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临床实践中个性化医疗时代的护理人员。

Nursing Personnel in the Era of Personalized Healthcare in Clinical Practice.

作者信息

Spanakis Marios, Patelarou Athina E, Patelarou Evridiki

机构信息

Computational BioMedicine Laboratory, Institute of Computer Science, Foundation for Research and Technology-Hellas (FORTH), Heraklion, GR-70013 Crete, Greece.

Department of Nursing, Faculty of Health Sciences, Hellenic Mediterranean University, Heraklion, GR-71004 Crete, Greece.

出版信息

J Pers Med. 2020 Jun 29;10(3):56. doi: 10.3390/jpm10030056.

DOI:10.3390/jpm10030056
PMID:32610469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7565499/
Abstract

Personalized, stratified, or precision medicine (PM) introduces a new era in healthcare that tries to identify and predict optimum treatment outcomes for a patient or a cohort. It also introduces new scientific terminologies regarding therapeutic approaches and the need of their adoption from healthcare providers. Till today, evidence-based practice (EBP) was focusing on population averages and their variances among cohorts for clinical values that are essential for optimizing healthcare outcome. It can be stated that EBP and PM are complementary approaches for a modern healthcare system. Healthcare providers through EBP often see the forest (population averages) but miss the trees (individual patients), whereas utilization of PM may not see the forest for the trees. Nursing personnel (NP) play an important role in modern healthcare since they are consulting, educating, and providing care to patients whose needs often needs to be individualized (personalized nursing care, PNC). Based on the clinical issues earlier addressed from clinical pharmacology, EBP, and now encompassed in PM, this review tries to describe the challenges that NP have to face in order to meet the requisites of the new era in healthcare. It presents the demands that should be met for upgrading the provided education and expertise of NP toward an updated role in a modern healthcare system.

摘要

个性化、分层或精准医学（PM）开启了医疗保健的新时代，试图为患者或特定人群确定并预测最佳治疗结果。它还引入了有关治疗方法及其被医疗服务提供者采用的必要性的新科学术语。直到如今，循证医学实践（EBP）一直专注于群体平均值及其在不同人群中的差异，以获取对于优化医疗保健结果至关重要的临床价值。可以说，EBP和PM是现代医疗保健系统的互补方法。医疗服务提供者通过EBP往往只见森林（群体平均值）而不见树木（个体患者），而使用PM可能只见树木不见森林。护理人员（NP）在现代医疗保健中发挥着重要作用，因为他们为需求往往需要个体化的患者提供咨询、教育和护理（个性化护理，PNC）。基于临床药理学、EBP先前提出的临床问题，以及如今纳入PM的问题，本综述试图描述NP为满足医疗保健新时代的要求而必须面对的挑战。它提出了在现代医疗保健系统中，为提升NP所提供的教育和专业技能以使其发挥更新的作用而应满足的要求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1da/7565499/b393a86df934/jpm-10-00056-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1da/7565499/40f03e5acd17/jpm-10-00056-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1da/7565499/c8e5d9a85d02/jpm-10-00056-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1da/7565499/e1fdaa0c7061/jpm-10-00056-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1da/7565499/b393a86df934/jpm-10-00056-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1da/7565499/40f03e5acd17/jpm-10-00056-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1da/7565499/c8e5d9a85d02/jpm-10-00056-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1da/7565499/e1fdaa0c7061/jpm-10-00056-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1da/7565499/b393a86df934/jpm-10-00056-g004.jpg

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