Friends Research Institute, Baltimore, Maryland, USA.
Jefferson College of Nursing, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
J Nurs Scholarsh. 2023 May;55(3):721-729. doi: 10.1111/jnu.12858. Epub 2022 Dec 2.
This integrative review aimed to understand the impact of nursing on the health outcomes of people with opioid use disorder (OUD).
Whittemore and Knafl's (2005) integrative review methodology guided the review process. The authors searched PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and OVID databases for peer-reviewed, English language articles describing nursing care for people receiving medications for OUD. The literature search followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines.
A total of 773 articles were identified through the database searches after duplicates were removed; 15 articles met inclusion criteria and were included in the final review from the United States, Canada, Ireland, England, and the Netherlands. Two themes emerged: (1) The effect of nurse-led care on patient outcomes and (2) Nursing roles and the environment of care. Studies emphasized the aspects of nursing care that promote patient-centeredness and patient satisfaction.
The importance of the registered nurse in providing quality care for people receiving medications for OUD is clear from the literature reviewed. The studies in the review highlighted important aspects of the registered nurses' role in affecting outcomes for people receiving medications for OUD including communication and care coordination.
This review highlights the need for role delineation and further development of nurse-sensitive indicators in the OUD treatment setting.
本综述旨在了解护理对阿片类药物使用障碍（OUD）患者健康结果的影响。
Whittemore 和 Knafl（2005）的综合审查方法指导了审查过程。作者在 PubMed、Cumulative Index to Nursing and Allied Health Literature（CINAHL）和 OVID 数据库中搜索了描述接受 OUD 药物治疗的人群护理的同行评审英文文章。文献检索遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南。
在去除重复项后，通过数据库搜索共确定了 773 篇文章；来自美国、加拿大、爱尔兰、英国和荷兰的 15 篇文章符合纳入标准并纳入最终综述。出现了两个主题：（1）护士主导的护理对患者结局的影响，（2）护理角色和护理环境。研究强调了促进以患者为中心和患者满意度的护理方面。
从综述中可以清楚地看出，注册护士在为接受 OUD 药物治疗的患者提供优质护理方面的重要性。综述中的研究强调了注册护士在影响接受 OUD 药物治疗的患者结局方面的角色的重要方面，包括沟通和护理协调。
本综述强调了在 OUD 治疗环境中需要明确角色和进一步制定护士敏感指标。
