教育护士主导的干预措施在特应性皮炎儿童管理中的特点和疗效 - 综合评价。
The characteristics and efficacy of educational nurse-led interventions in the management of children with atopic dermatitis - An integrative review.
机构信息
Pediatric Skin Center, Skin, and Wound management, University Children's Hospital of Zurich, Zurich, Switzerland; Children's Research Center, University Children's Hospital of Zurich, University of Zurich, Zurich, Switzerland; Graduate School for Health Sciences, University of Bern, Switzerland.
Children's Research Center, University Children's Hospital of Zurich, University of Zurich, Zurich, Switzerland; Pediatric Skin Center, Dermatology Department, University Children's Hospital of Zurich, Zurich, Switzerland.
出版信息
Patient Educ Couns. 2023 Nov;116:107936. doi: 10.1016/j.pec.2023.107936. Epub 2023 Aug 9.
OBJECTIVE
This integrative review investigates the modalities, characteristics, and efficacy of educational nurse-led interventions for parents of children with atopic dermatitis (AD).
METHODS
We conducted an integrative review with the following inclusion criteria: Quantitative, qualitative and mixed-method studies written in English or German and published between 1 January 2000 and 31 December 2021. We searched for entirely nurse-led interventions.
RESULTS
Four RCTs, three pre-post studies without control groups, and one post-test study without control group met the inclusion criteria. Nurse-led interventions were found to have medium to large positive effect sizes on disease severity, and none to large positive effects on quality of life. There was significant heterogeneity across study designs with a wide variety in educational interventions and outcome measures used. The quality of most included studies was low.
CONCLUSION
Nurse-led educational interventions for parents of children with AD are beneficial in reducing disease severity. However, it remains unclear, which main components of the nurse-led intervention are most effective.
PRACTICE IMPLICATIONS
Based on the results of this review, we think that trained and qualified nurses who are part of the entire treatment of children with AD and do as well educational interventions have the greatest potential to improve outcomes.
目的
本综述调查了针对特应性皮炎（AD）患儿家长的教育护士主导干预措施的模式、特点和效果。
方法
我们进行了一项综合回顾，纳入标准为：2000 年 1 月 1 日至 2021 年 12 月 31 日期间发表的英文或德文的定量、定性和混合方法研究。我们搜索了完全由护士主导的干预措施。
结果
四项 RCT、三项无对照组的前后研究和一项无对照组的后测研究符合纳入标准。研究发现，护士主导的干预措施对疾病严重程度具有中等到大的积极影响，对生活质量没有积极影响。研究设计存在显著异质性，所使用的教育干预措施和结果测量方法多种多样。大多数纳入研究的质量较低。
结论
针对 AD 患儿家长的教育护士主导干预措施在减轻疾病严重程度方面是有益的。然而，目前尚不清楚护士主导干预的哪些主要组成部分最有效。
实践意义
基于本次综述的结果，我们认为，作为儿童 AD 整体治疗的一部分并进行教育干预的经过培训和合格的护士具有改善预后的最大潜力。
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