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Potential categories and influencing factors of symptom cluster trajectories in breast cancer patients undergoing chemotherapy
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Qianyao YANG, Rong GUO, Chengfang JIA, Ying LIU, Huiyan TANG
Chinese Nursing Research | 2026, 40(8) : 1281 - 1288
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Chinese Nursing Research | 2026, 40(8): 1281-1288
• Original Articles •
Potential categories and influencing factors of symptom cluster trajectories in breast cancer patients undergoing chemotherapy
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Qianyao YANG, Rong GUO, Chengfang JIA, Ying LIU, Huiyan TANG
Affiliations
  • 1College of Nursing and Rehabilitation, North China University of Science and Technology, Hebei 063210 China
Published: 2026-04-25 doi: 10.12102/j.issn.1009-6493.2026.08.006
Outline
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Objective

To explore the potential categories and influencing factors of symptom cluster trajectories in breast cancer patients undergoing chemotherapy.

Methods

A convenience sampling method was adopted to select 225 breast cancer inpatients who underwent their first chemotherapy at a tertiary grade A hospital in a certain city from July to December 2024 as the survey subjects.General information questionnaires,Memorial Symptom Assessment Scale,Sense of Coherence Scale,and Female Self-Advocacy in Cancer Survivorship were used to conduct the survey on 1st day before chemotherapy,7th day after the first chemotherapy,7th day after the second chemotherapy,7th day after the third chemotherapy,and 7th day after the fourth chemotherapy.Data analysis was performed using the latent class growth model.

Results

There were two potential categories in the symptom cluster trajectories of breast cancer patients undergoing chemotherapy,namely the high-level significant increase group(20.4%) and the low-level slow increase group(79.6%).Logistic regression analysis showed that occupation,place of residence,presence of comorbidities,self-advocacy ability,and sense of coherence were the influencing factors for the symptom cluster trajectory categories of breast cancer patients undergoing chemotherapy(P<0.05).

Conclusions

The symptom clusters of breast cancer patients undergoing chemotherapy could be divided into two different trajectories.There is also group heterogeneity.Nursing staff should provide personalized support care for patients belonging to different trajectory categories.

breast cancer  /  symptom cluster  /  latent class growth model  /  influencing factors  /  nursing
杨茜尧, 郭榕, 贾成方, 刘莹, 唐惠艳. 乳腺癌化疗病人症状群轨迹的潜在类别及影响因素. 护理研究, 2026 , 40 (8) : 1281 -1288 . DOI: 10.12102/j.issn.1009-6493.2026.08.006
Qianyao YANG, Rong GUO, Chengfang JIA, Ying LIU, Huiyan TANG. Potential categories and influencing factors of symptom cluster trajectories in breast cancer patients undergoing chemotherapy[J]. Chinese Nursing Research, 2026 , 40 (8) : 1281 -1288 . DOI: 10.12102/j.issn.1009-6493.2026.08.006
Year 2026 volume 40 Issue 8
48
18
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.08.006
  • Receive Date:2025-07-18
  • Online Date:2026-10-28
  • Published:2026-04-25
Article Data
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History
  • Received:2025-07-18
  • Revised:2026-03-28
Affiliations
    1College of Nursing and Rehabilitation, North China University of Science and Technology, Hebei 063210 China

Corresponding:

TANG Huiyan, E-mail:
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
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Percentage of
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Genus
种数
Number of
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Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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