Evidence map›Paper›PMID 32276095›Full record

ArticleJournal of pain and symptom management2020

Symptom Cluster of ICU Nurses Treating COVID-19 Pneumonia Patients in Wuhan, China.

Tang Yifan, Liu Ying, Gao Chunhong, Song Jing, Wang Rong, Li Zhenyu, Gu Zejuan, Liao Peihung

Open access · bronzeAbstract read
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 8 pooled it
8.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 8 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. 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 · 2023
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  6. 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 · 2021
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  20. Diversity and molecular network patterns of symptom phenotypes.NPJ systems biology and applications · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Tang YifanThe First Affiliated Hospital with Nanjing Medical University (T.Y., L.Y., G.C., S.J., W.R., L.Z., G.Z.), Nanjing, Jiang Province, PR China.
Liu YingThe First Affiliated Hospital with Nanjing Medical University (T.Y., L.Y., G.C., S.J., W.R., L.Z., G.Z.), Nanjing, Jiang Province, PR China.
Gao ChunhongThe First Affiliated Hospital with Nanjing Medical University (T.Y., L.Y., G.C., S.J., W.R., L.Z., G.Z.), Nanjing, Jiang Province, PR China.
Song JingThe First Affiliated Hospital with Nanjing Medical University (T.Y., L.Y., G.C., S.J., W.R., L.Z., G.Z.), Nanjing, Jiang Province, PR China.
Wang RongThe First Affiliated Hospital with Nanjing Medical University (T.Y., L.Y., G.C., S.J., W.R., L.Z., G.Z.), Nanjing, Jiang Province, PR China. Electronic address: 2428813461@qq.com.
Li ZhenyuThe First Affiliated Hospital with Nanjing Medical University (T.Y., L.Y., G.C., S.J., W.R., L.Z., G.Z.), Nanjing, Jiang Province, PR China.
Gu ZejuanThe First Affiliated Hospital with Nanjing Medical University (T.Y., L.Y., G.C., S.J., W.R., L.Z., G.Z.), Nanjing, Jiang Province, PR China.
Liao PeihungNational Taipei University of Nursing and Health Sciences (L.P.), Taipei, Taiwan.
Nanjing Medical University · CNNational Taipei University of Nursing and Health Science · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Critical Care NursingMedically Unexplained SymptomsNursesAdultChinaCitiesCoronavirus InfectionsCOVID-19Critical CareFemaleHumansIntensive Care UnitsMaleOccupational DiseasesOccupational ExposurePandemicsCOVID-19intensive care unitsoccupational exposuresymptom clustersymptoms

Identifiers

PMID32276095
PMCPMC7141465
OpenAlexW3014747061

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.