Symptom Burden Clustering in Chronic Kidney Disease Stage 5
Patients with chronic kidney disease (CKD) Stage 5, experience multiple symptoms that negatively affect the health-related quality of life (HRQoL). This study examined the cluster of symptoms and their association with disease severity and comorbidities. The study sample included 123 patients with C...
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Veröffentlicht in: | Clinical nursing research 2019-06, Vol.28 (5), p.583-601 |
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description | Patients with chronic kidney disease (CKD) Stage 5, experience multiple symptoms that negatively affect the health-related quality of life (HRQoL). This study examined the cluster of symptoms and their association with disease severity and comorbidities. The study sample included 123 patients with CKD Stage 5; 60 patients were in the dialysis group and 63 patients in the Conservative Kidney Management group. Symptom data were collected using the Spanish modified version of Palliative Care Outcome Scale–Symptoms (POS-S) Renal, a validated questionnaire to assess symptoms in this population. More than half of the patients described weakness, difficulty sleeping, and feeling depressed. Two symptom clusters were identified. There was no significant statistical correlation between disease severity and symptoms and between comorbidities and symptoms. The tendency of these symptoms to occur together has implications for improving symptom management in this population. Routine symptom assessment can be useful in clinical and research settings. |
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This study examined the cluster of symptoms and their association with disease severity and comorbidities. The study sample included 123 patients with CKD Stage 5; 60 patients were in the dialysis group and 63 patients in the Conservative Kidney Management group. Symptom data were collected using the Spanish modified version of Palliative Care Outcome Scale–Symptoms (POS-S) Renal, a validated questionnaire to assess symptoms in this population. More than half of the patients described weakness, difficulty sleeping, and feeling depressed. Two symptom clusters were identified. There was no significant statistical correlation between disease severity and symptoms and between comorbidities and symptoms. The tendency of these symptoms to occur together has implications for improving symptom management in this population. Routine symptom assessment can be useful in clinical and research settings.</description><identifier>ISSN: 1054-7738</identifier><identifier>EISSN: 1552-3799</identifier><identifier>DOI: 10.1177/1054773817740671</identifier><identifier>PMID: 29115157</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Chronic illnesses ; Clinical assessment ; Clinical research ; Clustering ; Comorbidity ; Correlation analysis ; Dialysis ; Health status ; Kidney diseases ; Mental depression ; Multiple symptoms ; Nursing ; Palliative care ; Quality of life ; Severity ; Sleep disorders ; Strength ; Symptom management ; Symptoms</subject><ispartof>Clinical nursing research, 2019-06, Vol.28 (5), p.583-601</ispartof><rights>The Author(s) 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-89707288b06b26f6a333a0faec65b5966cf21c423d9a99ac2c984841549d9b2d3</citedby><cites>FETCH-LOGICAL-c365t-89707288b06b26f6a333a0faec65b5966cf21c423d9a99ac2c984841549d9b2d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1054773817740671$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1054773817740671$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,30976,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29115157$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gutiérrez Sánchez, Daniel</creatorcontrib><creatorcontrib>Leiva-Santos, Juan P.</creatorcontrib><creatorcontrib>Cuesta-Vargas, Antonio I.