School of Nursing, University of Wollongong, Wollongong, NSW, Australia.
J Adv Nurs. 2018 Feb;74(2):279-288. doi: 10.1111/jan.13450. Epub 2017 Sep 25.
To explore the feasibility and acceptability of nurse-led chronic disease management and lifestyle risk factor reduction interventions in primary care (general practice/family practice).
Growing international evidence suggests that interventions delivered by primary care nurses can assist in modifying lifestyle risk factors and managing chronic disease. To date, there has been limited exploration of the feasibility and acceptability of such interventions.
Integrative review guided by the work of Whittemore and Knafl ().
Database search of CINAHL, Medline and Web of Science was conducted to identify relevant literature published between 2000-2015.
Papers were assessed for methodological quality and data abstracted before thematic analysis was undertaken.
Eleven papers met the inclusion criteria. Analysis uncovered four themes: (1) facilitators of interventions; (2) barriers to interventions; (3) consumer satisfaction; and (4) primary care nurse role.
Literature supports the feasibility and acceptability of nurse-led interventions in primary care for lifestyle risk factor modification. The ongoing sustainability of these interventions rests largely on organizational factors such as funding, educational pathways and professional support of the primary care nursing role. Further robust research around primary care nurse interventions is required to strengthen the evidence base.
探索在初级保健（全科医疗/家庭医疗）中由护士主导的慢性病管理和生活方式风险因素减少干预措施的可行性和可接受性。
越来越多的国际证据表明，由初级保健护士提供的干预措施可以帮助改变生活方式风险因素和管理慢性病。迄今为止，对这种干预措施的可行性和可接受性的探索有限。
受 Whittemore 和 Knafl（）工作指导的综合审查。
对 CINAHL、Medline 和 Web of Science 数据库进行了检索，以确定 2000-2015 年间发表的相关文献。
对论文进行方法学质量评估，并在进行主题分析之前提取数据。
有 11 篇论文符合纳入标准。分析揭示了四个主题：（1）干预措施的促进因素；（2）干预措施的障碍；（3）消费者满意度；和（4）初级保健护士的角色。
文献支持初级保健中由护士主导的干预措施在改变生活方式风险因素方面的可行性和可接受性。这些干预措施的持续可持续性在很大程度上取决于组织因素，如资金、教育途径和对初级保健护士角色的专业支持。需要进一步开展关于初级保健护士干预措施的稳健研究，以加强证据基础。
