ISSN 1671-5411 CN 11-5329/R
Doris SF Yu, Helen YL Chan, Doris YP Leung, Elsie Hui, Janet WH Sit. Symptom clusters and quality of life among patients with advanced heart failure. J Geriatr Cardiol 2016; 13(5): 408-414. doi: 10.11909/j.issn.1671-5411.2016.05.014
Citation: Doris SF Yu, Helen YL Chan, Doris YP Leung, Elsie Hui, Janet WH Sit. Symptom clusters and quality of life among patients with advanced heart failure. J Geriatr Cardiol 2016; 13(5): 408-414. doi: 10.11909/j.issn.1671-5411.2016.05.014

Symptom clusters and quality of life among patients with advanced heart failure

doi: 10.11909/j.issn.1671-5411.2016.05.014
  • Received Date: 2015-12-12
  • Rev Recd Date: 2015-12-16
  • Publish Date: 2016-05-28
  • 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 ± 6.5 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 63.25% 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 = ?0.635, P P = 0.01), and the discomfort (beta = -0.258, P 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.
  • loading
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (1526) PDF downloads(1589) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return