Publication in refereed journal
香港中文大学研究人员 ( 现职)
| 薛咏红教授 (那打素护理学院) |
| 梁燕萍教授 (那打素护理学院) |
| 余秀凤教授 (那打素护理学院) |
全文
| 数位物件识别号 (DOI) http://dx.doi.org/10.11909/j.issn.1671-5411.2016.05.014 |
引用次数
Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/5WOS source URL
其它资讯
摘要Objectives To identify symptom clusters among patients with advanced heart failure (HF) and the independent relationships with their quality of life (QoL). Methods This is the secondary data analysis of a cross-sectional study which interviewed 119 patients with advanced HF in the geriatric unit of a regional hospital in Hong Kong. The symptom profile and QoL were assessed by using the Edmonton Symptom Assessment Scale (ESAS) and the McGill QoL Questionnaire. Exploratory factor analysis was used to identify the symptom clusters. Hierarchical regression analysis was used to examine the independent relationships with their QoL, after adjusting the effects of age, gender, and comorbidities. Results The patients were at an advanced age (82.9 +/- 6.http://aims.cuhk.edu.hk/converis/portal/Publication/5 years). Three distinct symptom clusters were identified: they were the distress cluster (including shortness of breath, anxiety, and depression), the decondition cluster (fatigue, drowsiness, nausea, and reduced appetite), and the discomfort cluster (pain, and sense of generalized discomfort). These three symptom clusters accounted for 63.2http://aims.cuhk.edu.hk/converis/portal/Publication/5% of variance of the patients' symptom experience. The small to moderate correlations between these symptom clusters indicated that they were rather independent of one another. After adjusting the age, gender and comorbidities, the distress (beta = -0.63http://aims.cuhk.edu.hk/converis/portal/Publication/5, P < 0.001), the decondition (beta = -0.148, P = 0.01), and the discomfort (beta = -0.2http://aims.cuhk.edu.hk/converis/portal/Publication/58, P < 0.001) symptom clusters independently predicted their QoL. Conclusions This study identified the distinctive symptom clusters among patients with advanced HF. The results shed light on the need to develop palliative care interventions for optimizing the symptom control for this life-limiting disease.
着者Yu DSF, Chan HYL, Leung DYP, Hui E, Sit JWH
期刊名称Journal of Geriatric Cardiology
出版年份2016
卷号13
期次http://aims.cuhk.edu.hk/converis/portal/Publication/5
出版社SCIENCE PRESS
页次408 - 414
国际标準期刊号1671-http://aims.cuhk.edu.hk/converis/portal/Publication/5411
语言英式英语
关键词Advanced heart failure; Palliative care model; Quality of life; Symptom clusters
Web of Science 学科类别Cardiac & Cardiovascular Systems; Cardiovascular System & Cardiology; Geriatrics & Gerontology
