Exploring symptom clusters in Chinese patients with peritoneal dialysis: a network analysis
Background In recent years, the research on symptom management in peritoneal dialysis (PD) patients has shifted from a single symptom to symptom clusters and network analysis. This study collected and evaluated unpleasant symptoms in PD patients and explored groups of symptoms that may affect PD pat...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Renal Failure |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/0886022X.2024.2349121 |
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| author | Di-fei Duan Xue-li Zhou Yu Yan Yuan-mei Li Yan-hua Hu Qin Li Xiang Peng Qin Gu Xiao-ying Li Hui Feng Ai-jiao Tang Pan Liu Hui-hui Xu Ruo-xi Liao Deng-yan Ma |
| author_facet | Di-fei Duan Xue-li Zhou Yu Yan Yuan-mei Li Yan-hua Hu Qin Li Xiang Peng Qin Gu Xiao-ying Li Hui Feng Ai-jiao Tang Pan Liu Hui-hui Xu Ruo-xi Liao Deng-yan Ma |
| author_sort | Di-fei Duan |
| collection | DOAJ |
| description | Background In recent years, the research on symptom management in peritoneal dialysis (PD) patients has shifted from a single symptom to symptom clusters and network analysis. This study collected and evaluated unpleasant symptoms in PD patients and explored groups of symptoms that may affect PD patients with a view to higher symptom management.Methods The symptoms of PD patients were measured using the modified Dialysis Symptom Index. The symptom network and node characteristics were assessed by network analysis, and symptom clusters were explored by factor analysis.Results In this study of 602 PD patients (mean age 47.8 ± 16.8 years, 47.34% male), most had less than 2 years of dialysis experience. Five symptom clusters were obtained from factor analysis, which were body symptom cluster, gastrointestinal symptom cluster, mood symptom cluster, sexual disorder symptom cluster, and skin-sleep symptom cluster. Itching and decreased interest in sex may be sentinel symptoms, and being tired or lack of energy and feeling anxious are core symptoms in PD patients.Conclusions This study emphasizes the importance of recognizing symptom clusters in PD patients for better symptom management. Five clusters were identified, with key symptoms including itching, decreased interest in sex, fatigue, and anxiety. Early intervention focused on these symptom clusters in PD patients holds promise for alleviating the burden of symptoms. |
| format | Article |
| id | doaj-art-59d50acc8ce04f11a62024f941e98af1 |
| institution | Kabale University |
| issn | 0886-022X 1525-6049 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj-art-59d50acc8ce04f11a62024f941e98af12025-01-23T04:17:48ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492024-12-0146110.1080/0886022X.2024.2349121Exploring symptom clusters in Chinese patients with peritoneal dialysis: a network analysisDi-fei Duan0Xue-li Zhou1Yu Yan2Yuan-mei Li3Yan-hua Hu4Qin Li5Xiang Peng6Qin Gu7Xiao-ying Li8Hui Feng9Ai-jiao Tang10Pan Liu11Hui-hui Xu12Ruo-xi Liao13Deng-yan Ma14Department of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University/West China School of Nursing, Sichuan University, Chengdu, ChinaDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University/West China School of Nursing, Sichuan University, Chengdu, ChinaDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University/West China School of Nursing, Sichuan University, Chengdu, ChinaMianyang Central Hospital, Mianyang, ChinaJianyang People’s Hospital, Nanchang, ChinaThe First Affiliated Hospital of Chengdu Medical College, Chengdu, ChinaPanzhihua Central Hospital, Panzhihua, ChinaWest China Hospital, Sichuan University (for Huaxi Hospital in Meishan People’s Hospital), Chengdu, ChinaXiquan People’s Hospital of Gansu Province, Lanzhou, ChinaThe Fifth People’s Hospital of Chengdu, Chengdu, ChinaDazhou Third People’s Hospital, Dazhou, ChinaThe Second People’s Hospital of Chengdu, Chengdu, ChinaThe First People’s Hospital of Jiujiang City, Jiujiang, ChinaDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, ChinaDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University/West China School of Nursing, Sichuan University, Chengdu, ChinaBackground In recent years, the research on symptom management in peritoneal dialysis (PD) patients has shifted from a single symptom to symptom clusters and network analysis. This study collected and evaluated unpleasant symptoms in PD patients and explored groups of symptoms that may affect PD patients with a view to higher symptom management.Methods The symptoms of PD patients were measured using the modified Dialysis Symptom Index. The symptom network and node characteristics were assessed by network analysis, and symptom clusters were explored by factor analysis.Results In this study of 602 PD patients (mean age 47.8 ± 16.8 years, 47.34% male), most had less than 2 years of dialysis experience. Five symptom clusters were obtained from factor analysis, which were body symptom cluster, gastrointestinal symptom cluster, mood symptom cluster, sexual disorder symptom cluster, and skin-sleep symptom cluster. Itching and decreased interest in sex may be sentinel symptoms, and being tired or lack of energy and feeling anxious are core symptoms in PD patients.Conclusions This study emphasizes the importance of recognizing symptom clusters in PD patients for better symptom management. Five clusters were identified, with key symptoms including itching, decreased interest in sex, fatigue, and anxiety. Early intervention focused on these symptom clusters in PD patients holds promise for alleviating the burden of symptoms.https://www.tandfonline.com/doi/10.1080/0886022X.2024.2349121Peritoneal dialysisnetwork analysissymptom clustersymptom management |
| spellingShingle | Di-fei Duan Xue-li Zhou Yu Yan Yuan-mei Li Yan-hua Hu Qin Li Xiang Peng Qin Gu Xiao-ying Li Hui Feng Ai-jiao Tang Pan Liu Hui-hui Xu Ruo-xi Liao Deng-yan Ma Exploring symptom clusters in Chinese patients with peritoneal dialysis: a network analysis Renal Failure Peritoneal dialysis network analysis symptom cluster symptom management |
| title | Exploring symptom clusters in Chinese patients with peritoneal dialysis: a network analysis |
| title_full | Exploring symptom clusters in Chinese patients with peritoneal dialysis: a network analysis |
| title_fullStr | Exploring symptom clusters in Chinese patients with peritoneal dialysis: a network analysis |
| title_full_unstemmed | Exploring symptom clusters in Chinese patients with peritoneal dialysis: a network analysis |
| title_short | Exploring symptom clusters in Chinese patients with peritoneal dialysis: a network analysis |
| title_sort | exploring symptom clusters in chinese patients with peritoneal dialysis a network analysis |
| topic | Peritoneal dialysis network analysis symptom cluster symptom management |
| url | https://www.tandfonline.com/doi/10.1080/0886022X.2024.2349121 |
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