期刊
ASIAN NURSING RESEARCH
卷 15, 期 1, 页码 8-14出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.anr.2020.11.001
关键词
liver transplantation; patient reported outcome measures; symptom assessment
类别
资金
- Fuxing nursing research fund of Fudan University [FNF201705]
This study explores the multidimensional symptom experience in LT recipients, highlighting fatigue, sleep issues, and memory problems as the most common symptoms. Factors such as survival time, type of primary caregiver, and complications have been identified as predictors of symptom burden in LT recipients.
Purpose: Symptom experience after liver transplantation (LT) provides healthcare professionals with important information about the benefits and limitations of LT from patients' perspective. This study aims to explore the multidimensional symptom experience and analyze related predictive factors in LT recipients. Methods: This cross-sectional study evaluated the occurrence, frequency, intensity, and level of distress of 40 symptoms in 265 LT recipients. Stepwise multiple regression analysis was performed to analyze the influencing factors of symptom experience. Results: The analysis of patient-reported data indicated that the ten most common symptoms were fatigue (42.3%), frequent sleep interruptions (38.9%), difficulty falling asleep (35.9%), decreased memory (34.0%), dreaminess (29.8%), itch (28.7%), muscular weakness (26.4%), shortness of breath (25.3%), anxiety (24.5%), and hand tremor (21.9%). Patients were classified into four groups according to survival time (1-month, 2-6-month, 7-12-month, and >1-year groups) after LT, and the most common symptom was fatigue in the one-month and 2-6-month groups, difficulty falling asleep in the 7-12-month group, and decreased memory in the >1-year group. Type of the primary caregiver, complications, concerns about the decreased ability to perform household and outdoor activities, and concerns about being a burden to the family were predictors of symptoms burden. Conclusion: LT recipients experienced complicated symptoms. In clinical practice, it is critical to integrate physicians, nurses, and social workers as a medical team to help LT recipients develop suitable coping strategies that can potentially address patients' concerns, increase the sense of confidence, and improve symptom outcomes. (C) 2021 Korean Society of Nursing Science. Published by Elsevier BV.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据