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차지은 ( Cha Ji-Eun ) - 서울대학교 간호대학 대학원
이명선 ( Yi Myung-Sun ) - 서울대학교 간호대학
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Abstract
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Purpose: The purpose of the study was to investigate symptom clusters experienced by patients on hemodialysis and to identify relations between symptom clusters and quality of life.
Methods: Data were collected from 127 patients at 10 local hemodialysis clinics. Symptoms were measured using 10-item physical symptom checklist as well as the Hospital Anxiety depression Scale. Quality of life was measured with the Satisfaction with Life Scale. Data were analyzed using factor analysis, Pearson correlation, and stepwise multiple regression.
Results: The most frequently reported symptoms included fatigue, itching, depression, numbness/tingling, and insomnia. Four distinct symptom clusters were identified: cluster 1 was comprised of dry mouth, headache, nausea (gastrointestinal); cluster 2 of decreased appetite, insomnia (basic need); cluster 3 of itching, numbness/tingling (sensory-comfort); and cluster 4 of fatigue, depression (mood-vitality). Among the clusters, the ’basic need’ cluster and ’mood-vitality’ cluster had a significant negative association with quality of life. The ’mood-vitality’ cluster, explained 17.4% of the variance in quality of life.
Conclusion: The results of the study indicate that comprehensive symptom assessment provides better symptom management for patients on hemodialysis. Further studies are needed to verify symptom clusters identified in this study.
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KeyWords
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Renal dialysis, Quality of life, Depression, Symptom cluster
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원문 및 링크아웃 정보
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등재저널 정보
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