Cashion Ann K, Gill Jessica, Hawes Rebecca, Henderson Wendy A, Saligan Leorey
Division of Intramural Research, Department of Health and Human Services, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD.
Division of Intramural Research, Department of Health and Human Services, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD.
Nurs Outlook. 2016 Sep-Oct;64(5):499-506. doi: 10.1016/j.outlook.2016.05.008. Epub 2016 May 29.
Since the establishment of the nursing profession, identifying and alleviating the subjective symptoms experienced by patients has been at the core of nursing practice. In supporting the scientific foundation for clinical practice, nursing science has maintained a consistent commitment to prevent, manage, and eliminate symptoms. Scientists from the intramural research program at the National Institute of Nursing Research (NINR), a component of the National Institutes of Health, developed a National Institutes of Health Symptom Science Model (NIH-SSM) to guide symptom science research programs engaged in the use of emerging "omic" methods such as the genotyping of symptom phenotypes. The NIH-SSM was developed based on the NINR intramural research program's success in designing and implementing methods for examining identified symptoms or symptom clusters. The NIH-SSM identifies the research process of characterizing symptom phenotypes, identifying and testing biomarkers, and ultimately developing clinical interventions in cancer-related fatigue, gastrointestinal disorders, and traumatic brain injuries. The purpose of this article was to demonstrate how scientists can apply the NIH-SSM, leading the broader scientific community in advancing personalized and precise clinical interventions.
自护理专业创立以来,识别并减轻患者所经历的主观症状一直是护理实践的核心。为支持临床实践的科学基础,护理科学始终致力于预防、管理和消除症状。美国国立卫生研究院下属的国立护理研究所在其内部研究项目中,开发了国立卫生研究院症状科学模型(NIH - SSM),以指导运用新兴“组学”方法(如症状表型基因分型)的症状科学研究项目。NIH - SSM是基于国立护理研究所内部研究项目在设计和实施检查已识别症状或症状群方法方面的成功经验而开发的。NIH - SSM确定了在癌症相关疲劳、胃肠道疾病和创伤性脑损伤中表征症状表型、识别和测试生物标志物以及最终开发临床干预措施的研究过程。本文旨在展示科学家如何应用NIH - SSM,引领更广泛的科学界推进个性化和精准的临床干预。