</creatorcontrib><title>Symptom Burden Clustering in Chronic Kidney Disease Stage 5</title><title>Clinical nursing research</title><addtitle>Clin Nurs Res</addtitle><description>Patients with chronic kidney disease (CKD) Stage 5, experience multiple symptoms that negatively affect the health-related quality of life (HRQoL). This study examined the cluster of symptoms and their association with disease severity and comorbidities. The study sample included 123 patients with CKD Stage 5; 60 patients were in the dialysis group and 63 patients in the Conservative Kidney Management group. Symptom data were collected using the Spanish modified version of Palliative Care Outcome Scale–Symptoms (POS-S) Renal, a validated questionnaire to assess symptoms in this population. More than half of the patients described weakness, difficulty sleeping, and feeling depressed. Two symptom clusters were identified. There was no significant statistical correlation between disease severity and symptoms and between comorbidities and symptoms. The tendency of these symptoms to occur together has implications for improving symptom management in this population. Routine symptom assessment can be useful in clinical and research settings.</description><subject>Chronic illnesses</subject><subject>Clinical assessment</subject><subject>Clinical research</subject><subject>Clustering</subject><subject>Comorbidity</subject><subject>Correlation analysis</subject><subject>Dialysis</subject><subject>Health status</subject><subject>Kidney diseases</subject><subject>Mental depression</subject><subject>Multiple symptoms</subject><subject>Nursing</subject><subject>Palliative care</subject><subject>Quality of life</subject><subject>Severity</subject><subject>Sleep disorders</subject><subject>Strength</subject><subject>Symptom management</subject><subject>Symptoms</subject><issn>1054-7738</issn><issn>1552-3799</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp1kElPwzAQhS0EoqVw54QsceES8NjxJk5QVlGJQ-EcOY5TUmUpdnLov8dVWaRKnOaN5ps3o4fQKZBLACmvgPBUSqaiTomQsIfGwDlNmNR6P-o4TjbzEToKYUkISSmBQzSiGoADl2N0PV83q75r8O3gC9fiaT2E3vmqXeAqdh--ayuLX6qidWt8VwVngsPz3iwc5sfooDR1cCffdYLeH-7fpk_J7PXxeXozSywTvE-UlkRSpXIicipKYRhjhpTGWcFzroWwJQWbUlZoo7Wx1GqVqhR4qgud04JN0MXWd-W7z8GFPmuqYF1dm9Z1Q8hAC1CCCEEjer6DLrvBt_G7jFLKJOdMqkiRLWV9F4J3ZbbyVWP8OgOSbYLNdoONK2ffxkPeuOJ34SfJCCRbIMRs_q7-a_gF_518kQ</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Gutiérrez Sánchez, Daniel</creator><creator>Leiva-Santos, Juan P.</creator><creator>Cuesta-Vargas, Antonio I.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201906</creationdate><title>Symptom Burden Clustering in Chronic Kidney Disease Stage 5</title><author>Gutiérrez Sánchez, Daniel ; Leiva-Santos, Juan P. ; Cuesta-Vargas, Antonio I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-89707288b06b26f6a333a0faec65b5966cf21c423d9a99ac2c984841549d9b2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Chronic illnesses</topic><topic>Clinical assessment</topic><topic>Clinical research</topic><topic>Clustering</topic><topic>Comorbidity</topic><topic>Correlation analysis</topic><topic>Dialysis</topic><topic>Health status</topic><topic>Kidney diseases</topic><topic>Mental depression</topic><topic>Multiple symptoms</topic><topic>Nursing</topic><topic>Palliative care</topic><topic>Quality of life</topic><topic>Severity</topic><topic>Sleep disorders</topic><topic>Strength</topic><topic>Symptom management</topic><topic>Symptoms</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gutiérrez Sánchez, Daniel</creatorcontrib><creatorcontrib>Leiva-Santos, Juan P.</creatorcontrib><creatorcontrib>Cuesta-Vargas, Antonio I.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nursing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gutiérrez Sánchez, Daniel</au><au>Leiva-Santos, Juan P.</au><au>Cuesta-Vargas, Antonio I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Symptom Burden Clustering in Chronic Kidney Disease Stage 5</atitle><jtitle>Clinical nursing research</jtitle><addtitle>Clin Nurs Res</addtitle><date>2019-06</date><risdate>2019</risdate><volume>28</volume><issue>5</issue><spage>583</spage><epage>601</epage><pages>583-601</pages><issn>1054-7738</issn><eissn>1552-3799</eissn><abstract>Patients with chronic kidney disease (CKD) Stage 5, experience multiple symptoms that negatively affect the health-related quality of life (HRQoL). 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source | Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List |
subjects | Chronic illnesses Clinical assessment Clinical research Clustering Comorbidity Correlation analysis Dialysis Health status Kidney diseases Mental depression Multiple symptoms Nursing Palliative care Quality of life Severity Sleep disorders Strength Symptom management Symptoms |
title | Symptom Burden Clustering in Chronic Kidney Disease Stage 5 |
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