Pediatric Theory of Unpleasant Symptoms: A Multi-level Symptom Theory for Pediatric Cancer.

IF 2.3 4区 医学 Q1 NURSING
Kathleen E Montgomery, Cynthia A Gerhardt, Pamela S Hinds, Micah A Skeens
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引用次数: 0

Abstract

Background: Children with cancer often experience significant symptom burden and toxicities associated with cancer treatment. Advancing pediatric symptom science through theory-guided research is essential to inform targeted interventions that ameliorate suffering and enhance quality of life. However, current symptom theories do not reflect the complex relationships between the child, family, and clinician. This highlights the need for a new framework encompassing the child's experience, while also integrating family and clinician perspectives.

Objectives: This narrative review introduces a novel pediatric theory of symptoms developed through a comprehensive synthesis of published literature and existing theory.

Methods: The Theory of Unpleasant Symptoms was critically evaluated for empirical gaps and areas for enhancement. Through an iterative process of literature review and theoretical refinement, we developed an adapted theory, called The Pediatric Theory of Unpleasant Symptoms (Pedi-TOUS).

Results: The Pedi-TOUS captures the multidimensional symptom experiences of children with cancer. It integrates diverse perspectives on symptom perception and delineates multi-level, influencing factors and performance outcomes associated with symptom experiences. Notably a novel influencing factor regarding relationships is introduced, emphasizing the collaborative role of caregivers and clinicians in shaping the symptom experience.

Conclusions: The Pedi-TOUS is a responsive adaptation of existing theory, reflecting emerging trends in pediatric oncology symptom science. It provides a robust conceptual basis for future research aimed at elucidating the comprehensive symptom experiences of children with cancer.

Implications for nursing practice: Pedi-TOUS can inform clinical practice by guiding the development of tailored, evidence-based interventions to improve symptom management and patient care in pediatric oncology.

儿童不愉快症状理论:儿童癌症的多层次症状理论。
背景:儿童癌症患者经常经历显著的症状负担和与癌症治疗相关的毒性。通过理论指导的研究推进儿科症状科学对于告知有针对性的干预措施以减轻痛苦和提高生活质量至关重要。然而,目前的症状理论并没有反映出儿童、家庭和临床医生之间的复杂关系。这突出了需要一个新的框架,包括儿童的经验,同时也整合家庭和临床医生的观点。目的:这篇叙述性综述介绍了一种新的儿科症状理论,该理论是通过对已发表的文献和现有理论的全面综合而发展起来的。方法:批判性地评估不愉快症状理论的经验差距和有待改进的领域。通过文献回顾和理论完善的反复过程,我们发展了一个适应的理论,称为儿科不愉快症状理论(Pedi-TOUS)。结果:足底tous捕捉了癌症儿童的多维症状经历。它整合了症状感知的不同观点,描述了与症状体验相关的多层次、影响因素和表现结果。值得注意的是,一个新的影响因素有关的关系被引入,强调护理人员和临床医生在塑造症状经验的协作作用。结论:Pedi-TOUS是对现有理论的响应性适应,反映了儿科肿瘤症状科学的新趋势。它为未来旨在阐明儿童癌症综合症状经验的研究提供了坚实的概念基础。对护理实践的启示:儿科tous可以通过指导量身定制的循证干预措施的发展来改善儿科肿瘤的症状管理和患者护理,从而为临床实践提供信息。
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来源期刊
Seminars in Oncology Nursing
Seminars in Oncology Nursing Nursing-Oncology (nursing)
CiteScore
3.40
自引率
0.00%
发文量
68
审稿时长
45 days
期刊介绍: Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.
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