2.50
Hdl Handle:
http://hdl.handle.net/10755/308068
Category:
Abstract
Type:
Presentation
Title:
Symptom Clusters in Older Adults with Osteoarthritis
Author(s):
Jenkins, Jeanne B; McCoy, Thomas P
Lead Author STTI Affiliation:
Gamma Zeta
Author Details:
Jeanne B Jenkins, PhD, RN, MBA, jeanne.jenkins@uncg.edu; Thomas P McCoy, MS
Abstract:

Session presented on: Saturday, November 16, 2013

Background: One in two people may develop symptomatic knee osteoarthritis (OA) in their lifetime. Many OA sufferers have multiple concurrent symptoms, such as pain, fatigue, and depression. Research to date has focused primarily on single symptoms of OA, such as pain or functional status, but this approach is limited in its utility for guiding practice with older adults who present with multiple symptoms. Examining if symptom clusters exist among older adults with OA of the knee and their effects on patient outcomes, such as functional status and quality of life (QOL), is essential to provide evidence-based geriatric healthcare.

Aim: The purposes of this secondary analysis were to explore the existence of symptoms that form a cluster or clusters in older adults with OA of the knee, and to explore the effect of symptom clusters on functional status and QOL.

Method: A cross-sectional, methodological exploration of existing data from a convenience sample (N=75) of adults ages 50 and older was used. Hierarchical and k-means cluster analysis was performed to identify symptom clusters.  MANOVA was performed to test for any differences in QOL and functional status jointly. 

 

Results: Two large clusters of pain, fatigue, and depression were identified from cluster analysis.  Significant mean differences between symptom clusters existed on both functional status (p<0.0001) and QOL (p=0.0082). 

 

Conclusion: The findings of this study provide a foundation for future research evaluating symptom clusters and determining whether the clusters vary over time or along disease/treatment trajectory. Nurses need to be aware of the presence of symptom clusters and their possible synergistic adverse effect on the older adults’ QOL. Linking the symptom cluster to outcomes provides a basis for targeted nursing interventions aimed at improving the functional status and QOL of older adults with OA.

Keywords:
Qulaity of Life; Older Adults
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleSymptom Clusters in Older Adults with Osteoarthritisen_GB
dc.contributor.authorJenkins, Jeanne Ben_GB
dc.contributor.authorMcCoy, Thomas Pen_GB
dc.contributor.departmentGamma Zetaen_GB
dc.author.detailsJeanne B Jenkins, PhD, RN, MBA, jeanne.jenkins@uncg.edu; Thomas P McCoy, MSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308068-
dc.description.abstract<p>Session presented on: Saturday, November 16, 2013</p><b>Background</b>: One in two people may develop symptomatic knee osteoarthritis (OA) in their lifetime. Many OA sufferers have multiple concurrent symptoms, such as pain, fatigue, and depression. Research to date has focused primarily on single symptoms of OA, such as pain or functional status, but this approach is limited in its utility for guiding practice with older adults who present with multiple symptoms. Examining if symptom clusters exist among older adults with OA of the knee and their effects on patient outcomes, such as functional status and quality of life (QOL), is essential to provide evidence-based geriatric healthcare. <p><b>Aim:</b> The purposes of this secondary analysis were to explore the existence of symptoms that form a cluster or clusters in older adults with OA of the knee, and to explore the effect of symptom clusters on functional status and QOL. <p><b>Method</b>: A cross-sectional, methodological exploration of existing data from a convenience sample (N=75) of adults ages 50 and older was used. Hierarchical and <i>k</i>-means cluster analysis was performed to identify symptom clusters.  MANOVA was performed to test for any differences in QOL and functional status jointly.  <p><b> </b><p><b>Results</b>: Two large clusters of pain, fatigue, and depression were identified from cluster analysis.  Significant mean differences between symptom clusters existed on both functional status (p<0.0001) and QOL (p=0.0082).  <p><b> </b><p><b>Conclusion:</b> The findings of this study provide a foundation for future research evaluating symptom clusters and determining whether the clusters vary over time or along disease/treatment trajectory. Nurses need to be aware of the presence of symptom clusters and their possible synergistic adverse effect on the older adults’ QOL. Linking the symptom cluster to outcomes provides a basis for targeted nursing interventions aimed at improving the functional status and QOL of older adults with OA.en_GB
dc.subjectQulaity of Lifeen_GB
dc.subjectOlder Adultsen_GB
dc.date.available2013-12-19T17:26:26Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:26Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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