Comparing nurse-led and rheumatologist-led care for rheumatoid arthritis patients: a systematic review and meta-analysis of randomized controlled trials.
Weiwei Gu, Xiangfu Ding, Xu Han, Junjie Jiang, Hong Li
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引用次数: 0
Abstract
Objective: This study aimed to compare nurse-led and rheumatologist-led management approaches for patients with rheumatoid arthritis, as previous studies yielded inconsistent results.
Method: This study explored the PubMed, Embase, and Web of Science databases for research comparing these two therapy methods for individuals with rheumatoid arthritis. Outcomes analyzed were the Health Assessment Questionnaire, fatigue, stiffness, Disease Activity Score for 28 joints using C-reactive protein, Disease Activity Score for 28 joints, erythrocyte sedimentation rate, C-reactive protein, and visual analog scale pain score.
Results: Six randomized controlled trials with 1,093 patients were included following the Cochrane Collaboration principles. The baseline parameters were similar between groups, except for the Disease Activity Score for 28 joints, satisfaction levels, and disease duration. Pooled analyses demonstrated that the nurse-led care group tended to improve relevant assessment indicators relative to the rheumatologist-led care group.
Conclusion: The meta-analysis results suggest that rheumatoid arthritis patients in nurse-led care tend to have a better functional status and disease activity trend than those in rheumatologist-led care.
目的：本研究旨在比较护士主导和风湿病学家主导的类风湿性关节炎患者的管理方法，因为之前的研究得出了不一致的结果。方法：本研究利用PubMed、Embase和Web of Science数据库，比较这两种治疗方法对类风湿关节炎患者的影响。分析的结果包括健康评估问卷、疲劳、僵硬、28个关节的疾病活动评分（使用c -反应蛋白）、28个关节的疾病活动评分、红细胞沉降率、c -反应蛋白和视觉模拟量表疼痛评分。结果：6项随机对照试验纳入1093例患者，遵循Cochrane协作原则。除了28个关节的疾病活动评分、满意度和疾病持续时间外，各组之间的基线参数相似。汇总分析表明，相对于风湿病学家领导的护理组，护士领导的护理组有改善相关评估指标的趋势。结论：meta分析结果表明，护理主导的类风湿性关节炎患者的功能状态和疾病活动趋势优于风湿科医生主导的类风湿性关节炎患者。
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