彼得·布罗杰肺癌中心：综合实践的典范。
The Peter Brojde lung cancer centre: a model of integrative practice.
机构信息
McGill School of Nursing, McGill University, Montreal, QC.
出版信息
Curr Oncol. 2012 Jun;19(3):e145-59. doi: 10.3747/co.19.929.
BACKGROUND
The generally poor prognosis and poor quality of life for lung cancer patients have highlighted the need for a conceptual model of integrative practice. Although the philosophy of integrative oncology is well described, conceptual models that could guide the implementation and scientific evaluation of integrative practice are lacking.
PURPOSE
The present paper describes a conceptual model of integrative practice in which the philosophical underpinnings derive mainly from integrative oncology, with important contributions from Traditional Chinese Medicine (TCM) and the discipline of nursing. The conceptual model is described in terms of its purpose, values, concepts, dynamic components, scientific evidence, clinical approach, and theoretical underpinnings. The model argues that these components delineate the initial scope and orientation of integrative practice. They serve as the needed context for evaluating and interpreting the effectiveness of clinical interventions in enhancing patient outcomes in lung cancer at various phases of the illness. Furthermore, the development of relevant and effective integrative clinical interventions requires new research methods based on whole-systems research. An initial focus would be the identification of interrelationship patterns among variables that influence clinical interventions and their targeted patient outcomes.
背景
肺癌患者的预后一般较差，生活质量较低，这凸显了对综合实践概念模型的需求。尽管综合肿瘤学的理念描述得很好，但缺乏能够指导综合实践实施和科学评估的概念模型。
目的
本文描述了一种综合实践的概念模型，其哲学基础主要来源于综合肿瘤学，同时也有来自中医和护理学科的重要贡献。该概念模型从其目的、价值观、概念、动态组成部分、科学证据、临床方法和理论基础等方面进行了描述。该模型认为，这些组成部分描绘了综合实践的初始范围和方向。它们为评估和解释在肺癌各个阶段通过临床干预来增强患者结局的有效性提供了所需的背景。此外，开发相关有效的综合临床干预措施需要基于整体系统研究的新研究方法。最初的重点将是确定影响临床干预及其针对的患者结局的变量之间的相互关系模式。
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