Introducing a model for emotional distress in respiratory disease

A systematic review and synthesis of symptom management models

Gabriela Schmid-Mohler, Ann Caress, Rebecca Spirig, Janelle Yorke

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Aim: To undertake a theoretical systematic review to develop a conceptual model of illness-related emotional distress in the context of symptom management in chronic respiratory disease. Design: We performed a systematic search to identify conceptual models. Data sources: Electronic databases MEDLINE, CINAHL, EMBASE and PsycINFO were searched and papers included from inception of the search term until June 2017. Review methods: The review was conducted following Pound and Campbell's and Turner's theory synthesis. Conceptual models were appraised using Kaplan's criteria. Models were excluded if they referred to a specific condition and/or lacked clarity. Results: This synthesis, which includes five models and additional evidence, yielded a new conceptual model describing the processes of regulation and symptom self-management in chronic respiratory disease. Identified sources of illness-related emotional distress are new or increased symptoms, additional treatment, new restrictions in performance of daily life roles and increased unpredictability. People goals and self-efficacy were identified as further drivers of symptom self-management. The regulation process is embedded in contextual factors. Conclusion: Theory synthesis provided transparent guidance in developing a model to understand of the factors driving self-management decisions. Therefore, the model has the potential to guide development of interventions that support symptom self-management in chronic respiratory disease. Impact: This newly presented conceptual model of illness-related emotional distress provides an understanding of the factors that drive self-management decisions when peoples experience new or increased symptoms. Such understanding is critical for nursing practice to developing appropriate interventions, especially in support of people decision-making.

Original languageEnglish
Pages (from-to)1854-1867
Number of pages14
JournalJournal of Advanced Nursing
Volume75
Issue number9
Early online date7 Feb 2019
DOIs
Publication statusPublished - 1 Sep 2019
Externally publishedYes

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Self Care
Chronic Disease
Information Storage and Retrieval
Self Efficacy
MEDLINE
Decision Making
Nursing
Databases
Therapeutics

Cite this

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Introducing a model for emotional distress in respiratory disease : A systematic review and synthesis of symptom management models. / Schmid-Mohler, Gabriela; Caress, Ann; Spirig, Rebecca; Yorke, Janelle.

In: Journal of Advanced Nursing, Vol. 75, No. 9, 01.09.2019, p. 1854-1867.

Research output: Contribution to journalReview article

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T2 - A systematic review and synthesis of symptom management models

AU - Schmid-Mohler, Gabriela

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AU - Yorke, Janelle

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