Symptom management in Chinese adults with end stage renal disease (ESRD).
Symptom management in Chinese adults with end stage renal disease (ESRD).
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DOI：
10.1016/j.apnr.2021.151549
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发表时间：
2022-04
期刊：
影响因子：
--
通讯作者：
Sun C
中科院分区：
文献类型：
--
作者：
Levy N;Cheung W;McDonald H;Banez MC;Shang J;Stone PW;Sun C
在美国，每年用于慢性肾脏病患者的费用超过500亿美元，并且亚裔美国人终末期肾病（ESRD）的发病率是白人的1.5倍，因此迫切需要为这一人群改进症状管理策略。
1) 确定年长的华裔美国ESRD患者常见的、令人困扰的症状以及东西方的症状管理策略。2) 通过文献综述和专家小组验证这些症状管理策略的有效性。
1) 对年长的华裔美国人进行调查，以评估常见的ESRD症状和管理策略。2) 对患者的症状管理策略进行了综合综述，并由专家确认了研究结果。
1) 30名平均年龄为80岁（标准差=13.08）的华裔美国ESRD患者报告了管理疲劳、疼痛、睡眠障碍、呼吸困难、焦虑、恶心呕吐、便秘和瘙痒的策略。2) 综合综述共纳入55项研究。质量参差不齐的证据以及专家的确认支持了华裔美国ESRD患者所使用的33种症状管理策略的有效性。
需要进一步研究以了解为什么华裔美国患者平均报告的症状比一般人群少，但在生活质量衡量指标上得分较低；验证所报告的改善策略；探索策略的有效性；以及揭示患有ESRD的年长华裔美国人的其他症状和策略。
With over $50 billion spent annually in the United Sates (U.S.) on patients with chronic kidney diseases, and an incidence of end-stage renal disease (ESRD) in Asian Americans that is 1.5 times higher than in Caucasians, there is a compelling need to improve symptom management strategies for this population. 1) To identify common, bothersome symptoms and both Eastern and Western symptom-management strategies in older Chinese-American ESRD patients. 2) To validate the effectiveness of these symptom-management strategies through literature review and an expert panel. 1) Older Chinese-Americans were surveyed to assess common ESRD symptoms and management strategies. 2) An umbrella review of patients’ symptom-management strategies was conducted, and findings were confirmed by experts. 1) Thirty Chinese-American ESRD patients with an average age of 80 (SD =13.08) reported strategies to manage fatigue, pain, sleep disturbance, dyspnea, anxiety, nausea and vomiting, constipation, and pruritus. 2) A total of 55 studies were included in the umbrella review. Evidence of varying quality and confirmation by experts supported the effectiveness of 33 symptom-management strategies used by Chinese-American ESRD patients. Further study is needed to understand why Chinese-American patients, on average, reported fewer symptoms compared with the general population but scored lower on quality of life measures; to validate reported amelioration strategies; to explore strategy effectiveness; and to uncover additional symptoms and strategies among older Chinese-Americans living with ESRD.
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影响因子：
8
作者：
Bonkowsky, JL;Frazer, JK;Byington, CL
通讯作者：
Byington, CL
影响因子：
2.1
作者：
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影响因子：
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DOI：
10.2190/5dcp-25bv-u1g9-9g7c
发表时间：
1984-01-01
影响因子：
2
作者：
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通讯作者：
GUTTMANN, RD
影响因子：
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作者：
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通讯作者：
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