Factors Influencing Chemotherapy-Induced Taste Alterations in Cancer Patients Receiving Cisplatin Treatment: A Path Analysis

影响接受顺铂治疗的癌症患者化疗诱发味觉改变的因素:路径分析

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Abstract

IntroductionCisplatin is particularly recognized for its adverse effects, most notably its impact on chemosensory perception.MethodsThis cross-sectional study enrolled 98 cancer patients undergoing cisplatin therapy from April 2022 to December 2023. Patients were administered the Chemotherapy-Induced Taste Alteration Scale (CITAS) and the Rhodes Index of Nausea, Vomiting, and Retching (RINVR).ResultsA multiple linear regression model was employed to determine the effect of taste changes among cancer patients undergoing cisplatin therapy. The study of the model coefficients for the structural model (χ(2)/df = 1.338, P = .004, GFI = 0.955, CFI = 0.986, RMSEA = 0.063, SRMR = 0.079) demonstrated a robust match. This model, formed to evaluate the effects of taste alteration, appetite loss, nausea, vomiting, age, quality of life, and body surface area, was statistically significant and explained 76.4% of the variation. Multiple linear regression evaluations determined significant factors affecting taste alteration associated with nausea-vomiting [(95% CI: 0.111-0.244); P =  0.042], loss of appetite [(95% CI: 0.102-0.254); P = 0.000], age [(95% CI: -0.827-0.424); P = 0.001], quality of life [(95% CI: -0.908-0.489); P = 0.000], and body surface area [(95% CI: 0.024-0.098); P = 0.021].ConclusionTaste alteration significantly influenced symptoms of appetite loss, nausea, vomiting, age, and body surface area. These results provide valuable insights for developing effective intervention strategies to alleviate the relational effects of symptom clusters on patients' quality of life and symptoms, particularly for cancer patients receiving cisplatin therapy.

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