pisco_log
banner

Theoretical Framework and Management Strategies for Lung Cancer Symptom Clusters: A Systematic Review Based on Multi-Theory Integration

Wang Xin

Abstract


This article systematically reviews the developmental trajectory of cancer symptom cluster theories, integrating the Symptom Management Theory (SMT), the Theory of Unpleasant Symptoms (TOUS), and the Dynamic Symptom Model (DSM) to construct a management
framework for lung cancer symptom clusters. Lung cancer patients experience an average of 14 symptoms, which form four core symptom
clusters: emotional, fatigue, gastrointestinal, and respiratory. The synergistic effects within these clusters lead to a decline in quality of life that
exceeds the sum of individual symptom effects by over 30%. Research indicates that through multidisciplinary collaboration (MDT), dynamic
monitoring (e.g., the ASyMS system), and integrative Traditional Chinese Medicine interventions, the severity of symptom clusters can be
reduced by 40%. Future efforts should focus on promoting the development of standardized assessment tools (e.g., the MDASI-LC scale) and
AI-based early warning systems, and deepening research on cross-theoretical integration and precise interventions.

Keywords


Lung Cancer; Symptom Clusters; Symptom Management Theory; Dynamic Model; Integrative Traditional Chinese Medicine Therapy

Full Text:

PDF

Included Database


References


[1] Tuo Wangyang, He Hong. Research Progress on Postoperative Symptom Clusters in Lung Cancer Patients[J]. Modern Medicine &

Health, 2024, 40(20):3573-3577+3584.

[2] Zhang Huanhuan, Zhang Na, Liu Yan. A Longitudinal Survey of Symptom Clusters in Lung Cancer Patients During the Perioperative

Period[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2025, 32(04):508-514.

[3] Ju Xiaodi. A Longitudinal Study on Symptom Clusters and Sentinel Symptoms in Lung Cancer Patients During Chemotherapy[D]. Anhui Medical University, 2023.

[4] L Xiaoqing. Construction and Clinical Validation of an Intervention Program for Symptom Clusters in Perioperative Non-Small Cell

Lung Cancer Patients[D]. Anhui Medical University, 2023.

[5] Li Chunyan, Ding Qian, Yang Hui. Research Progress on Longitudinal Studies of Symptom Clusters in Lung Cancer Patients[J]. General Nursing, 2022, 20(23):3237-3240.

[6] Li Jingjing. Research on the Management of Symptom Clusters During Chemotherapy Intervals in Lung Cancer Patients[D]. Shanxi

Medical University, 2022.

[7] Ru Yanan, Shi Suling, Zhao Jiegang, et al. Research Progress on Symptom Cluster Management in Lung Cancer Patients[J]. Henan

Medical Research, 2022, 31(02):377-381.

[8] Yan Wenjing. Analysis of Influencing Factors of Symptom Clusters in Lung Cancer Patients Undergoing Chemotherapy and Their Correlation with Common Blood Test Indicators[D]. University of South China, 2019.

[9] Hu Xia, Luo Jian, Li Miaomiao, et al. Research Progress on Symptom Cluster Management in Lung Cancer Patients[J]. Journal of Nursing Science, 2019, 34(07):99-102.

[10] Lin Dongmei. Detection of Biological Indicators and Construction of a Risk Path Assessment Model for Lung Cancer Symptom

Clusters[D]. Southern Medical University, 2019.




DOI: http://dx.doi.org/10.70711/mhr.v3i2.9472

Refbacks

  • There are currently no refbacks.