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Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: A cross-sectional study

OBJECTIVES: To investigate the current situation of palliative care needs and the symptom burden in patients with end-stage renal disease (ESRD) undergoing maintenance hemodialysis (MHD), and to explore whether there are differences between younger and older patients. METHODS: This cross-sectional s...

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Autores principales: Wang, Xuefei, Shi, Qiuyin, Mo, Yongzhen, Liu, Jing, Yuan, Yingying
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chinese Nursing Association 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9587393/
https://www.ncbi.nlm.nih.gov/pubmed/36285085
http://dx.doi.org/10.1016/j.ijnss.2022.09.015
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author Wang, Xuefei
Shi, Qiuyin
Mo, Yongzhen
Liu, Jing
Yuan, Yingying
author_facet Wang, Xuefei
Shi, Qiuyin
Mo, Yongzhen
Liu, Jing
Yuan, Yingying
author_sort Wang, Xuefei
collection PubMed
description OBJECTIVES: To investigate the current situation of palliative care needs and the symptom burden in patients with end-stage renal disease (ESRD) undergoing maintenance hemodialysis (MHD), and to explore whether there are differences between younger and older patients. METHODS: This cross-sectional study was conducted in the hemodialysis centers of two tertiary hospitals from November 2021 to June 2022. Participants were selected by convenience sampling. Socio-demographics, clinical characteristics, the Palliative Care Outcome Scale (POS), the Dialysis Symptom Index (DSI), and health-related quality of life (EQ-5D-3L) were used for evaluation. Descriptive statistics, between-group comparisons, and correlation analysis were used to analyze the data. RESULTS: A total of 236 patients were enrolled, including 118 younger and 118 older patients. The total median (P(25), P(75)) POS score was 16.0 (12.0, 23.0), and the score was higher in older patients (P < 0.01). The mean total number of symptoms in MHD patients was 15.04 ± 5.06, and the overall median symptom severity score was 59.0 (52.0, 71.0); these scores were higher in the older group (P < 0.01). The most common symptom was dry mouth (91.5%), followed by itching (83.1%), and dry skin (82.2%). Additionally, palliative care needs were significantly associated with symptom burden and health-related quality of life (HRQOL). CONCLUSIONS: The results showed that patients with ESRD undergoing MHD have a significant symptom burden and moderate palliative care needs, which are more severe in older patients. Therefore, interdisciplinary teams should be formed to actively manage patients’ symptoms and meet the physical, psychological, social, and spiritual needs related to palliative care to improve patients’ HRQOL.
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spelling pubmed-95873932022-10-24 Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: A cross-sectional study Wang, Xuefei Shi, Qiuyin Mo, Yongzhen Liu, Jing Yuan, Yingying Int J Nurs Sci Research Paper OBJECTIVES: To investigate the current situation of palliative care needs and the symptom burden in patients with end-stage renal disease (ESRD) undergoing maintenance hemodialysis (MHD), and to explore whether there are differences between younger and older patients. METHODS: This cross-sectional study was conducted in the hemodialysis centers of two tertiary hospitals from November 2021 to June 2022. Participants were selected by convenience sampling. Socio-demographics, clinical characteristics, the Palliative Care Outcome Scale (POS), the Dialysis Symptom Index (DSI), and health-related quality of life (EQ-5D-3L) were used for evaluation. Descriptive statistics, between-group comparisons, and correlation analysis were used to analyze the data. RESULTS: A total of 236 patients were enrolled, including 118 younger and 118 older patients. The total median (P(25), P(75)) POS score was 16.0 (12.0, 23.0), and the score was higher in older patients (P < 0.01). The mean total number of symptoms in MHD patients was 15.04 ± 5.06, and the overall median symptom severity score was 59.0 (52.0, 71.0); these scores were higher in the older group (P < 0.01). The most common symptom was dry mouth (91.5%), followed by itching (83.1%), and dry skin (82.2%). Additionally, palliative care needs were significantly associated with symptom burden and health-related quality of life (HRQOL). CONCLUSIONS: The results showed that patients with ESRD undergoing MHD have a significant symptom burden and moderate palliative care needs, which are more severe in older patients. Therefore, interdisciplinary teams should be formed to actively manage patients’ symptoms and meet the physical, psychological, social, and spiritual needs related to palliative care to improve patients’ HRQOL. Chinese Nursing Association 2022-10-04 /pmc/articles/PMC9587393/ /pubmed/36285085 http://dx.doi.org/10.1016/j.ijnss.2022.09.015 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Paper
Wang, Xuefei
Shi, Qiuyin
Mo, Yongzhen
Liu, Jing
Yuan, Yingying
Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: A cross-sectional study
title Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: A cross-sectional study
title_full Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: A cross-sectional study
title_fullStr Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: A cross-sectional study
title_full_unstemmed Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: A cross-sectional study
title_short Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: A cross-sectional study
title_sort palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: a cross-sectional study
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9587393/
https://www.ncbi.nlm.nih.gov/pubmed/36285085
http://dx.doi.org/10.1016/j.ijnss.2022.09.015
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