Changes of heart failure symptom clusters during the course of disease:a longitudinal study
10.3761/j.issn.0254-1769.2017.12.008
- VernacularTitle:心力衰竭患者症状群的纵向研究
- Author:
xin Fan XUAN
1
;
Zheng LI
;
feng Xiao KANG
;
Rong LÜ
Author Information
1. 528053,深圳市 香港大学深圳医院血液科
- Keywords:
Heart Failure;
Signs and Symptoms;
Cluster Analysis;
Longitudinal Studies
- From:
Chinese Journal of Nursing
2017;52(12):1450-1456
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify heart failure(HF) symptom clusters and their transformation through the progress of disease. Methods A convenient sample of 200 HF patients were recruited in this longitudinal study. The Chinese version of Memorial Symptom Assessment Scale-Heart Failure(MSAS-HF) was used to collect data before admission,3 months after discharge,and 6 months after discharge. At each time point,symptoms with incidence rate above 15% were chosen for cluster analysis. Results HF symptoms before admission were divided into 4 clusters:emotional and digestive cluster,ischemic cluster,weary cluster,and congestive edema cluster. Symptoms at 3 months after discharge and 6 months after discharge fell into 2 clusters:sickness cluster and weary cluster. Dry mouth was not included in either clusters. Conclusion The distribution and structure of HF symptom clusters had changed a lot at different stages of disease. It suggests that pertinent interventions might be taken according to the pattern of changes of HF symptom clusters through the progress of the disease.
