关键词: Health promotion meta-analysis renal dialysis symptom burden

Mesh : Humans Adaptation, Psychological Cost of Illness Depression / etiology Kidney Failure, Chronic / therapy psychology Quality of Life Renal Dialysis / adverse effects psychology Social Support Symptom Burden

来  源:   DOI:10.1080/0886022X.2024.2382314   PDF(Pubmed)

Abstract:
UNASSIGNED: Patients receiving renal dialysis often experience a wide range of symptoms. These symptoms contribute to a significant symptom burden that significantly affects patients\' quality of life and serves as a significant predictor of healthcare resource utilization and patient prognosis. It is necessary to synthesize existing evidence to draw reliable conclusions to deepen the understanding of symptom burden.
UNASSIGNED: A systematic review and meta-analysis were conducted to identify the relevant factors of symptom burden in patients receiving renal dialysis.
UNASSIGNED: The systematic review and meta-analysis was conducted by searching nine databases for studies reporting the correlates between symptom burden and demographic variables, disease factors, and psychosocial factors from inception to 24 June 2024. After two researchers independently conducted literature search, data extraction, and quality evaluation, meta-analysis was conducted using R Language and Stata 15.1 Software. This study has been registered in the PROSPERO.
UNASSIGNED: Sixty-two studies were included in this review. Results showed that the symptom burden of renal dialysis patients was positively correlated with age, gender, working status, medical cost, dialysis age, quality of sleep, nutritional status, comorbidities, depression, anxiety, disease uncertain, avoidance coping and resignation coping, and negatively correlated with marital status, income, serum sodium, quality of life, social support, subjective well-being, and self-management ability.
UNASSIGNED: Our findings reveal that many factors, including demographic, disease-related, and psychosocial variables, affect symptom burden. The results can supply information for health promotion and relief symptom burden for patients receiving renal dialysis.Registered number: CRD42024507577.
摘要:
接受肾透析的患者通常会出现多种症状。这些症状导致显著的症状负担,显著影响患者的生活质量,并作为医疗资源利用和患者预后的重要预测指标。有必要综合现有证据,得出可靠的结论,以加深对症状负担的理解。
进行系统评价和荟萃分析,以确定接受肾透析患者症状负担的相关因素。
系统评价和荟萃分析是通过搜索9个数据库来进行的,这些数据库报告了症状负担和人口统计学变量之间的相关性。疾病因素,和社会心理因素从开始到2024年6月24日。经过两位研究者独立进行文献检索,数据提取,和质量评估,使用R语言和Stata15.1软件进行荟萃分析。这项研究已在PROSPERO注册。
本综述包括62项研究。结果显示,肾透析患者的症状负担与年龄呈正相关,性别,工作状态,医疗费用,透析年龄,睡眠质量,营养状况,合并症,抑郁症,焦虑,疾病不确定,回避应对和辞职应对,与婚姻状况呈负相关,收入,血清钠,生活质量,社会支持,主观幸福感,和自我管理能力。
我们的研究结果表明,许多因素,包括人口统计,疾病相关,和心理社会变量,影响症状负担。该结果可为肾透析患者的健康促进和减轻症状负担提供信息。注册号:CRD42024507577.
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