Secondary Prophylaxis Among First Nations People With Acute Rheumatic Fever in Australia: An Integrative Review.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-11-01 Epub Date: 2023-08-12 DOI:10.1177/10436596231191248

Kerissa Govender, Amanda Müller

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引用次数: 0

Abstract

Introduction: The prevalence of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) among Australia's First Nations populations are some of the highest in the world, accounting for 95% of the 2,244 ARF notifications between 2015 and 2019 in Australia. A key issue in treating ARF is long-term secondary prophylaxis, yet only one in five patients received treatment in 2019. This review identifies barriers to secondary prophylaxis of ARF in Australia's First Nations people.

Methods: An integrative review was undertaken utilizing PubMed, CINAHL, ProQuest, and Wiley Online. Joanna Briggs Institute critical appraisal tools were used, followed by thematic analysis.

Results: The key themes uncovered included: issues with database and recall systems, patient/family characteristics, service delivery location and site, pain of injection, education (including language barriers), and patient-clinician relationship.

Conclusions: A national RHD register, change in operation model, improved pain management, improved education, and need for consistent personnel is suggested.

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澳大利亚第一民族急性风湿热患者的二级预防:综合综述。

简介：澳大利亚原住民中急性风湿热（ARF）和风湿性心脏病（RHD）的患病率是世界上最高的，占2015年至2019年澳大利亚2244例ARF通知的95%。治疗ARF的一个关键问题是长期二级预防，但2019年只有五分之一的患者接受了治疗。这篇综述确定了澳大利亚原住民ARF二级预防的障碍。方法：利用PubMed、CINAHL、ProQuest和Wiley Online进行综合综述。使用乔安娜·布里格斯研究所的批判性评估工具，然后进行专题分析。结果：发现的关键主题包括：数据库和召回系统问题、患者/家庭特征、服务提供地点和地点、注射疼痛、教育（包括语言障碍）以及患者与临床医生的关系。结论：建议进行国家RHD注册，改变手术模式，改善疼痛管理，改善教育，并需要一致的人员。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.