■在治疗有神经系统问题的患者时,患者的压力常常被忽视。护理理论家以前通过概念澄清来预示压力评估,而医疗保健系统中的临床护士在实施评估和协调支持方面处于理想的位置。与医院评估和支持计划相结合,认识到应激作为系统评估的目标可以改善临床结果.
■研究的目的是描述和比较患者报告的结果指标,这些指标适用于评估神经系统患者的应激反应症状。
■本研究是基于对可用自我报告工具的定性和定量分析的对患者压力的综合回顾和概念开发。
■通过PubMed的系统搜索检索了仪器,CINAHL,PsychINFO和WebofScience参考数据库于2021年8月2日发布。使用与压力症状概念相关的搜索词。仪器纳入是在权威症状清单的指导下完成的,由第二作者部分确认以减轻偏见。在分析中,对纳入本综述的仪器进行了定量描述和比较.对仪器组成的见解使我们对应激反应的概念得到了澄清,以进一步完善适合自我评估压力状态的仪器列表。这项研究未注册。
■根据纳入标准,包括23个患者报告的结果指标,涵盖了各种压力概念。仪器之间项目的相似性暗示了由59个常见症状子类划分的症状聚类,这些症状子类在仪器项目的重新分类中被分组在一起。比较的定量分析促使我们区分应激反应的概念和前因,因此,和相关的概念作为精神的表现,躯体,和行为领域。十种工具,项目涵盖三个领域,每个人都有关于物品数量的独特品质,测量传播,并描述了字数。
■在组织框架内,支持类型之间的有效分配可以建立在患者的压力状态和压力源。压力状态表现为一组可测量的症状。用于神经系统患者压力状态的系统临床评估的最佳工具应以最少的项目和简洁的措辞满足建议的应激反应规范。发现并包括相关分析工具是该研究的主要局限性。
■神经系统患者的压力需要评估和解决。我们对可以用于评估的10种合适的仪器进行了排名。
UNASSIGNED: Patient stress is often overlooked in the care of patients with neurological problems. Nursing theorists have previously heralded stress assessment through conceptual clarification, while clinical nurses in the health care system hold an ideal position for implementation of assessment and coordination of support. Integrated with a hospital assessment and support scheme, recognition of stress as a target of systematic assessment can lead to improved clinical outcomes.
UNASSIGNED: The aim of the study was to describe and compare patient-reported outcome measures suitable for assessment of the stress response as symptoms in neurological patients.
UNASSIGNED: This study is an integrative review and concept development of patient stress based on qualitative and quantitative analysis of available self-reporting instruments.
UNASSIGNED: Instruments were retreived with a systematic search from PubMed, CINAHL, PsychINFO and Web of Science reference databases on August 2, 2021. Search terms associated with the concept of stress symptoms were used. Instrument inclusion was done with the guidance of authoritative symptom inventories, with partial confirmation by a second author to mitigate bias. In the analysis, the instruments included in the review were quantitatively described and compared. Insights from the instrument composition led to clarification of our concept of stress response to further refine the list of instruments suitable for self-assessment of the stress status. This study was not registered.
UNASSIGNED: Based on the inclusion criteria, 23 patient-reported outcome measures extending over a variety of stress concepts were included. The similarity of items among the instruments implied a symptom cluster delineated by 59 common symptom subclasses that were grouped together in a re-classification of instrument items. A comparative quantitative analysis prompted us to distinguish the concept of stress response from antecedent, consequent, and related concepts as a manifestation of mental, somatic, and behavioral domains. Ten instruments with items covering the three domains, each with unique qualities regarding number of items, measured spread, and letter count were described.
UNASSIGNED: Within an organizational framework, effective allotment among types of support can be founded on the patient\'s stress status and the stressors. The stress status manifests itself as a set of measurable symptoms. Optimal instruments for use in systematic clinical assessment of neurological patients\' stress status should satisfy the suggested specification of the stress response with a minimal number of items and concise wording. Finding and including the relevant instruments for analysis were the main limitation of the study.
UNASSIGNED: Stress of neurological patients needs to be assessed and addressed. We ranked 10 suitable instruments that can be useful in the assessment.