Symptom Cluster Science in Chronic Kidney Disease: A Literature Review
| Autor: | Catherine J. Ryan, Seon-Yoon Chung, Mark B. Lockwood, Houry Puzantian, Ulf G. Bronas, Holli A. DeVon, Chang Park |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Pain 03 medical and health sciences 0302 clinical medicine Quality of life Internal medicine Surveys and Questionnaires Symptom Cluster Medicine Humans In patient 030212 general & internal medicine Patient Reported Outcome Measures Mortality Renal Insufficiency Chronic General Nursing Fatigue Models Statistical 030504 nursing business.industry Syndrome medicine.disease Latent class model Uremia Cohort Quality of Life Observational study 0305 other medical science business Kidney disease |
| Zdroj: | Western journal of nursing research. 41(7) |
| ISSN: | 1552-8456 |
| Popis: | The purpose of this review was to synthesize evidence on symptom clusters in patients with chronic kidney disease (CKD). The quality of studies was evaluated using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Twelve articles met inclusion criteria. Patients had CKD ranging from Stages 2 through 5. Most studies determined clusters using variable-centered approaches based on symptoms; however, one used a person-centered approach based on demographic and clinical characteristics. The number of clusters identified ranged from two to five. Several clusters were prominent across studies including symptom dimensions of fatigue/energy/sleep, neuromuscular/pain, gastrointestinal, skin, and uremia; however, individual symptoms assigned to clusters varied widely. Several clusters correlated with patient outcomes, including health-related quality of life and mortality. Identifying symptom clusters in CKD is a nascent field, and more research is needed on symptom measures and statistical methods for clustering. The clinical implications of symptom clusters remain unclear. |
| Databáze: | OpenAIRE |
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