Journal of the Dermatology Nurses’ Association最新文献

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Are Nurse-Led Eczema Clinics Effective in Reducing the Severity of Atopic Dermatitis and Its Impact on Children and Families? 护士指导的湿疹诊所能否有效降低特应性皮炎的严重程度及其对儿童和家庭的影响？

Journal of the Dermatology Nurses’ Association Pub Date : 2024-01-01 DOI: 10.1097/JDN.0000000000000773

Tim Gartland, Robyn Kennedy, Liz Leins, Danielle Paea, Emma King

{"title":"Are Nurse-Led Eczema Clinics Effective in Reducing the Severity of Atopic Dermatitis and Its Impact on Children and Families?","authors":"Tim Gartland, Robyn Kennedy, Liz Leins, Danielle Paea, Emma King","doi":"10.1097/JDN.0000000000000773","DOIUrl":"https://doi.org/10.1097/JDN.0000000000000773","url":null,"abstract":"BACKGROUND Initiation and expansion of nurse-led eczema clinics at a large tertiary hospital in Melbourne has improved timely access to treatment and education for many children with eczema and their families. OBJECTIVE The aim of this study was to determine the effectiveness of nurse-led eczema clinics in treating eczema and reducing its impact on quality of life and also the level of parent or guardian satisfaction with the clinical experience. METHODS All families attending two weekly community-based nurse-led eczema clinics and two weekly hospital-based nurse-led eczema clinics were invited to take part in a survey-based evaluation. A parent or guardian completed surveys at initial and follow-up clinic visits, and eczema severity was assessed at both visits using SCORAD. RESULTS There were 342 participants. Eczema severity was reduced by 62% (18 points), and the quality-of-life impact scores fell by at least 50% for individuals and families. More than 90% of parents rated the clinician and overall clinic experience as “excellent” or “very good.” CONCLUSION The nurse-led eczema clinics were effective in reducing the severity of eczema and the negative impact of eczema on the individual and the family unit. The magnitude of this reduction was clinically and statistically significant. Participants' clinic experience was highly positive.","PeriodicalId":514838,"journal":{"name":"Journal of the Dermatology Nurses’ Association","volume":"5 18","pages":"8 - 18"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139631884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dermoscopy for Nurse Practitioners 执业护士皮肤镜检查

Journal of the Dermatology Nurses’ Association Pub Date : 2024-01-01 DOI: 10.1097/JDN.0000000000000775

Kaylyn Bourne

{"title":"Dermoscopy for Nurse Practitioners","authors":"Kaylyn Bourne","doi":"10.1097/JDN.0000000000000775","DOIUrl":"https://doi.org/10.1097/JDN.0000000000000775","url":null,"abstract":"ABSTRACT Dermoscopy refers to the examination of skin by use of a dermatoscope. These devices provide a practical, noninvasive, painless, and incredibly detailed view of the skin. When used in the hands of a trained clinician, dermoscopy significantly increases diagnostic accuracy. Although most known for its role in pigmented lesion assessment, dermoscopy use has expanded to include the evaluation of nonpigmented lesions, conditions of the hair (trichoscopy), infestations (entomodermatoscopy), nail disease (onychoscopy), and cutaneous inflammatory disease (inflammatoscopy). Studies suggest that dermoscopy is valuable as it increases sensitivity for skin cancer detection. This is especially important in the setting of melanoma as it accounts for most skin-cancer-related deaths. Overall, utilization enhances diagnosis, prompts treatment, reduces morbidity and mortality, and increases healthcare cost-effectiveness. This article is written with the intent to inform dermatology nurse practitioners about this innovation. It may additionally serve as a useful resource for other advanced care providers who perform cutaneous assessment. Examples of such clinicians may include, but are not limited to, urgent care providers, pediatricians, dentists, podiatrists, and primary care providers.","PeriodicalId":514838,"journal":{"name":"Journal of the Dermatology Nurses’ Association","volume":"60 8","pages":"21 - 30"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139638912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0