Universidade de Federal do Espírito Santo, Centro de Ciências da Saúde, Departamento de Enfermagem, Vitória, ES, Brazil.
Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2021 Sep 10;55:e20210159. doi: 10.1590/1980-220X-REEUSP-2021-0159. eCollection 2021.
To discuss the evolution of research in cancer psychoneuroimmunology, the advances in the management of neuropsychological symptom clusters and their interface with mid-range theories, and practical applications in Nursing.
This is a theoretical-reflective study anchored in recent literature, as well as in the critical analysis of the authors.
This is a promising field of investigation, which emphasizes the complexity and interaction of symptoms, the interrelationships among them, the factors influencing them, and their consequences. Subsidized by mid-range theories in Nursing, such as the Theory of Unpleasant Symptoms and the Theory of Symptom Management, analyses of these interrelationships support Oncology Nursing diagnoses and interventions.
An innovative approach is proposed to qualify Oncology Nursing care based on the integration of recent advances in cancer psychoneuroimmunology, Nursing mid-range theories, and practical tools such as health coaching. The approach proposed may strengthen clinical nursing practice in the management of neuropsychological symptom clusters in oncology and shall be integrated into decision-making during cancer treatment, favoring person-centered care.
探讨癌症心理神经免疫学研究的演变、神经心理症状群管理的进展及其与中程理论的接口，以及在护理中的实际应用。
这是一项基于近期文献以及作者批判性分析的理论反思性研究。
这是一个有前途的研究领域，强调了症状的复杂性和相互作用、它们之间的相互关系、影响它们的因素及其后果。由护理中的中程理论（如不适症状理论和症状管理理论）支持，对这些相互关系的分析支持肿瘤护理诊断和干预。
提出了一种创新方法，基于癌症心理神经免疫学的最新进展、护理中程理论以及健康指导等实用工具，对肿瘤学护理进行质量评估。所提出的方法可以加强癌症患者神经心理症状群管理的临床护理实践，并整合到癌症治疗期间的决策中，有利于以患者为中心的护理。
