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症狀管理理論在研究及實務的應用

Symptom Management Theory: Application in Research and Practice

摘要


症狀管理是維護病人生活品質的重要護理活動,發展症狀管理的知識體是支撐專業照護活動效能的基石。從臨床發現問題,透過研究建構知識回應臨床問題、整合文獻建立理論模式及照護指引、可改善照護品質及引導進一步的研究,才不會產生實務、研究與理論的間隙。症狀管理理論歸納自不同族群的症狀管理,主張有效的症狀管理必須考慮症狀經驗、症狀管理策略及採取適切的評價指標三大核心要素,並且考量其與個人因素、環境特性、健康狀況等情境因素的交互關係。此理論的概念架構及內容可以用來引導學者進行症狀研究,實務專家亦可據此發展不同症狀臨床照護指引。

關鍵字

症狀管理理論 研究 實務

並列摘要


Symptom management is an important nursing activity to improve patients' quality of life. Developing the body of knowledge of symptom management will underpin the effectiveness of healthcare. Finding problems from the clinic, constructing knowledge through research to respond to clinical problems, and synthesizing research findings to establish a theoretical model can guide practice and further research. This interactive process allow to close the gap among practice, research, and theory. The Symptom Management Theory (SMT) is inductive from the research findings of different ethnic groups with various symptoms. SMT is advocated that effective symptom management must consider symptom experience, symptom management strategies, and outcomes. These three essential components are influenced by the nursing science dimensions of person, health and illness, and environment. The SMT is applicable and appropriate for guiding research and developing practice guideline.

並列關鍵字

symptom management theory research practice

參考文獻


Silva, L. A. G. P. D., Lopes, V. J, & Mercês, N. N. A. D. (2021). Symptom management theory applied to nursing care: scoping review. Revista brasileira de enfermagem, 74(3), e20201004. https://doi.org/10.1590/0034-7167-2020-1004.
Younas, A., & Quennell, S. (2019). Usefulness of nursing theory-guided practice: an integrative review.Scandinavian Journal of Caring Sciences, 33, 540–555. https://doi.org/10.1111/scs.12670
Bender, M. S., Janson, S. L., Franck, L. S., & Lee, K. A. (2017). Theory in symptom management.In M. J. Smith & P. R. Liehr (Eds.). Middle range theory for nursing (4th ed., pp. 147-176). Springer Publishing Company, LLC. https://doi.org/10.1891/9780826159922.0008
Brant, J. M., Beck, S., & Miaskowski, C. (2010). Building dynamic models and theories to advance the science of symptom management research. Journal of Advanced Nursing, 66(1), 228-40. https://doi.org/10.1111/j.1365-2648.2009.05179.x. PMID: 20423447.
Dodd, M., Janson, S., Facione, N., Faucett, J., Froelicher, E. S., Humphreys, J., Lee, K., Miaskowski, C., Puntillo. K., Rankin, S., & Taylor, D. (2001). Advancing the science of symptom management. Journal of Advanced Nursing, 33(5), 668–676. https://doi.org/10.1046/j.1365-2648.2001.01697.x

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