A Study of Unpleasant Symptom Cluster among Patients with Chronic Kidney Disease Stages 3- 4
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Abstract
This descriptive research aimed to identify symptom clusters among patients with chronic kidney disease (CKD) based on the Theory of Unpleasant Symptoms. The samples consisted of CKD stage 3 rd - 4 th at CKD clinic of a tertiary hospital in Roi-Et province. Purposive sample of 150 patients was enrolled between January - March 2016. The research instrument were a patient information form and Unpleasant Symptom Scale. Data were analyzed by using descriptive statistics and factor analysis which had significance .05.
Results revealed that patients with CKD stage 3 rd - 4 th had 28 unpleasant symptoms, with an average of 7.44 (SD= 3.76). These symptoms could be categorized into six symptom clusters with a cumulative statistical variance in the frequency dimension, severity dimension, and both frequency and severity dimensions of 43.536%, 42.924%, and 41.647%, respectively. Among three symptom dimensions. Were the cluster of mental and emotional disorder, peripheral neuropathy, fatigue, digestive disorder, pain and uremic symptom.
As this study exhibits the similarity of symptom clusters across three dimensions of unpleasant symptom in stage 3-4 CKD patients, nurses could use either dimension to assess unpleasant symptoms and develop care plan to manage symptom clusters as found in this study.
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Journal of Nursing and Health Science Research attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit https://creativecommons.org/licenses/by-nc/4.0/ . The ideas and opinions expressed in the Journal of Nursing and Health Science Research are those of the authors and not necessarily those of the editor .
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