학술논문
Systematic review of symptom clusters in cardiovascular disease.
Document Type
Academic Journal
Author
DeVon HA; 1 University of Illinois at Chicago, College of Nursing, Chicago, IL, USA.; Vuckovic K; 1 University of Illinois at Chicago, College of Nursing, Chicago, IL, USA.; Ryan CJ; 1 University of Illinois at Chicago, College of Nursing, Chicago, IL, USA.; Barnason S; 2 University of Nebraska, College of Nursing, Lincoln, NE, USA.; Zerwic JJ; 1 University of Illinois at Chicago, College of Nursing, Chicago, IL, USA.; Pozehl B; 2 University of Nebraska, College of Nursing, Lincoln, NE, USA.; Schulz P; 2 University of Nebraska, College of Nursing, Lincoln, NE, USA.; Seo Y; 2 University of Nebraska, College of Nursing, Lincoln, NE, USA.; Zimmerman L; 2 University of Nebraska, College of Nursing, Lincoln, NE, USA.
Source
Publisher: Oxford University Press Country of Publication: England NLM ID: 101128793 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-1953 (Electronic) Linking ISSN: 14745151 NLM ISO Abbreviation: Eur J Cardiovasc Nurs Subsets: MEDLINE
Subject
Language
English
Abstract
Background: Although individual symptoms and symptom trajectories for various cardiovascular conditions have been reported, there is limited research identifying the symptom clusters that may provide a better understanding of patients' experiences with heart disease.
Aims: To summarize the state of the science in symptom cluster research for patients with acute coronary syndrome, myocardial infarction, coronary artery bypass surgery, and heart failure through systematic review and to provide direction for the translation of symptom cluster research into the clinical setting.
Methods: Databases were searched for articles from January 2000 through to May 2015 using MESH terms "symptoms, symptom clusters, acute coronary syndrome (ACS), myocardial infarction (MI), coronary heart disease (CHD), ischemic heart disease (IHD), heart failure (HF), coronary artery bypass surgery (CABS), cluster analyses, and latent classes." The search was limited to human studies, English language articles, and original articles investigating symptom clusters in individuals with heart disease. Fifteen studies meeting the criteria were included.
Results: For patients with ACS and MI, younger persons were more likely to experience clusters with the most symptoms. Older adults were more likely to experience clusters with the lowest number of symptoms and more diffuse and milder symptom clusters that are less reflective of classic ACS presentations. For HF patients, symptom clusters frequently included physical and emotional/cognitive components; edema clustered in only three studies. Symptom expression was congruent across geographical regions and cultures.
Conclusions: The findings demonstrated similarities in symptom clusters during ACS, MI, and HF, despite multiple methods and analyses. These results may help clinicians to prepare at-risk patients for proper treatment-seeking and symptom self-management behaviors.
Aims: To summarize the state of the science in symptom cluster research for patients with acute coronary syndrome, myocardial infarction, coronary artery bypass surgery, and heart failure through systematic review and to provide direction for the translation of symptom cluster research into the clinical setting.
Methods: Databases were searched for articles from January 2000 through to May 2015 using MESH terms "symptoms, symptom clusters, acute coronary syndrome (ACS), myocardial infarction (MI), coronary heart disease (CHD), ischemic heart disease (IHD), heart failure (HF), coronary artery bypass surgery (CABS), cluster analyses, and latent classes." The search was limited to human studies, English language articles, and original articles investigating symptom clusters in individuals with heart disease. Fifteen studies meeting the criteria were included.
Results: For patients with ACS and MI, younger persons were more likely to experience clusters with the most symptoms. Older adults were more likely to experience clusters with the lowest number of symptoms and more diffuse and milder symptom clusters that are less reflective of classic ACS presentations. For HF patients, symptom clusters frequently included physical and emotional/cognitive components; edema clustered in only three studies. Symptom expression was congruent across geographical regions and cultures.
Conclusions: The findings demonstrated similarities in symptom clusters during ACS, MI, and HF, despite multiple methods and analyses. These results may help clinicians to prepare at-risk patients for proper treatment-seeking and symptom self-management behaviors.