How about something like this:
\begin{tikzpicture}
\draw (0,0) rectangle (8,6);
\draw (0,5) -- +(-1,0) node[ left ] {P};
\draw (0,3) -- +(-1,0) node[ left ] {Q};
\draw (0,1) -- +(-1,0) node[ left ] {R};
\draw (8,4) -- +(1,0) node[ right ] {K};
\draw (8,2) -- +(1,0) node[ right ] {A};
\draw (2,2) node {+} +(-0.5,+0.2) -- +(-1,+0.2) +(-0.5,-0.2) -- +(-1,-0.2) +(0.5,+0.2) -- +(1,+0.2) +(0.5,-0.2) -- +(1,-0.2) +(-0.5,-0.5) rectangle +(0.5,0.5);
\draw (3,3.5) node {+} +(-0.5,+0.2) -- +(-1,+0.2) +(-0.5,-0.2) -- +(-1,-0.2) +(0.5,+0.2) -- +(1,+0.2) +(0.5,-0.2) -- +(1,-0.2) +(-0.5,-0.5) rectangle +(0.5,0.5);
\draw (6,1) node {+} +(-0.5,+0.2) -- +(-1,+0.2) +(-0.5,-0.2) -- +(-1,-0.2) +(0.5,+0.2) -- +(1,+0.2) +(0.5,-0.2) -- +(1,-0.2) +(-0.5,-0.5) rectangle +(0.5,0.5);
\draw (5,5) node {+} +(-0.5,+0.2) -- +(-1,+0.2) +(-0.5,-0.2) -- +(-1,-0.2) +(0.5,+0.2) -- +(1,+0.2) +(0.5,-0.2) -- +(1,-0.2) +(-0.5,-0.5) rectangle +(0.5,0.5);
\end{tikzpicture}
That leaves how to connect the lines so that all possible sums are summed correctly.