卫生保健工作者在风湿病学中的干预:一个范围审查
Megan W Creasman1, Mackenzie B Hargrove2, Yuliana Domínguez Páez3
1University of California, San Francisco, San Francisco, California.
Arthritis care & research
|April 4, 2024
概括
非专业卫生工作者 (LHW) 的干预在风湿肌肉骨疾病 (RMDs) 中显示出混合的结果. 需要更多的研究来确定有效性,特别是在不同人群和严格的研究设计中.
科学领域:
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 职业卫生工作者 (LHW) 的干预越来越多地用于慢性疾病管理.
- 在风湿性肌肉骨疾病 (RMDs) 中LHW有效性的证据需要合成来指导未来的研究.
- 了解过去的干预策略对于优化LHW在RMD护理中的角色至关重要.
研究的目的:
- 对患有RMD的成年人进行LHW干预措施的范围审查.
- 确定LHW在RMD群体中为慢性疾病管理制定有效的策略.
- 为了告知未来LHW干预研究在RMDs的方向.
主要方法:
- 从创立到2021年9月,在五个主要数据库 (奥维德医学线,Embase,CINAHL,PsycINFO,Cochrane图书馆) 进行了全面的文献搜索.
- 研究根据预定义的纳入和排除标准进行了资格选.
- 22篇文章符合纳入审查的标准.
主要成果:
- 研究的最常见的RMD是骨关节炎和类风湿性关节炎.
- 许多研究都集中在同质人群上,主要是年长的白人,非西班牙裔或拉丁裔女性.
- 虽然一些研究显示出具有统计学意义的短期效果,但很少有超过一年的持续治疗效果.
结论:
- 目前的数据不足以确定LHW干预对RMD患者的影响.
- 未来的研究应该采用强大的方法,包括明确的假设,充足的功率,理论框架,主动控制和详细的LHW培训协议.
- 在研究人群中增加少数群体的代表性对于概括性和建立有效性至关重要.
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