Advancing the science of symptom management
Advancing the science of symptom management
复制标题
DOI：
10.1046/j.1365-2648.2001.01697.x
复制
发表时间：
2001-03-01
影响因子：
3.8
通讯作者：
Taylor, D
中科院分区：
文献类型：
--
作者：
Dodd, M;Janson, S;Taylor, D
自最初的症状管理模型（Larson et al. 1994）发表以来，加州大学旧金山分校（UCSF）护理中心系统管理学院的教师和学生在研究中测试了该模型，并通过学院讨论和研讨会扩展了该模型。在本文中，我们描述了基于证据的修正概念模型，模型的三个维度，以及需要进一步研究的领域。从轻微到严重的症状，每年都促使数百万患者去看他们的医疗保健提供者。症状不仅会造成痛苦，还会扰乱社会功能。对症状及其结果的管理往往成为患者及其家属的责任。医疗保健提供者很难制定症状管理策略，可以在急性和家庭护理环境中应用，因为很少有症状管理模型经过经验检验。迄今为止，大多数关于症状的研究都是针对单一症状，如疼痛或疲劳，或评估相关症状，如抑郁和睡眠障碍。虽然这种方法提高了我们对某些症状的理解，但我们提供了一种通用的症状管理模型，为选择临床干预措施、为研究提供信息，以及连接与各种疾病和病症相关的一系列症状提供指导。最后，一个基础广泛的症状管理模型可以整合其他领域的科学。
Since the publication of the original Symptom Management Model (Larson et al. 1994), faculty and students at the University of California, San Francisco (UCSF) School of Nursing Centre for System Management have tested this model in research studies and expanded the model through collegial discussions and seminars.Aim. In this paper, we describe the evidence-based revised conceptual model, the three dimensions of the model, and the areas where further research is needed.Background/Rationale. The experience of symptoms, minor to severe, prompts millions of patients to visit their healthcare providers each year. Symptoms not only create distress, but also disrupt social functioning. The management of symptoms and their resulting outcomes often become the responsibility of the patient and his or her family members. Healthcare providers have difficulty developing symptom management strategies that can be applied across acute and home-care settings because few models of symptom management have been tested empirically.To date, the majority of research on symptoms was directed toward studying a single symptom, such as pain or fatigue, or toward evaluating associated symptoms, such as depression and sleep disturbance. While this approach has advanced our understanding of some symptoms, we offer a generic symptom management model to provide direction for selecting clinical interventions, informing research, and bridging an array of symptoms associated with a variety of diseases and conditions. Finally, a broadly-based symptom management model allows the integration of science from other fields.