Henoch Ingela, Sawatzky Richard, Falk Hanna, Fridh Isabell, Jakobsson Ung Eva, Sarenmalm Elisabeth Kenne, Ozanne Anneli, Ohlén Joakim, Falk Kristin
Associate Professor, Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, SE-405 30, Göteborg, Sweden; Associate Professor, Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Res Nurs Health. 2014 Dec;37(6):512-23. doi: 10.1002/nur.21624. Epub 2014 Oct 12.
Symptom distress profiles of patients with a variety of diagnoses at two hospitals in Sweden were examined using a point-prevalence cross-sectional survey design. The sample included 710 patients present on internal medicine, surgery, geriatric, and oncology acute care hospital wards of each hospital on a single day. Symptom distress data were collected via structured interviews using a 0-10 numeric rating scale (NRS). Fatigue was the most prevalent symptom, experienced by 76.2% of the patients, followed by pain (65.2%) and sleeping difficulties (52.8%). Symptoms were fairly distressing (median NRS 5-6). Patients experiencing high distress from fatigue and pain were more likely to be female, living alone, and to have more symptoms. Latent class analysis revealed three symptom distress profiles that differed with respect to the degree of distress and number of symptoms. The profiles were not substantially differentiated by diagnoses. Symptom distress needs to be assessed and treated on an individual basis, rather than predicting distress levels based on diagnosis alone.
采用现患率横断面调查设计，对瑞典两家医院中患有各种诊断疾病的患者的症状困扰情况进行了检查。样本包括每家医院内科、外科、老年科和肿瘤科急性护理病房在同一天就诊的710名患者。症状困扰数据通过使用0至10数字评定量表（NRS）的结构化访谈收集。疲劳是最常见的症状，76.2%的患者有此症状，其次是疼痛（65.2%）和睡眠困难（52.8%）。症状相当令人困扰（NRS中位数为5至6）。经历高度疲劳和疼痛困扰的患者更可能为女性、独居且症状更多。潜在类别分析揭示了三种症状困扰情况，它们在困扰程度和症状数量方面存在差异。这些情况在诊断上没有显著差异。症状困扰需要根据个体情况进行评估和治疗，而不是仅基于诊断来预测困扰程度。
