Symptom Management in Life-Threatening Illness

描述：（来自申请人摘要）：症状管理是一种 护理实践的重要组成部分跨护理环境，客户 人口和实践类型。虽然症状管理的价值是 普遍认为，研究基地配套实践参差不齐， 对疼痛和疼痛管理的广泛研究， 症状如便秘、口渴、瘙痒、男性潮热， 慢性心力衰竭症状管理研究的范围相当广泛。它 包括识别以前未表征的症状，检查 症状报告的方法，描述症状评估和症状 解释，记录特定症状的模式或检查 各种症状之间的关系模式，测试干预措施 旨在预防或改善症状或旨在改善 对症状的反应，以及对 将症状管理的知识转化为实践。的经验 危及生命的疾病与症状学尤其相关 因为症状是疾病经历的关键因素。的 拟议的探索中心的目标是推进最先进的 危及生命患者症状管理知识开发与利用 疾病（癌症，心脏病和临终关怀），建立一个新的 症状管理研究的方法学标准， 基础设施的症状管理研究在OHSU SON，并加强 现有的研究环境。该中心将为三个 每年进行试点/可行性研究，为期三年， 资源，以支持这些试点研究领域的统计分析， 方法支持和后勤支持。该中心是建立在一个强大的 研究基地，包括两个NIH资助的R01和其他NIH资助的 症状管理研究以及基金会资助的项目。的 领导团队包括两名高级人员和一名经验丰富的中级人员 科学家，所有这些人都以自己的方式解决症状管理的各个方面。 研究计划。

DESCRIPTION:(from applicant's Abstract): Symptom management is an important component of nursing practice across care settings, client populations, and type of practice. Although the value of symptom management is widely recognized, the research base supporting practice is uneven with extensive research on pain and pain management and little research addressing symptoms like constipation, thirst, itching, hot flashes in men, and fatigue in chronic heart failure. Symptom management research is quite broad in scope. It includes identification of previously uncharacterized symptoms, examination of approaches to symptom reporting, describing symptom appraisals and symptom interpretation, documenting the pattern of a specific symptom or examining the patterns of relationships among a variety of symptoms, testing interventions designed to prevent or ameliorate a symptom or those aimed at modifying responses to symptoms, and the systematic evaluation of strategies for translating knowledge about symptom management into practice. The experience of life-threatening illness is especially relevant to the science of symptom management because symptoms are a key element of the illness experience. The aims of the proposed exploratory center are to advance the state-of-the-art for knowledge development and utilization on symptom management in life-threatening illness (cancer, cardiac disease, and end-of-life care), establish a new methodologic standard for symptom management research, develop an infrastructure to symptom management research at the OHSU SON, and enhance the existing research environment. The Center will provide funding for three pilot/feasibility studies each year for three years and provide shared resources to support these pilot studies in the areas of Statistical Analysis, Methodologic Support, and Logistical Support. The Center is built on a strong research base that includes two NIH-funded R01's and additional NIH funded symptom management studies as well as foundation funded projects. The leadership team includes two senior level and one experienced mid-career scientist, all of whom address aspects of symptom management in their own programs of research.