Flinders University, Adelaide, South Australia, Australia.
J Transcult Nurs. 2023 Nov;34(6):443-452. doi: 10.1177/10436596231191248. Epub 2023 Aug 12.
The prevalence of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) among Australia's First Nations populations are some of the highest in the world, accounting for 95% of the 2,244 ARF notifications between 2015 and 2019 in Australia. A key issue in treating ARF is long-term secondary prophylaxis, yet only one in five patients received treatment in 2019. This review identifies barriers to secondary prophylaxis of ARF in Australia's First Nations people.
An integrative review was undertaken utilizing PubMed, CINAHL, ProQuest, and Wiley Online. Joanna Briggs Institute critical appraisal tools were used, followed by thematic analysis.
The key themes uncovered included: issues with database and recall systems, patient/family characteristics, service delivery location and site, pain of injection, education (including language barriers), and patient-clinician relationship.
A national RHD register, change in operation model, improved pain management, improved education, and need for consistent personnel is suggested.
在澳大利亚的原住民群体中，急性风湿热（ARF）和风湿性心脏病（RHD）的患病率是世界上最高的，占 2015 年至 2019 年期间澳大利亚 2244 例 ARF 通知的 95%。治疗 ARF 的一个关键问题是长期二级预防，但在 2019 年只有五分之一的患者接受了治疗。本综述确定了澳大利亚原住民人群中 ARF 二级预防的障碍。
采用综合评价方法，利用 PubMed、CINAHL、ProQuest 和 Wiley Online 进行检索。采用 Joanna Briggs 研究所的批判性评价工具，然后进行主题分析。
发现的主要主题包括：数据库和回忆系统问题、患者/家庭特征、服务提供地点和地点、注射疼痛、教育（包括语言障碍）以及医患关系。
建议建立全国性的 RHD 登记册、改变运营模式、改善疼痛管理、加强教育以及需要保持人员一致。
