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Correlation Between Symptom Clusters and Self-Management in Renal Transplant Recipients: Multicenter Cross-Sectional Study

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Listed:
  • Ying Zhang
  • Hongqin Li
  • Junling Wei
  • Sainan Liu
  • Qi Miao
  • Xu Zhang
  • Xiaofei Li

Abstract

Previous studies have shown that single symptoms are associated with self-management, and symptom clusters are still a sparsely investigated field. This study aimed to explore the possible symptom clusters after renal transplantation and investigate the correlation between symptom clusters and self-management. A cross-sectional survey was conducted on 381 renal transplant recipients (RTRs) from 2 tertiary hospitals in different regions. Sociodemographic and clinical characteristics, Symptom Experience Scale, and RTRs Self-Management Scale were used. Symptom clusters were created with exploratory factor analysis. Multiple regression analysis was used to explore the relationship between self-management and symptom clusters. Four symptom clusters were extracted, which were related to activity endurance, emotion, neuro-gastrointestinal, and hormone. Symptom clusters were negatively correlated with self-management ( p  

Suggested Citation

  • Ying Zhang & Hongqin Li & Junling Wei & Sainan Liu & Qi Miao & Xu Zhang & Xiaofei Li, 2026. "Correlation Between Symptom Clusters and Self-Management in Renal Transplant Recipients: Multicenter Cross-Sectional Study," Clinical Nursing Research, , vol. 35(2-3), pages 63-74, March.
    • Handle: RePEc:sae:clnure:v:35:y:2026:i:2-3:p:63-74
    DOI: 10.1177/10547738251412723
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    References listed on IDEAS

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    1. Dan Zhang & Nannan Zhang & Hui Chang & Ying Shi & Zijun Tao & Xu Zhang & Qi Miao & Xiaofei Li, 2023. "Mediating Role of Hope Between Social Support and Self-Management Among Chinese Liver Transplant Recipients: A Multi-Center Cross-Sectional Study," Clinical Nursing Research, , vol. 32(4), pages 776-784, May.
    2. Min Liu & Qian Sun & Lina Cui & Jia Liu & Lifang Liu & Xiaoxia Wu & Zhimin Wang & Xin Zhou & Jianfei Xie & Andy SK. Cheng, 2021. "Fear of Movement and Physical Self-Efficacy Partially Mediate the Association Between Fatigue and Physical Activity Among Kidney Transplant Recipients," Clinical Nursing Research, , vol. 30(7), pages 950-959, September.
    3. Chun-Yan Du & Si-Si Wu & Ying-Xin Fu & Han Wang & Jie Zhao & Hong-Xia Liu, 2021. "Transplant-related Symptom Clusters in Renal Transplant Recipients," Clinical Nursing Research, , vol. 30(3), pages 343-350, March.
    4. Currie Moore & Shalini Santhakumaran & Glen P Martin & Thomas J Wilkinson & Fergus J Caskey & Winnie Magadi & Rachel Gair & Alice C Smith & David Wellsted & Sabine N van der Veer, 2022. "Symptom clusters in chronic kidney disease and their association with people’s ability to perform usual activities," PLOS ONE, Public Library of Science, vol. 17(3), pages 1-16, March.
    5. Benjamin R Fletcher & Sarah Damery & Olalekan Lee Aiyegbusi & Nicola Anderson & Melanie Calvert & Paul Cockwell & James Ferguson & Mike Horton & Muirne C S Paap & Chris Sidey-Gibbons & Anita Slade & N, 2022. "Symptom burden and health-related quality of life in chronic kidney disease: A global systematic review and meta-analysis," PLOS Medicine, Public Library of Science, vol. 19(4), pages 1-25, April.
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