■近年来,腹膜透析(PD)患者症状管理的研究已从单一症状转向症状群和网络分析.这项研究收集并评估了PD患者的不适症状,并探讨了可能影响PD患者的症状组,以期提高症状管理水平。
■使用改良的透析症状指数测量PD患者的症状。通过网络分析评估症状网络和节点特征,通过因子分析探索症状群。
■在这项602例PD患者的研究中(平均年龄47.8±16.8岁,47.34%男性),大多数人的透析经验少于2年.从因子分析中获得了五个症状群,是身体症状群,胃肠道症状群,情绪症状群,性障碍症状群,和皮肤睡眠症状群。瘙痒和性兴趣下降可能是前哨症状,疲劳或缺乏精力和焦虑是PD患者的核心症状。
■这项研究强调了识别PD患者症状群对于更好的症状管理的重要性。确定了五个集群,主要症状包括瘙痒,对性的兴趣减少,疲劳,和焦虑。针对PD患者的这些症状群的早期干预有望减轻症状负担。
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.