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- Title
Change of symptom cluster trajectory in elderly patients with chronic heart failure.
- Authors
XING Laijing; WANG Yu; YANG Qiaofang
- Abstract
Objective: To explore the trajectory of somatic symptoms at different time points in elderly patients with heart failure and the selection of the best intervention time point. Methods: From September 2021 to December 2021, a convenient sampling method was used to select 310 elderly patients with heart failure from a tertiary grade A cardiovascular hospital in Henan province as the study subjects. They were investigated using the general information questionnaire and the Heart Failure Symptom Assessment Scale (HF-MSAS) on the day of discharge (T1) and at 1,3,6,9,12 months after discharge (T2-T6), respectively. Latent variable growth mixed model (LCGM) was used to identify the change trajectory of the physical symptom group in elderly patients with heart failure at six time points. Results: 216 patients conducted the follow-up. Exploratory factor analysis both extracted rest-related symptom groups and digestive tract-related symptom groups at 6 time points. The rest related symptom group was fitted by LCGM to obtain "first ascending then descending group" and "first ascending then descending stable group". The relevant symptoms of the digestive tract were fitted to obtain "first rising then falling group" "first rising then falling rising group" "first rising then falling stable group". Conclusion: The physical symptoms of elderly patients with heart failure have different trajectory characteristics, and intervention time points can be selected based on the trajectory characteristics or targeted at patients with an upward trend in subgroup trajectory characteristics.
- Subjects
CHINA; HEART failure treatment; STATISTICAL sampling; QUESTIONNAIRES; HEART failure; TERTIARY care; DISCHARGE planning; GASTROINTESTINAL system; CHRONIC diseases; LONGITUDINAL method; RESEARCH; FACTOR analysis; PATIENTS' attitudes; TIME; SLEEP disorders; SYMPTOMS; OLD age
- Publication
Chinese Nursing Research, 2024, Vol 38, Issue 9, p1565
- ISSN
1009-6493
- Publication type
Article
- DOI
10.12102/j.issn.1009-6493.2024.09.009