Tabudlo Jerick B
University of the Philippines Manila, College of Nursing, Philippines.
Belitung Nurs J. 2021 Apr 29;7(2):78-87. doi: 10.33546/bnj.1359. eCollection 2021.
Symptom cluster management is in its early stages in many chronic and debilitating illnesses. The development of a proposed theory should be an initial step in advancing this area of interest.
This article presents the development of a Proposed Theory of Symptom Cluster Management.
The concept analysis, statement synthesis, and theory synthesis by Walker and Avant were used in the development of this proposed theory. A search from July to September 2020 for published empirical and theoretical articles was conducted in scientific databases, expanded on the web, and secondary references from identified articles.
The Proposed Theory of Symptom Cluster Management is both a descriptive and explanatory theory. The defining characteristics of symptom cluster management include the basic and effectiveness components. Antecedents for symptom cluster management include socio-demographic characteristics, symptom cluster characteristics, individual clinical characteristics, individual illness factors, and situational factors or symptom experience. The consequences are clustered as personal-related, health-related, social-related outcomes, and existential outcomes. Measurement tools for the antecedents and outcomes in symptom cluster management and the analytical and statistical strategies were considered. Relational statements were also identified. Theoretical assertions were advanced.
The Proposed Theory of Symptom Cluster Management may provide a holistic approach because it integrates both the symptom cluster and management strategies. The concepts, statements including the complete representation of the proposed theory identified in this article, may provide cues to policymakers and clinical researchers towards the development of tailored interventions and programs.
症状群管理在许多慢性和使人衰弱的疾病中尚处于早期阶段。提出一种理论应是推进这一研究领域的第一步。
本文介绍症状群管理的一种提出的理论的发展。
在本提出的理论的发展过程中，采用了沃克和阿万特的概念分析、陈述综合和理论综合方法。于2020年7月至9月在科学数据库中搜索已发表的实证和理论文章，并在网络上进行扩展搜索，以及从已识别文章中获取二次参考文献。
症状群管理的提出的理论既是一种描述性理论，也是一种解释性理论。症状群管理的定义特征包括基本要素和有效性要素。症状群管理的前因包括社会人口学特征、症状群特征、个体临床特征、个体疾病因素以及情境因素或症状体验。后果被归类为与个人相关、与健康相关、与社会相关的结果以及生存结果。考虑了症状群管理中前因和结果的测量工具以及分析和统计策略。还确定了关系陈述。提出了理论主张。
症状群管理的提出的理论可能提供一种整体方法，因为它整合了症状群和管理策略。本文中确定的概念、陈述，包括所提出理论的完整表述，可能为政策制定者和临床研究人员制定量身定制的干预措施和项目提供线索。
