Emerging trends in nurse-led programs of care for management of patients with established rheumatoid arthritis: Systematic literature review

IF 1.2 Q4 RHEUMATOLOGY
Pía Lois , Leticia López Pedraza , María Rodero , Teresa Mulero , Cristina Lajas , Esther Toledano , Leticia Leon , Luis Rodríguez , Benjamin Fernandez Gutierrez , Lydia Abasolo , Gloria Candelas
{"title":"Emerging trends in nurse-led programs of care for management of patients with established rheumatoid arthritis: Systematic literature review","authors":"Pía Lois ,&nbsp;Leticia López Pedraza ,&nbsp;María Rodero ,&nbsp;Teresa Mulero ,&nbsp;Cristina Lajas ,&nbsp;Esther Toledano ,&nbsp;Leticia Leon ,&nbsp;Luis Rodríguez ,&nbsp;Benjamin Fernandez Gutierrez ,&nbsp;Lydia Abasolo ,&nbsp;Gloria Candelas","doi":"10.1016/j.reuma.2023.06.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>In patients with rheumatoid arthritis (RA), nurses are considered as essential, not only to ensure pharmacological safety, but also in the promotion in self-care and decision-making, favouring the empowerment of patients. This systematic review aimed to summarize the available literature on the health education by the nurse in patients with RA.</p></div><div><h3>Material and methods</h3><p>Following Cochrane Collaboration procedures, the PRISMA statement and PRISMA checklist, relevant quantitative studies published were retrieved from the CINAHL, Scopus, PubMed and Medic databases and then systematically reviewed. The search ended in August 2021. Nineteen studies were retained for inclusion and evaluated with the Scottish Intercollegiate Guidelines Network for Systematic Reviews.</p></div><div><h3>Results</h3><p>We found statistically significant improvement in self-care (five studies), disease activity (three studies), quality of life (two studies), satisfaction (five studies) and adherence (one study) with the nursing-led management of patients with established rheumatoid arthritis.</p></div><div><h3>Discussion</h3><p>Although there is solid evidence of improvement in satisfaction and self-care, there seems to be a trend also to improve other outcomes, such as DAS28, from the EULAR recommendations, the expansion of the therapeutic arsenal for rheumatoid arthritis and shared decision-making. In addition, recently and due to the implementation of new technologies, the role of the nurse has been evaluated through virtual consultations. The results of recent studies have shown that this an effective and well-accepted novel approach for the management of patients with stable rheumatoid arthritis.</p></div><div><h3>Conclusion</h3><p>Our study suggests that nurse-led health education, in addition of improvement in satisfaction and self-care, improve activity disease scores in RA patients.</p></div>","PeriodicalId":47115,"journal":{"name":"Reumatologia Clinica","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reumatologia Clinica","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1699258X23001468","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"RHEUMATOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction

In patients with rheumatoid arthritis (RA), nurses are considered as essential, not only to ensure pharmacological safety, but also in the promotion in self-care and decision-making, favouring the empowerment of patients. This systematic review aimed to summarize the available literature on the health education by the nurse in patients with RA.

Material and methods

Following Cochrane Collaboration procedures, the PRISMA statement and PRISMA checklist, relevant quantitative studies published were retrieved from the CINAHL, Scopus, PubMed and Medic databases and then systematically reviewed. The search ended in August 2021. Nineteen studies were retained for inclusion and evaluated with the Scottish Intercollegiate Guidelines Network for Systematic Reviews.

Results

We found statistically significant improvement in self-care (five studies), disease activity (three studies), quality of life (two studies), satisfaction (five studies) and adherence (one study) with the nursing-led management of patients with established rheumatoid arthritis.

Discussion

Although there is solid evidence of improvement in satisfaction and self-care, there seems to be a trend also to improve other outcomes, such as DAS28, from the EULAR recommendations, the expansion of the therapeutic arsenal for rheumatoid arthritis and shared decision-making. In addition, recently and due to the implementation of new technologies, the role of the nurse has been evaluated through virtual consultations. The results of recent studies have shown that this an effective and well-accepted novel approach for the management of patients with stable rheumatoid arthritis.

Conclusion

Our study suggests that nurse-led health education, in addition of improvement in satisfaction and self-care, improve activity disease scores in RA patients.

类风湿性关节炎患者护理管理中护士主导的新趋势:系统文献综述
在类风湿性关节炎(RA)患者中,护士被认为是必不可少的,不仅要确保药物安全,而且要促进自我保健和决策,有利于赋予患者权力。本系统综述旨在总结有关RA患者护士健康教育的现有文献。材料和方法按照Cochrane协作程序、PRISMA声明和PRISMA核对表,从CINAHL、Scopus、PubMed和Medic数据库中检索已发表的相关定量研究,并进行系统回顾。搜寻工作于2021年8月结束。19项研究被纳入并通过苏格兰校际系统评价指南网络进行评估。结果我们发现,在以护理为主导的类风湿性关节炎患者管理中,自我护理(5项研究)、疾病活动性(3项研究)、生活质量(2项研究)、满意度(5项研究)和依从性(1项研究)有统计学意义上的显著改善。尽管有确凿的证据表明满意度和自我保健有所改善,但似乎也有一种趋势,即其他结果也有改善,例如来自EULAR建议的DAS28,类风湿关节炎治疗武库的扩大和共同决策。此外,最近,由于新技术的实施,护士的作用已通过虚拟咨询进行评估。最近的研究结果表明,这是一种有效的和被广泛接受的治疗稳定型类风湿关节炎患者的新方法。结论护士主导的健康教育在改善RA患者满意度和自我保健的同时,可提高RA患者的活动性疾病评分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Reumatologia Clinica
Reumatologia Clinica RHEUMATOLOGY-
CiteScore
2.40
自引率
6.70%
发文量
105
审稿时长
54 days
期刊介绍: Una gran revista para cubrir eficazmente las necesidades de conocimientos en una patología de etiología, expresividad clínica y tratamiento tan amplios. Además es La Publicación Oficial de la Sociedad Española de Reumatología y del Colegio Mexicano de Reumatología y está incluida en los más prestigiosos índices de referencia en medicina.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信