Symptom Management in Life-Threatening Illness

描述：(摘自申请者摘要)：症状管理是一种 跨护理环境、客户的护理实践的重要组成部分 人口和实践类型。尽管症状管理的价值在于 得到广泛认可的，支持实践的研究基础与 关于疼痛和疼痛管理的广泛研究，但很少有研究解决 症状如便秘、口渴、瘙痒、男性潮热和疲倦。 慢性心力衰竭。症状管理研究的范围相当广泛。它 包括识别以前未表现出的症状、检查 症状报告、描述症状评估和症状的方法 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变的症状的 对症状的反应，以及对战略的系统评估 将有关症状管理的知识转化为实践。的体验 危及生命的疾病与症状学特别相关。 管理，因为症状是疾病体验的关键要素。这个 拟建的勘探中心的目的是推动 生命危险中症状管理知识的开发与利用 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，制定 OHSU SON症状管理研究的基础设施，并增强 现有的研究环境。该中心将为三个人提供资金 每年进行试点/可行性研究，为期三年，并提供共享 在统计分析领域支持这些试点研究的资源， 方法支持和后勤支持。该中心建立在一个强大的 该研究基地包括两个由美国国立卫生研究院资助的R01‘S和另外两个由美国国立卫生研究院资助的 症状管理研究以及基金会资助的项目。这个 领导团队包括两名高级和一名职业生涯中期有经验的人 科学家，所有这些人都在他们自己的方面阐述了症状管理 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.