Arida Janet A, Sherwood Paula R, Flannery Marie, Donovan Heidi S
University of Pittsburgh.
University of Rochester Medical Center.
Oncol Nurs Forum. 2016 Nov 1;43(6):781-783.
Illness representations are cognitive structures that individuals rely on to understand and explain their illnesses and associated symptoms. The Representational Approach (RA) to patient education offers a theoretically based, clinically useful model that can support oncology nurses to develop a shared understanding of patients' illness representations to collaboratively develop highly personalized plans for symptom management and other important self-management behaviors. This article discusses theoretical underpinnings, practical applications, challenges, and future directions for incorporating illness representations and the RA in clinical and research endeavors.
疾病表征是个体用以理解和解释自身疾病及相关症状的认知结构。患者教育的表征方法(RA)提供了一个基于理论且具有临床实用性的模型,该模型可支持肿瘤护理人员对患者的疾病表征形成共同理解,从而协同制定高度个性化的症状管理计划及其他重要的自我管理行为计划。本文讨论了将疾病表征和RA纳入临床及研究工作的理论基础、实际应用、挑战及未来方向。