在初级保健中风湿性关节炎的管理:一个范围审查
Francesco Inchingolo1, Angelo Michele Inchingolo1, Maria Celeste Fatone2
1Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
概括
初级保健医生在诊断和管理类风湿性关节炎 (RA) 方面面临挑战,包括延迟诊断和治疗. 实施早期诊断和更好的沟通策略可以改善类风湿关节炎患者在初级保健机构的治疗结果.
科学领域:
- 类风湿病学 类风湿病学
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 类风湿性关节炎 (RA) 是一种慢性自身免疫性疾病,导致关节损伤和残疾.
- 初级保健 (PC) 服务于医疗保健系统中的大多数患者的初始联系点.
- 在PC中,全科医生在治疗RA等慢性疾病方面发挥着至关重要的作用.
研究的目的:
- 进行范围审查,分析目前在初级保健中对类风湿性关节炎管理的方法.
- 在PC环境中确定RA护理的关键问题和有效策略.
主要方法:
- 在PubMed,Scopus和Web of Science上对2013年至2023年间发表的文章进行了全面的文献搜索.
- 使用的关键词包括"风湿性关节炎"和"初级保健",遵循PRISMA-ScR指南.
- 61篇选出的文章经过了定性分析,重点关注批评和管理策略.
主要成果:
- 关键的挑战在RA的PC管理包括诊断延迟,难以获得专业护理,和疾病修饰性抗风湿药物 (DMARDs) 的低最佳使用.
- 还发现一般医生和专家之间的沟通效率低下,患者教育不佳,心血管风险管理不足.
- 确定了改善RA护理的策略,包括早期诊断,简化对类风湿病的治疗,加强专业间沟通和患者参与.
结论:
- 初级保健是减少RA发病率和死亡率的关键环境.
- 在一般医生对RA诊断,治疗和患者互动的方法中发生显著的转变对于优化护理至关重要.
- 结合早期检测,改善沟通和以患者为中心的方法等策略,可以在初级保健中改善类风湿关节炎的结果.
关键词:
预防心血管疾病慢性疾病 慢性疾病临床审计 临床审计诊断 诊断 诊断 诊断 诊断 诊断数字健康数字健康一般的医生一般的医生医疗成本 医疗成本 医疗成本主要护理是一级医疗保健.类风湿性关节炎 类风湿性关节炎更多相关视频
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