دورية أكاديمية
A Mixed Methods Study of Symptom Experience in Patients With End-Stage Renal Disease.
| العنوان: | A Mixed Methods Study of Symptom Experience in Patients With End-Stage Renal Disease. |
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| المؤلفون: | Ng MSN; Marques Shek Nam Ng, RN, PhD, is Postdoctoral Fellow, The Chinese University of Hong Kong, Hong Kong, China. Cho Lee Wong, RN, PhD, is Assistant Professor, The Chinese University of Hong Kong, Hong Kong, China. Kai Chow Choi, PhD, is Senior Research Fellow, The Chinese University of Hong Kong, Hong Kong, China. Yun Ho Hui, RN, MBA, is Nurse Consultant (Renal Care), United Christian Hospital, Hong Kong, China. Eva Hau Sim Ho, RN, MNurs, is Nurse Consultant (Renal Care), Pamela Youde Nethersole Eastern Hospital, Hong Kong, China. Christine Miaskowski, RN, PhD, FAAN, is Professor, University of California, San Francisco. Winnie Kwok Wei So, RN, PhD, is Professor, The Chinese University of Hong Kong, Hong Kong, China., Wong CL, Choi KC, Hui YH, Ho EHS, Miaskowski C, So WKW |
| المصدر: | Nursing research [Nurs Res] 2021 Jan/Feb; Vol. 70 (1), pp. 34-43. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott-Ravn Publisher Country of Publication: United States NLM ID: 0376404 Publication Model: Print Cited Medium: Internet ISSN: 1538-9847 (Electronic) Linking ISSN: 00296562 NLM ISO Abbreviation: Nurs Res Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <1998- >: Hagerstown, MD : Lippincott-Ravn Publisher Original Publication: New York, American Journal of Nursing Co. |
| مواضيع طبية MeSH: | Patient Satisfaction*, Fatigue/*physiopathology , Kidney Failure, Chronic/*physiopathology , Kidney Failure, Chronic/*therapy , Renal Dialysis/*adverse effects , Renal Dialysis/*psychology , Symptom Assessment/*methods, Aged ; Fatigue/etiology ; Female ; Humans ; Male ; Middle Aged ; Severity of Illness Index |
| مستخلص: | Background: Patients with end-stage renal disease receiving dialysis experience a significant symptom burden. Identifying factors associated with this burden may improve symptom management. However, specific evidence about patients' experiences is lacking. Objectives: The aim of this study was to explore factors that are associated with patients' symptom experiences. Methods: The convergent parallel mixed methods design was used. In the quantitative component, the Dialysis Symptom Index was used to assess the symptom burden of 271 participants to examine its associations with patient characteristics using correlation coefficients and multivariate regression analyses. In the qualitative component, associated factors reported by 10 participants were identified through semistructured interviews using content analysis. Assessments were conducted at enrollment, 6 months, and 12 months. After separate data analyses, findings were integrated using side-by-side comparison and joint display. Results: Several significant associations were identified between patient characteristics and symptom burden, and the participants described four categories of factors (i.e., treatment related, pathophysiological, situational, dietary) associated with a higher symptom burden during their interviews. Across both components of this study, three factors were consistent (i.e., employment, hyperphosphatemia, anemia). Participants described several factors not reported previously. Discussion: This study explored subjective and objective factors influencing the symptom experiences of patients with end-stage renal disease using a mixed methods design. These risk factors can be used to identify high-risk patients. Our findings suggest that participants relied on laboratory results and treatments to explain their symptom experiences. These findings suggest that assessment of both subjective and objective factors is needed to explore patients' symptom experiences. |
| تواريخ الأحداث: | Date Created: 20200929 Date Completed: 20210216 Latest Revision: 20210216 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1097/NNR.0000000000000479 |
| PMID: | 32991531 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1538-9847 |
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| DOI: | 10.1097/NNR.0000000000000479 |