An integrated model of multimorbidity and symptom science.
Conceptual model
Multimorbidity
Multiple chronic conditions
Nursing
Precision health
Symptoms
Journal
Nursing outlook
ISSN: 1528-3968
Titre abrégé: Nurs Outlook
Pays: United States
ID NLM: 0401075
Informations de publication
Date de publication:
Historique:
received:
13
12
2019
revised:
13
03
2020
accepted:
21
03
2020
pubmed:
3
6
2020
medline:
11
11
2020
entrez:
3
6
2020
Statut:
ppublish
Résumé
Prevalence and complexity of persons with multiple chronic conditions (MCC), also known as multimorbidity, are shifting clinical practice from a single disease focus to one considering MCC and symptoms. Although symptoms are intricately bound to concepts inherent in MCC science, symptoms are largely ignored in multimorbidity research and literature. Introduce an Integrated Model of Multimorbidity and Symptom Science. Critical integrative review and synthesis process. The model comprises three primary domains: 1. Contributing/ Risk Factors; 2. Symptom/Disease/Treatment Interactions; and 3. Patient Outcomes. The model highlights the multilevel nature of contributing factors and the recursive interactions among multiple etiologies, conditions, symptoms, therapies, and outcomes.
Sections du résumé
BACKGROUND
Prevalence and complexity of persons with multiple chronic conditions (MCC), also known as multimorbidity, are shifting clinical practice from a single disease focus to one considering MCC and symptoms. Although symptoms are intricately bound to concepts inherent in MCC science, symptoms are largely ignored in multimorbidity research and literature.
PURPOSE
Introduce an Integrated Model of Multimorbidity and Symptom Science.
METHODS
Critical integrative review and synthesis process.
FINDINGS
The model comprises three primary domains: 1. Contributing/ Risk Factors; 2. Symptom/Disease/Treatment Interactions; and 3. Patient Outcomes.
DISCUSSION
The model highlights the multilevel nature of contributing factors and the recursive interactions among multiple etiologies, conditions, symptoms, therapies, and outcomes.
Identifiants
pubmed: 32482344
pii: S0029-6554(19)30767-5
doi: 10.1016/j.outlook.2020.03.003
pmc: PMC7483649
mid: NIHMS1586770
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
430-439Subventions
Organisme : NINR NIH HHS
ID : P20 NR018081
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
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