Centre of Clinical Nursing Science, University Hospital Zurich, Zurich, Switzerland.
Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK.
J Adv Nurs. 2019 Sep;75(9):1854-1867. doi: 10.1111/jan.13968. Epub 2019 Mar 12.
To undertake a theoretical systematic review to develop a conceptual model of illness-related emotional distress in the context of symptom management in chronic respiratory disease.
We performed a systematic search to identify conceptual models.
Electronic databases MEDLINE, CINAHL, EMBASE and PsycINFO were searched and papers included from inception of the search term until June 2017.
The review was conducted following Pound and Campbell's and Turner's theory synthesis. Conceptual models were appraised using Kaplan's criteria. Models were excluded if they referred to a specific condition and/or lacked clarity.
This synthesis, which includes five models and additional evidence, yielded a new conceptual model describing the processes of regulation and symptom self-management in chronic respiratory disease. Identified sources of illness-related emotional distress are new or increased symptoms, additional treatment, new restrictions in performance of daily life roles and increased unpredictability. People goals and self-efficacy were identified as further drivers of symptom self-management. The regulation process is embedded in contextual factors.
Theory synthesis provided transparent guidance in developing a model to understand of the factors driving self-management decisions. Therefore, the model has the potential to guide development of interventions that support symptom self-management in chronic respiratory disease.
This newly presented conceptual model of illness-related emotional distress provides an understanding of the factors that drive self-management decisions when peoples experience new or increased symptoms. Such understanding is critical for nursing practice to developing appropriate interventions, especially in support of people decision-making.
进行理论系统综述，以在慢性呼吸系统疾病症状管理的背景下，制定与疾病相关的情绪困扰的概念模型。
我们进行了系统搜索以识别概念模型。
电子数据库 MEDLINE、CINAHL、EMBASE 和 PsycINFO 进行了搜索，并将从搜索词开始到 2017 年 6 月的所有文献纳入。
综述按照 Pound 和 Campbell 的理论综合和 Turner 的理论综合进行。使用 Kaplan 的标准评估概念模型。如果模型仅涉及特定疾病且/或缺乏清晰度，则将其排除。
这项综合研究包括五个模型和其他证据，提出了一个新的概念模型，描述了慢性呼吸系统疾病中调节和症状自我管理的过程。确定与疾病相关的情绪困扰的来源是新出现的或增加的症状、额外的治疗、日常生活角色执行的新限制以及增加的不可预测性。人们的目标和自我效能被确定为进一步推动症状自我管理的因素。调节过程嵌入在情境因素中。
理论综合为开发一个模型以理解驱动自我管理决策的因素提供了透明的指导。因此，该模型有可能指导支持慢性呼吸系统疾病症状自我管理的干预措施的发展。
这个新提出的与疾病相关的情绪困扰的概念模型提供了对人们在经历新出现或增加的症状时驱动自我管理决策的因素的理解。这种理解对于护理实践开发适当的干预措施至关重要，尤其是在支持人们决策方面。
