肺癌患者围手术期症状群识别及评估工具的研究现状
Research Status of Identification and Assessment Tools for Perioperative Symptom Clusters in Lung Cancer Patients
DOI: 10.12677/ns.2026.156172, PDF,   
作者: 陈 雪, 李伶俐, 王丽雯, 樊荣荣, 吕梦婷：湖北医药学院护理学院，湖北 十堰；葛 梅*：湖北医药学院附属国药东风总医院，湖北 十堰
关键词: 肺癌；围手术期；症状群；评估工具；综述；Lung Cancer； Perioperative Period； Symptom Cluster； Assessment Tools； Review
摘要: 肺癌患者围手术期症状呈群状态出现，影响倍增，降低了患者的治疗效果和生存质量。其次，对于肺癌症状群的识别方法及工具也是不胜枚举，本文旨在从症状群的概念、评估工具、表现方式、识别方法、管理策略五个方面综述肺癌患者围手术期症状群识别及评估工具的现状，以期为后续开展相关研究提供参考。
Abstract: Perioperative symptoms in lung cancer patients appear in clusters, multiplying their impact and reducing patients’ treatment efficacy and quality of life. Additionally, there is a wide variety of methods and tools for identifying symptom clusters in lung cancer. This paper aims to review the current status of the identification and assessment tools of perioperative symptom clusters in lung cancer patients from five aspects: the concept of symptom clusters, assessment tools, manifestation patterns, identification methods, and management strategies, in order to provide a reference for future related research.
文章引用：陈雪, 李伶俐, 王丽雯, 樊荣荣, 吕梦婷, 葛梅. 肺癌患者围手术期症状群识别及评估工具的研究现状[J]. 护理学, 2026, 15(6): 8-15. https://doi.org/10.12677/ns.2026.156172

