ArticleJournal of pain and symptom management2020
Symptom Cluster of ICU Nurses Treating COVID-19 Pneumonia Patients in Wuhan, China.
Article in Journal of pain and symptom management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 8 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 8 syntheses or guidelines pooled it, 98 citations in OpenAlex.
- Somatic symptoms associated with mental distress during the COVID-19 pandemic: a systematic review.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2023Pooled it
- COVID-19 pandemic-related mortality, infection, symptoms, complications, comorbidities, and other aspects of physical health among healthcare workers globally: An umbrella review.International journal of nursing studies · 2022Pooled it
- Sleep disturbances during the COVID-19 pandemic: A systematic review, meta-analysis, and meta-regression.Sleep medicine reviews · 2022Pooled it
- Personal protective equipment-associated headaches in health care workers during COVID-19: A systematic review and meta-analysis.Frontiers in public health · 2022Pooled it
- Experiences of intensive care unit nurses working with COVID-19 patients: A systematic review and meta-synthesis of qualitative studies.Frontiers in public health · 2022Pooled it
- Sleep problems during the COVID-19 pandemic by population: a systematic review and meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Pooled it
- The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review.Psychiatry research · 2020Pooled it
- The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: a systematic review and meta-analysis.Globalization and health · 2020Pooled it
- Preliminary Efficacy of a Gamified Mobile App for Promoting Self-Health Management Among Nurses in the Post-COVID Era: Single-Group Pre-Post Study.JMIR serious games · 2025Article
- Identifying central symptom clusters and correlates among post-COVID-19 pulmonary fibrosis patients: a network analysis.Frontiers in medicine · 2025Article
- Temporal, spatial and demographic distributions characteristics of COVID-19 symptom clusters from chinese medicine perspective: a systematic cross-sectional study in China from 2019 to 2023.Chinese medicine · 2024Article
- Symptom clusters and symptom networks of symptom experiences in patients with SARS-CoV-2 infection.Heliyon · 2024Article
- Clustering uncertain overlapping symptoms of multiple diseases in clinical diagnosis.PeerJ. Computer science · 2024Article
- "I can't make all this work." End of life care provision in natural disasters: a qualitative study.BMC palliative care · 2023Article
- ME/CFS and Post-Exertional Malaise among Patients with Long COVID.Neurology international · 2022Article
- Associations between Depression and Self-Reported COVID-19 Symptoms among Adults: Results from Two Population-Based Seroprevalence Studies in Switzerland.International journal of environmental research and public health · 2022Article
- COVID-19 associated nervous system manifestations.Sleep medicine · 2022Article
- Assessment of COVID-19 Fear in Five European Countries before Mass Vaccination and Key Predictors among Nurses and Nursing Students.Vaccines · 2022Article
- Nursing staff fatigue and burnout during the COVID-19 pandemic in Greece.AIMS public health · 2022Article
- Diversity and molecular network patterns of symptom phenotypes.NPJ systems biology and applications · 2021Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn treating highly infectious coronavirus disease-19 (COVID-19) pneumonia, intensive care unit (ICU) nurses face a high risk of developing somatic symptom disorder (SSD).The symptom clusters in one population may show overlaps and involvements, a phenomenon that should be deliberately resolved to improve the management efficiency.
objectivesThe present study aims to investigate the symptoms and causes of SSD of ICU nurses treating COVID-19 pneumonia. The research results are expected to provide evidence for the establishment of a better management strategy.
methodsThis study enrolled a total of 140 ICU nurses who were selected by Jiangsu Province Hospital to work in Wuhan (the epicenter of the COVID-19 epidemic in China) on February 3, 2020. A questionnaire, Somatic symptom disorders for ICU nurses in Wuhan No. 1 Hospital, was designed based on the International Classification of Functioning, Disability and Health. Exploratory factor analysis was performed to cluster the symptoms and logistic regression analysis to find the risk factors of the symptoms.
resultsFive major symptoms were chest discomfort and palpitation (31.4%), dyspnea (30.7%), nausea (21.4%), headache (19.3%), and dizziness (17.9%). In exploratory factor analysis, the symptoms were classified into three clusters: Cluster A of breathing and sleep disturbances (dizziness, sleepiness, and dyspnea); Cluster B of gastrointestinal complaints and pain (nausea and headache), and Cluster C of general symptoms (xerostomia, fatigue, as well as chest discomfort and palpitation). In Cluster A, urine/feces splash, sex, and sputum splash were independent predictive factors. In Cluster B, fall of protective glasses and urine/feces splash were independent predictive factors. In Cluster C, urine/feces splash and urine/feces clearance were independent predictive factors.
conclusionThe ICU nurses in Wuhan showed varying and overlapping SSDs. These SSDs could be classified into three symptom clusters. Based on the characteristics of their SSDs, specific interventions could be implemented to safeguard the health of ICU nurses.
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