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首页> 外文期刊>Journal of advanced nursing >Building dynamic models and theories to advance the science of symptom management research
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Building dynamic models and theories to advance the science of symptom management research

机译：建立动态模型与理论推进症状管理研究科学

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Building dynamic models and theories to advance the science of symptom management research. Aim. This paper is a description, comparison, and critique of two models and two theories used to guide symptom management research, and a proposal of directions for new theory or model development. Background. Symptom management research has undergone a paradigmatic shift to include symptom clusters, longitudinal studies that examine symptom trajectories, and the effects of interventions on patient outcomes. Models and theories are used to guide descriptive and intervention research. Over the past 15 years, four conceptual models or theories (i.e. Theory of Symptom Management, the Theory of Unpleasant Symptoms, the Symptoms Experience Model and the Symptoms Experience in Time Model) were used in a variety of symptom management studies. Data sources. Literature searches were performed in Medline and the Cumulative Index of Nursing and Allied Health Literature between 1990 and 2008 for models and theories that guide symptom management research. Related papers and book chapters were used as supporting documentation. Discussion. Comparison and critique of the models and theories revealed important gaps including lack of consideration of symptom clusters, failure to incorporate temporal aspects of the symptom experience and failure to incorporate the impact of interventions on patient outcomes. Conclusion. New models and theories should incorporate current trends in symptom management research, capture the dynamic nature of symptoms and incorporate concepts that will facilitate transdisciplinary research in symptom management. Researchers and clinicians need to build more expansive and dynamic symptom management models and theories that parallel advances in symptom research and practice.
机译：促进了症状管理理论的发展和症状管理模型的建立。目标本文对用于指导症状管理研究的两种模型和两种理论进行了描述、比较和评论，并提出了新理论或模型发展的方向。出身背景症状管理研究经历了范式转变，包括症状群、检查症状轨迹的纵向研究，以及干预措施对患者结果的影响。模型和理论用于指导描述性和干预性研究。在过去的15年里，在各种症状管理研究中使用了四种概念模型或理论（即症状管理理论、不愉快症状理论、症状体验模型和症状时间体验模型）。数据来源。1990年至2008年间，在Medline和《护理和相关健康文献累积索引》中进行文献检索，以寻找指导症状管理研究的模型和理论。相关论文和书籍章节被用作支持文件。讨论对模型和理论的比较和批评揭示了重要的差距，包括缺乏对症状群的考虑，未能纳入症状体验的时间方面，以及未能纳入干预措施对患者结果的影响。结论新的模型和理论应结合症状管理研究的当前趋势，捕捉症状的动态性质，并结合有助于症状管理跨学科研究的概念。研究人员和临床医生需要建立更广泛和动态的症状管理模型和理论，以与症状研究和实践的进展相平行。

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