M., et al. (2018) Network Analysis of Symptoms in a Parkinson Patient Using Experience Sampling Data: An n=1 Study. Movement Disorders, 33, 1938-1944. https://doi.org/10.1002/mds.93 |
[37] | Zhong, S., Cheng, D., Su, J., et al. (2023) A Network Analysis of Depressive Symptoms, Psychosocial Factors, and Suicidal Ideation in 8686 Adolescents Aged 12-20 Years. Psychiatry Research, 329, Article ID: 115517. https://doi.org/10.1016/j.psychres.2023.115517 |
[38] | Belvederi Murri, M., Amore, M., Respino, M., et al. (2020) The Symptom Network Structure of Depressive Symptoms in Late-Life: Results from a European Population Study. Molecular Psychiatry, 25, 1447-1456. https://doi.org/10.1038/s41380-018-0232-0 |
[39] | Solmi, M., Collantoni, E., Meneguzzo, P., et al. (2019) Network Analysis of Specific Psychopathology and Psychiatric Symptoms in Patients with Anorexia Nervosa. European Eating Disorders Review, 27, 24-33. https://doi.org/10.1002/erv.2633 |