症状管理理论在指导临床实践中的有效性--系统性综述》(The Effectiveness of Symptom Management Theory in Guiding Clinical Practice-A Systematic Review)。

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Alternative therapies in health and medicine Pub Date : 2024-08-01
Jianjian Wei, Hongxia Yan, Yaqi Xiang, Jinnv Ni, Fang He
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引用次数: 0

摘要

目的:然而,就不同的参与者、环境和方法而言,基于该理论的实践和研究的有效性并不一致,这阻碍了该理论在临床实践中的进一步实施。因此,本研究旨在系统评估症状管理理论在指导临床实践中的有效性:系统综述。在线检索截至 2023 年 12 月的中英文数据库,包括 SinoMed、CNKI、万方数据库、VIP 数据库、MEDLINE、PubMed、Embase、Web of Science 数据库和 Cochrane Library。本系统综述按照乔安娜-布里格斯研究所(Joanna Briggs Institute)随机对照试验和临床对照试验关键评价清单进行。文献评估和提取由两名研究人员独立完成。如果两位研究人员意见不一致,则咨询第三位研究人员:最终共纳入 20 篇文章(15 篇随机对照试验和 5 篇临床对照试验)。文章的总体质量较高。此外,研究结果表明,基于症状管理理论的症状管理措施可以降低患者症状的严重程度,减轻患者的痛苦,缓解患者的焦虑和抑郁情绪,改善患者的睡眠质量和生活质量:症状管理理论对临床症状管理有积极影响。结论:症状管理理论对临床症状管理有积极影响,可在临床实践中提供基于理论的症状管理方法,以减轻患者症状的严重程度和负担,以及焦虑、抑郁和痛苦的程度。今后应开展更多高质量的原创研究,进一步探讨该理论在指导临床实践方面的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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The Effectiveness of Symptom Management Theory in Guiding Clinical Practice-A Systematic Review.

Objective: Symptom Management Theory has been extensively used in guiding clinical practice to reduce patients' symptom burden, improve their outcomes and quality of life. However, concerning various participants, settings and methods, the effectiveness of practice and research based on the theory was inconsistent, which hindered the further implementation of this theory in clinical practice. Thus, this study aims to systematically evaluate the effectiveness of the Symptom Management Theory in guiding clinical practice.

Methods: Systematic review. An online search of Chinese and English databases, including SinoMed, CNKI, WanFang Library, VIP database, MEDLINE, PubMed, Embase, Web of Science database, and Cochrane Library up to December 2023. This systematic review was conducted in accordance with the Joanna Briggs Institute critical appraisal checklist for randomized controlled trials and controlled clinical trials. The literature appraisal and extraction were independently conducted by two researchers. The third person was consulted if there was any disagreement between the two researchers.

Results: A total of 20 articles (15 randomized controlled trials and five controlled clinical trials) were finally included. The overall quality of the articles was high. Additionally, the results showed that symptom management measurements based on the Symptom Management Theory could reduce the severity of patient's symptoms, alleviate their distress, relieve patients' anxiety and depression and improve their quality of sleep and quality of life.

Conclusion: The Symptom Management Theory positively influenced clinical symptom management. It could provide theory-based symptom management methods in clinical practice to reduce patients' severity and burden of symptoms, level of anxiety, depression and distress. More high-quality original research should be conducted to further explore the theory's influence in guiding clinical practice in the future.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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