Abstract:
AIMS:The aim of this study was to test a symptom cluster model in chronic kidney disease patients based on the Theory of Unpleasant Symptoms, accounting for the relationships between influencing factors, symptom experience and consequences for quality of life. BACKGROUND:The evaluation of symptom clusters is a new field of scientific inquiry directed towards more focused symptom management. Yet, little is known about relationships between symptom clusters, predictors and the synergistic effect of multiple symptoms on outcomes. DESIGN:Cross-sectional. METHODS:Data were collected from 436 patients with advanced stages of chronic kidney disease during July 2013-February 2014 using validated measures of symptom burden and quality of life. Analysis involved structural equation modelling. RESULTS:The final model demonstrated good fit with the data and provided strong evidence for the predicted relationships. Psychological distress, stage of chronic kidney disease and age explained most of the variance in symptom experience. Symptom clusters had a strong negative effect on quality of life, with fatigue, sexual symptoms and restless legs being the strongest predictors. Overall, the model explained more than half of the deterioration in quality of life. However, a reciprocal path between quality of life and symptom experience was not found. CONCLUSIONS:Interventions targeting symptom clusters could greatly improve quality of life in patients with chronic kidney disease. The symptom cluster model presented has important clinical and heuristic implications, serving as a framework to encourage and guide new lines of intervention research to reduce symptom burden in chronic kidney disease.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Almutary H,Douglas C,Bonner Adoi
10.1111/jan.13303subject
Has Abstractpub_date
2017-10-01 00:00:00pages
2450-2461issue
10eissn
0309-2402issn
1365-2648journal_volume
73pub_type
杂志文章abstract::Recent surveys show that children are still restricted from visiting their critically ill family and friends on many adult intensive care units throughout the country. The purpose of this small-scale exploratory pilot study was to examine and describe the experiences and perceptions of trained nurses towards children ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01293.x
更新日期:2000-02-01 00:00:00
abstract:AIMS:This paper reports a study examining the process and outcomes of a long-term, multicomponent smoking cessation intervention for patients with lung disease initiated while hospitalized and provided over 1-year postdischarge. BACKGROUND:Successful smoking cessation interventions are of primary importance for people...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03248.x
更新日期:2004-12-01 00:00:00
abstract:AIM:This paper is a report of a study exploring the role and practice of nurse anaesthetists, with particular attention to describing how it is 'nursing'. BACKGROUND:In many countries, there is no nurse anaesthetist role. Recent events suggest that hesitancy about the role may be changing in Canada. Yet, there is limi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.05207.x
更新日期:2010-03-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.21061073.x
更新日期:1995-06-01 00:00:00
abstract:AIM:This paper is a report of a systematic review and meta-analysis of strategies, other than antimicrobial coated catheters, hypothesized to reduce risk of catheter-related bloodstream infections and catheter colonization in the intensive care unit setting. BACKGROUND:Catheter-related bloodstream infections occur at ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1111/j.1365-2648.2007.04564.x
更新日期:2008-04-01 00:00:00
abstract:AIM:The aim of the study was to evaluate the changes in symptoms and quality of life in people with puborectalis dyssynergia after biofeedback by using Short Form-36 and Patient Assessment of Constipation Quality of Life Questionnaire. BACKGROUND:Biofeedback is an effective treatment in clinical symptoms for puborecta...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05593.x
更新日期:2011-06-01 00:00:00
abstract::This paper is based on the authors' experience of teaching and supervising the first intake of the management unit of the diploma for charge nurses offered by the Department of Professional Development and Training, Glasgow College of Nursing and Midwifery, Glasgow, Scotland. The students on this course undertake a pr...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00560.x
更新日期:1998-04-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00554.x
更新日期:1998-03-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12198
更新日期:2013-12-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1997.t01-9-00999.x
更新日期:1997-09-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2007.04221.x
更新日期:2007-05-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:
更新日期:2000-10-01 00:00:00
abstract::This paper examines the phenomenon of family 'interference' in the health care of a sick member from a new angle. The 'interfering' behaviours are located within the context of the family's evolving relationships with health care providers. The authors argue that the behaviours are an understandable product of the fam...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1984.tb00416.x
更新日期:1984-11-01 00:00:00
abstract::There is a decline in recruitment to pre-registration programmes in psychiatric nursing in Ireland. This article discusses factors that may relate to the Irish situation in the context of relevant international literature on nurse recruitment. It is noted that disciplines and courses in Ireland, such as social care, t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2000.01460.x
更新日期:2000-07-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04934.x
更新日期:2009-04-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1997.t01-1-1997025746.x
更新日期:1997-04-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05278.x
更新日期:2010-05-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1994.tb01073.x
更新日期:1994-02-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12197
更新日期:2014-02-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01900.x
更新日期:2001-09-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1997.t01-19-00999.x
更新日期:1997-09-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01666.x
更新日期:1990-01-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2000.01576.x
更新日期:2000-11-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.21010103.x
更新日期:1995-01-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1046/j.1365-2648.2001.01838.x
更新日期:2001-07-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01893.x
更新日期:1990-06-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13105
更新日期:2017-01-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13487
更新日期:2018-03-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
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更新日期:2017-07-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1992.tb01834.x
更新日期:1992-10-01 00:00:00