Tsiamalou Paraskevi, Brotis Alexandros G, Vrekou Eleni, Georgakopoulou Vasiliki Epameinondas, Papalexis Petros, Aravanatinou-Fatorou Aikaterini, Tegousi Maria, Fotakopoulos George, Paterakis Konstantinos
Department of Rheumatology, General University Hospital of Larissa, 41221 Larissa, Greece.
Department of Neurosurgery, General University Hospital of Larissa, 41221 Larissa, Greece.
Med Int (Lond). 2023 Aug 7;3(4):40. doi: 10.3892/mi.2023.100. eCollection 2023 Jul-Aug.
The current treatment of gout is largely suboptimal, with up to 89% of hospitalizations being preventable due to inadequate care. The present study performed a systematic review in an aim to identify barriers to optimal gout treatment (Q1), understand how frequently nurses are involved in the management of gout (Q2), and examine the role of the nurse in the management of gout (Q3). A systematic review was performed, focusing on studies reporting on the nurse's role in the management of gout and the quality of the gathered items was appraised based on the risk of bias. In total, 15 records fulfilled the eligibility criteria and were used in the present systematic review. The main barriers were attributed to the patient's experiences with gout and lay beliefs, which affected seeking advice and adherence to treatment (Q1). Recently, however, several advances in patient care, including nurse-led clinics, have expanded the nurse's role, accounting for as much as 26% of the annual visits (Q2). Nurse-led interventions, such as education and lifestyle counseling, increased adherence to treatment (Q3). On the whole, nurses are key players in multidisciplinary teams and should be capable of engaging in shared decision-making processes, goal setting, providing patients with education and information, and making appropriate referrals.
目前痛风的治疗效果大多不尽人意，由于护理不足，高达89%的住院病例是可以预防的。本研究进行了一项系统综述，旨在确定优化痛风治疗的障碍（问题1），了解护士参与痛风管理的频率（问题2），并探讨护士在痛风管理中的作用（问题3）。进行了一项系统综述，重点关注报告护士在痛风管理中作用的研究，并根据偏倚风险对所收集条目的质量进行评估。共有15份记录符合纳入标准，并用于本系统综述。主要障碍归因于患者的痛风经历和固有观念，这影响了他们寻求建议和坚持治疗（问题1）。然而，最近在患者护理方面取得了一些进展，包括由护士主导的诊所，这扩大了护士的作用，占年度就诊量的26%（问题2）。由护士主导的干预措施，如教育和生活方式咨询，提高了治疗依从性（问题3）。总体而言，护士是多学科团队中的关键角色，应能够参与共同决策过程、设定目标、为患者提供教育和信息，并进行适当的转诊。
