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Nutrition impact symptom clusters in a cohort of Indigenous Australian hemodialysis patients: new insights into the management of malnutrition?

Journal Article


Abstract


  • Objective

    To describe nutrition impact symptom clusters present in a large sample of Indigenous hemodialysis patients.

    Design and methods

    This study was a cross sectional secondary analysis of data from a service audit conducted in 2016. All participants were hemodialysis patients from two satellite hemodialysis units in Central Australia. All participants completed a Patient Generated Subjective Global Assessment. Exploratory Factor Analysis was performed to identify nutrition impact symptom clusters.

    Results

    A total of 249 patients were included, representing 16 % of all Indigenous dialysis patients in Australia. Malnutrition was present in 29% of the sample. Five distinct nutrition impact symptom clusters were identified, accounting for 51.942% of the variance in symptoms. The five clusters extracted were: sore mouth (swallow problems, sore mouth, pain); nausea and vomiting (nausea, vomiting, taste changes); abnormal bowels (diarrhoea, constipation, depression); anorexia (no appetite, early satiety); dry mouth (dry mouth, dental problems).

    Conclusion

    Malnourished patients experienced a significantly greater symptom burden in this study. This analysis extends the small evidence base about the nutrition impact symptom burden of Indigenous hemodialysis patients. Understanding symptom clusters and how symptoms are connected may be useful for triaging care and managing malnutrition.

Publication Date


  • 2022

Citation


  • Lambert, K., Caruana, L., & Nichols, L. (2022). Nutrition impact symptom clusters in a cohort of Indigenous Australian hemodialysis patients: new insights into the management of malnutrition?. Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, S1051-2276(22)00117-0. doi:10.1053/j.jrn.2022.06.004

Web Of Science Accession Number


Start Page


  • S1051-2276(22)00117-0

Volume


Issue


Place Of Publication


Abstract


  • Objective

    To describe nutrition impact symptom clusters present in a large sample of Indigenous hemodialysis patients.

    Design and methods

    This study was a cross sectional secondary analysis of data from a service audit conducted in 2016. All participants were hemodialysis patients from two satellite hemodialysis units in Central Australia. All participants completed a Patient Generated Subjective Global Assessment. Exploratory Factor Analysis was performed to identify nutrition impact symptom clusters.

    Results

    A total of 249 patients were included, representing 16 % of all Indigenous dialysis patients in Australia. Malnutrition was present in 29% of the sample. Five distinct nutrition impact symptom clusters were identified, accounting for 51.942% of the variance in symptoms. The five clusters extracted were: sore mouth (swallow problems, sore mouth, pain); nausea and vomiting (nausea, vomiting, taste changes); abnormal bowels (diarrhoea, constipation, depression); anorexia (no appetite, early satiety); dry mouth (dry mouth, dental problems).

    Conclusion

    Malnourished patients experienced a significantly greater symptom burden in this study. This analysis extends the small evidence base about the nutrition impact symptom burden of Indigenous hemodialysis patients. Understanding symptom clusters and how symptoms are connected may be useful for triaging care and managing malnutrition.

Publication Date


  • 2022

Citation


  • Lambert, K., Caruana, L., & Nichols, L. (2022). Nutrition impact symptom clusters in a cohort of Indigenous Australian hemodialysis patients: new insights into the management of malnutrition?. Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, S1051-2276(22)00117-0. doi:10.1053/j.jrn.2022.06.004

Web Of Science Accession Number


Start Page


  • S1051-2276(22)00117-0

Volume


Issue


Place Of Publication