<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2216-0973</journal-id>
<journal-title><![CDATA[Revista Cuidarte]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuid]]></abbrev-journal-title>
<issn>2216-0973</issn>
<publisher>
<publisher-name><![CDATA[Programa de Enfermería, Facultad de Ciencias de la Salud, Universidad de Santander UDES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2216-09732021000200404</article-id>
<article-id pub-id-type="doi">10.15649/cuidarte.1302</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Clúster de síntomas en insuficiencia cardiaca avanzada: una revisión sistemática]]></article-title>
<article-title xml:lang="en"><![CDATA[Symptom Cluster among Patients with Advanced Heart Failure: A Systematic Review]]></article-title>
<article-title xml:lang="pt"><![CDATA[Grupo de sintomas em insuficiência cardíaca avançada: uma revisão sistemática]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Sandoval]]></surname>
<given-names><![CDATA[Leidy Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno García]]></surname>
<given-names><![CDATA[Jenny Rocío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barboza Galindo]]></surname>
<given-names><![CDATA[Adriana Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad El Bosque  ]]></institution>
<addr-line><![CDATA[Bogotá D.C ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad El Bosque  ]]></institution>
<addr-line><![CDATA[Bogotá D.C ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad El Bosque  ]]></institution>
<addr-line><![CDATA[Bogotá D.C ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>12</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2216-09732021000200404&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2216-09732021000200404&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2216-09732021000200404&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción La Insuficiencia cardiaca avanzada genera deterioro clínico y funcional marcado en el paciente. A través del tiempo se han desarrollado investigaciones para evaluar síntomas y aliviar el sufrimiento. El presente artículo tiene como objetivo identificar los clúster de síntomas en pacientes con insuficiencia cardiaca avanzada, que puedan contribuir en la consolidación del conocimiento.  Materiales y Métodos Una estrategia PICO estableció la pregunta clave de revisión desarrollada, mediante PRISMA, con búsquedas en: Scopus, Pubmed, Embase y Google Scholar. Se incluyeron artículos de fuente primaria, insuficiencia cardiaca avanzada, publicados 2010 - 2019 en inglés y español, se excluye población pediátrica. Se realizaron análisis descriptivos de los síntomas encontrados.  Resultados De 8000 estudios, fueron incluidos 11 para revisión completa, la mayoría de corte transversal, cuyas características de la muestra corresponde 50% hombres, entre 56 y 83 años. Se identificaron en el clúster físico síntomas: fatiga, dificultad para dormir, disnea; en el cluster emocional se identifican: Depresión, deterioro cognitivo y preocupación, además se encontró evaluación de síntomas por región geográfica.  Discusión Existe un consenso en la clasificación de síntomas en grupos denominados físico y emocional, llama la atención que el edema en algunos casos no está incluido en ellos.  Limitaciones Se incluyeron dos estudios del mismo autor en diferente año de publicación, población y los clúster son los mismos, pero con análisis de variables como calidad de vida y estado funcional.  Conclusión Diversidad de poblaciones, tipos de estudio y métodos de análisis, no permiten un único enfoque para agrupación de los síntomas más frecuentes en pacientes con insuficiencia cardiaca avanzada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction Advanced heart failure leads to severe clinical and functional deterioration in patients. Over the years, research has been focused on the evaluation of symptoms and alleviation of suffering. This study aims to identify symptom clusters among patients with advanced heart failure in order to contribute towards knowledge consolidation.  Materials and Methods The PICO strategy helps define the key review question developed through PRISMA, involving searches in Scopus, PubMed, Embase and Google Scholar. Primary source articles on advanced heart failure which had been published between 2010 and 2019 in English and Spanish, excluding the pediatric population, were considered for this review. We carried out a descriptive analysis of the symptoms found in the articles.  Results A total of 11 out of 8000 studies were selected for a complete review, most of them are cross-sectional studies in which sample characterization corresponds to 50% of men aged 56 to 83 years. Fatigue, sleeping difficulty and dyspnea were some of the symptoms found in the physical symptom cluster, while depression, cognitive deterioration and concern were found in the emotional symptom cluster. Evaluations of symptoms by geographic region were also found.  Discussion There is a general consensus about the classification of symptoms in physical and emotional clusters. However, it is surprising to find out that edema is not included in any of them.  Limitations Two studies from the same author but published in different years were included in the review as the population and clusters were the same but different variables such as quality of life and functional status were studied.  Conclusion Having diverse populations, study types and analysis methods do not allow applying a single approach to grouping the most frequent symptoms in patients with advanced heart failure.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução A insuficiência cardíaca avançada gera deterioração clínica e funcional marcado no paciente. Foi desenvolvida ao longo do tempo pesquisas para avaliar os sintomas e aliviar o sofrimento. O presente artigo tem como objetivo identificar os agrupamentos de sintomas em pacientes com insuficiência cardíaca avançada, que podem contribuir para a consolidação do conhecimento.  Materiais e Métodos Uma estratégia PICO estabeleceu a questão-chave de revisão desenvolvida, usando PRISMA, com buscas em: Scopus, Pubmed, Embase e Google Scholar. Artigos de uma fonte primária foram incluídos, insuficiência cardíaca avançada, publicados em 2010 - 2019 em inglês e espanhol, a população pediátrica é excluída. Foram realizadas análises descritivas dos sintomas encontrados.  Resultados Dos 8.000 estudos, 11 foram incluídos para revisão completa, a maioria de corte transversal, cujas características da amostra correspondem a 50% de homens, entre 56 e 83 anos. Foram identificados no agrupamento físico os sintomas: cansaço, dificuldade para dormir, dispneia; no agrupamento emocional, foram identificados: Depressão, deterioração cognitiva e preocupação, assim como foi encontrada uma avaliação dos sintomas por região geográfica.  Discussão Existe um consenso na classificação dos sintomas em grupos denominados físico e emocional, chama a atenção que o edema em alguns casos não está incluído neles.  Limitações Foram incluídos dois estudos do mesmo autor em diferentes anos de publicação, a população e os agrupamentos são os mesmos, mas com análise de variáveis como qualidade de vida e estado funcional.  Conclusão A diversidade de populações, tipos de estudos e métodos de análise não permitem uma abordagem única para agrupar os sintomas mais frequentes em pacientes com insuficiência cardíaca avançada.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Evaluación de Síntomas]]></kwd>
<kwd lng="es"><![CDATA[Insuficiencia Cardiaca]]></kwd>
<kwd lng="es"><![CDATA[Síndrome]]></kwd>
<kwd lng="en"><![CDATA[Symptom Assessment]]></kwd>
<kwd lng="en"><![CDATA[Heart Failure]]></kwd>
<kwd lng="en"><![CDATA[Syndrome]]></kwd>
<kwd lng="pt"><![CDATA[Avaliação de Sintomas]]></kwd>
<kwd lng="pt"><![CDATA[Insuficiência Cardíaca]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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