Madigan A, FitzGerald O
Department of Rheumatology, St Vincent's University Hospital, Dublin, Ireland.
Baillieres Best Pract Res Clin Rheumatol. 1999 Dec;13(4):661-74. doi: 10.1053/berh.1999.0052.
Multidisciplinary patient care is essential in the management of rheumatoid arthritis (RA), a chronic potentially disabling, multisystem disease. Concepts of multidisciplinary care continue to evolve. While all team members can make valuable contributions to patient care, this chapter focuses in particular on continuing and changing aspects of team management. Of the many disciplines associated with rheumatology, nursing has undergone the most radical change in recent years. New roles have been defined and the nursing profession is now emerging with additional skills to support patients and their families. Concepts of patient education also continue to evolve. As the beneficial effects of education are demonstrated, a patient education programme should be seen as essential to the management of rheumatoid arthritis. Finally, the importance of counselling skills is emphasised.
多学科患者护理在类风湿关节炎(RA)的管理中至关重要,RA是一种慢性、可能导致残疾的多系统疾病。多学科护理的概念不断发展。虽然所有团队成员都能为患者护理做出宝贵贡献,但本章特别关注团队管理中持续和变化的方面。在与风湿病相关的众多学科中,护理在近年来经历了最彻底的变革。新的角色已经确定,护理专业现在正凭借更多技能崭露头角,以支持患者及其家属。患者教育的概念也在不断发展。随着教育的有益效果得到证明,患者教育计划应被视为类风湿关节炎管理的关键要素。最后,强调了咨询技能的重要性。