Igai Yasuko
Doctoral Program, Graduate School of Nursing Science, St. Luke's International University, Tokyo, Japan.
Jpn J Nurs Sci. 2019 Jul;16(3):241-252. doi: 10.1111/jjns.12242. Epub 2018 Nov 14.
To evaluate whether non-pharmacological nursing interventions improve the quality of life, including both physical and psychosocial states, for patients with idiopathic pulmonary fibrosis, compared to patients receiving the usual care visit or not receiving routine nursing.
A comprehensive search was conducted of the following electronic databases in English and Japanese: PubMed, MEDLINE, EMBASE, CINAHL, The Cochrane Central Register Controlled Trials (CENTRAL), NPO Japan Medical Abstracts Society's Ichushi - Web database, National Institute of Informatics' Scholarly and Academic Information Navigator (CiNii) database, Grants-in-Aid for Scientific Research (KAKEN) database, and Database of Health Labor Sciences Research Grants. The keywords were as follows: [interstitial lung disease], [interstitial pulmonary fibrosis], [idiopathic pulmonary fibrosis] AND [nurse OR nurses' role OR nursing]. A search method was used based on the eligibility criteria without including words, such as "randomized controlled trial" (RCT). Three categories defined the search parameters: (i) patients with idiopathic pulmonary fibrosis; (ii) non-pharmacological nursing interventions; and (iii) RCT.
Three-hundred-and-ninety-four articles were reviewed. Two articles met all the eligibility criteria. The nursing interventions were "disease management program" and "community case conference," both involving nurse specialists. The quality-of-life scores decreased after 6 weeks of intervention with the disease management program. The quality-of-life scores improved after 4 weeks of intervention with the community case conferences. The risk of bias for these two studies was high.
There was limited evidence of non-pharmacological nursing interventions improving the quality of life of patients with idiopathic pulmonary fibrosis.
评估与接受常规护理访视或未接受常规护理的特发性肺纤维化患者相比，非药物护理干预措施是否能改善患者包括身体和心理社会状态在内的生活质量。
对以下英文和日文电子数据库进行全面检索：PubMed、MEDLINE、EMBASE、CINAHL、Cochrane对照试验中心注册库（CENTRAL）、日本NPO医学摘要协会的Ichushi - Web数据库、国立情报学研究所的学术信息导航数据库（CiNii）、科研补助金（KAKEN）数据库以及卫生劳动科学研究补助金数据库。关键词如下：[间质性肺疾病]、[间质性肺纤维化]、[特发性肺纤维化]以及[护士或护士角色或护理]。采用基于纳入标准的检索方法，不包括“随机对照试验”（RCT）等词汇。检索参数分为三类：（i）特发性肺纤维化患者；（ii）非药物护理干预措施；（iii）随机对照试验。
共审查了394篇文章。两篇文章符合所有纳入标准。护理干预措施为“疾病管理计划”和“社区病例讨论会”，均涉及护士专家。疾病管理计划干预6周后生活质量评分下降。社区病例讨论会干预4周后生活质量评分提高。这两项研究的偏倚风险较高。
关于非药物护理干预措施改善特发性肺纤维化患者生活质量的证据有限。