参考文献

[1] 滕熠, 等. 中国与全球癌症发病、死亡和患病对比及其预测分析: GLOBOCAN 2022数据解读[J]. 中华肿瘤防治杂志, 2024, 31(23): 1413-1420.
[2] Luo, Y., Luo, J., Su, Q., Yang, Z., Miao, J. and Zhang, L. (2024) Exploring Central and Bridge Symptoms in Patients with Lung Cancer: A Network Analysis. Seminars in Oncology Nursing, 40, Article 151651. [Google Scholar] [CrossRef] [PubMed]
[3] Merlo, A., Carlson, R., Espey, J., Williams, B.M., Balakrishnan, P., Chen, S., et al. (2022) Postoperative Symptom Burden in Patients Undergoing Lung Cancer Surgery. Journal of Pain and Symptom Management, 64, 254-267. [Google Scholar] [CrossRef] [PubMed]
[4] Dodd, M.J., Miaskowski, C. and Paul, S.M. (2001) Symptom Clusters and Their Effect on the Functional Status of Patients with Cancer. Oncology Nursing Forum, 28, 465-470.
[5] Kim, H., McGuire, D.B., Tulman, L. and Barsevick, A.M. (2005) Symptom Clusters: Concept Analysis and Clinical Implications for Cancer nursing. Cancer Nursing, 28, 270-282. [Google Scholar] [CrossRef] [PubMed]
[6] Brown, J.K., Cooley, M.E., Chernecky, C. and Sarna, L. (2011) A Symptom Cluster and Sentinel Symptom Experienced by Women with Lung Cancer. Oncology Nursing Forum, 38, E425-E435. [Google Scholar] [CrossRef] [PubMed]
[7] Ma, J., Xu, H., Liu, S. and Wang, A. (2022) An Investigation of Symptom Clusters and Sentinel Symptoms during the First 2 Cycles of Postoperative Chemotherapy in Patients with Lung Cancer. Cancer Nursing, 45, 488-496. [Google Scholar] [CrossRef] [PubMed]
[8] Cleeland, C.S., Mendoza, T.R., Wang, X.S., Chou, C., Harle, M.T., Morrissey, M., et al. (2000) Assessing Symptom Distress in Cancer Patients. Cancer, 89, 1634-1646. [Google Scholar] [CrossRef] [PubMed]
[9] Mendoza, T.R., Wang, X.S., Lu, C., Palos, G.R., Liao, Z., Mobley, G.M., et al. (2011) Measuring the Symptom Burden of Lung Cancer: The Validity and Utility of the Lung Cancer Module of the M. D. Anderson Symptom Inventory. The Oncologist, 16, 217-227. [Google Scholar] [CrossRef] [PubMed]
[10] 张立力, 臧瑜. MD安德森症状评估量表肺癌模块的修订和考评[J]. 肿瘤, 2013, 33(5): 434-438.
[11] Portenoy, R.K., Thaler, H.T., Kornblith, A.B., McCarthy Lepore, J., Friedlander-Klar, H., Kiyasu, E., et al. (1994) The Memorial Symptom Assessment Scale: An Instrument for the Evaluation of Symptom Prevalence, Characteristics and Distress. European Journal of Cancer, 30, 1326-1336. [Google Scholar] [CrossRef] [PubMed]
[12] Fu, L., Hu, Y., Lu, Z., Zhou, Y., Zhang, X., Chang, V.T., et al. (2018) Validation of the Simplified Chinese Version of the Memorial Symptom Assessment Scale—Short Form among Cancer Patients. Journal of Pain and Symptom Management, 56, 113-121. [Google Scholar] [CrossRef] [PubMed]
[13] Bruera, E., Kuehn, N., Miller, M.J., Selmser, P. and Macmillan, K. (1991) The Edmonton Symptom Assessment System (ESAS): A Simple Method for the Assessment of Palliative Care Patients. Journal of Palliative Care, 7, 6-9. [Google Scholar] [CrossRef] [PubMed]
[14] Hollen, P.J., Gralla, R.J., Kris, M.G., Cox, C., Belani, C.P., Grunberg, S.M., et al. (1994) Measurement of Quality of Life in Patients with Lung Cancer in Multicenter Trials of New Therapies. Psychometric Assessment of the Lung Cancer Symptom Scale. Cancer, 73, 2087-2098. [Google Scholar] [CrossRef] [PubMed]
[15] 王明铭, 等. 肺癌患者术后症状评估量表的有效性及临床应用[J]. 中国胸心血管外科临床杂志, 2017, 24(6): 417-422.
[16] 李京京, 等. 围手术期肺癌患者症状群与生活质量相关性的纵向研究[J]. 中华护理杂志, 2020, 55(11): 1635-1641.
[17] 张欢欢, 张娜, 刘燕. 肺癌患者围手术期症状群的纵向调查研究[J]. 中国胸心血管外科临床杂志, 2025, 32(4): 508-514.
[18] 毛莹颖, 等. 肺癌患者围手术期症状群的研究进展[J]. 中国护理管理, 2024, 24(6): 876-880.
[19] 宋丽君. 基于患者报告结局的肺癌患者症状负担和症状群研究[D]: [博士学位论文]. 北京: 中国中医科学院, 2022.
[20] 殷秀敏. 围术期肺癌VATS症状评估及术后影响因素探究[D]: [硕士学位论文]. 济南: 山东大学, 2020.
[21] 韩娜菲, 等. 日间肺癌手术患者出院后症状纵向变化及护理对策研究[J]. 中华护理杂志, 2025, 60(4): 432-438.
[22] Chen, Z., Dong, Q. and Liang, L. (2018) Effect of Different Thoracic Anesthesia on Postoperative Cough. Journal of Thoracic Disease, 10, 3539-3547. [Google Scholar] [CrossRef] [PubMed]
[23] Xiao, C., Bruner, D.W., Jennings, B.M. and Hanlon, A.L. (2014) Methods for Examining Cancer Symptom Clusters over Time. Research in Nursing & Health, 37, 65-74. [Google Scholar] [CrossRef] [PubMed]
[24] 王潇, 等. 癌症症状群识别方法研究进展[J]. 中国护理管理, 2018, 18(9): 1274-1279.
[25] Kim, H., Abraham, I. and Malone, P.S. (2013) Analytical Methods and Issues for Symptom Cluster Research in Oncology. Current Opinion in Supportive & Palliative Care, 7, 45-53. [Google Scholar] [CrossRef] [PubMed]
[26] Lin, S., Chen, Y., Yang, L. and Zhou, J. (2013) Pain, Fatigue, Disturbed Sleep and Distress Comprised a Symptom Cluster That Related to Quality of Life and Functional Status of Lung Cancer Surgery Patients. Journal of Clinical Nursing, 22, 1281-1290. [Google Scholar] [CrossRef] [PubMed]
[27] 黄文婷, 等. 肺癌氩氦刀冷冻消融治疗患者围术期症状群及前哨症状的调查[J]. 军事护理, 2023, 40(9): 39-42, 72.
[28] 肖益萍. 肺癌患者围手术期症状群的纵向研究[D]: [硕士学位论文]. 新乡: 新乡医学院, 2016.
[29] Linder, L. (2010) Analysis of the UCSF Symptom Management Theory: Implications for Pediatric Oncology Nursing. Journal of Pediatric Oncology Nursing, 27, 316-324. [Google Scholar] [CrossRef] [PubMed]
[30] 倪晓莎, 李帅妮, 楼妍. 肺癌患者症状管理研究进展[J]. 上海护理, 2020, 20(5): 53-57.
[31] 孙新星, 等. 叙事护理对肺癌手术患者症状群管理及创伤后成长的应用研究[J]. 中国肺癌杂志, 2025, 28(1): 40-46.
[32] 吕晓晴. 非小细胞肺癌患者围手术期症状群干预方案构建及临床实证研究[D]: [博士学位论文]. 合肥: 安徽医科大学, 2023.
[33] Liang, Y., Jing, P., Gu, Z., Shang, L., Ge, P., Zhang, Y., et al. (2024) Application of the Patient-Reported Outcome-Based Postoperative Symptom Management Model in Lung Cancer: A Multicenter Randomized Controlled Trial Protocol. Trials, 25, Article No. 130. [Google Scholar] [CrossRef] [PubMed]

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