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预防和控制甲型肝炎的护理健康技术:一项范围综述

Nursing health technologies in the prevention and control of hepatitis A: a scoping review.

作者信息

Souza Leonardo Cassimiro Fonseca E, Gomes Camila Stela, Tavares Laís Oliveira de Moraes, Paolinelli João Pedro Vasconcelos, Melo João Marcos Alves, Oliveira Valéria Conceição de, Silva Brener Santos, Amaral Gabriela Gonçalves

机构信息

Universidade do Estado de Minas Gerais, Divinópolis, MG, Brazil.

Universidade Federal de São João del-Rei, Divinópolis, MG, Brazil.

出版信息

Rev Esc Enferm USP. 2025 May 12;59:e20250051. doi: 10.1590/1980-220X-REEUSP-2025-0051en. eCollection 2025.

DOI:10.1590/1980-220X-REEUSP-2025-0051en
PMID:40371928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12080370/
Abstract

OBJECTIVE

To map scientific evidence on nursing health technologies in the prevention and control of Hepatitis A.

METHOD

Scoping review conducted in 2024 according to JBI recommendations and reported following PRISMA-ScR criteria. The search was carried out (10/06/2024) in databases and gray literature. The technologies found were classified as: soft, soft-hard, and hard. The results were analyzed descriptively and synthesized.

RESULTS

Ten studies were selected, all from the USA. Technologies include vaccination; serological testing; health education; reminders in health information systems; peer coaching training; case management; consultations; notification of diseases and injuries; clinical screening; and monitoring and tracking. Hard technologies prevailed.

CONCLUSION

Primary Health Care stood out as the main focus, mainly addressing vaccination and health education. Secondary and Tertiary Care, in turn, focused on clinical screening and continuity of care. The concentration of studies of American origin reinforces the perception of literary insipience and possible negligence and lack of technical preparation in the prevention and control of Hepatitis A.

摘要

目的

梳理关于护理健康技术在甲型肝炎预防与控制方面的科学证据。

方法

依据JBI建议于2024年开展范围综述,并按照PRISMA-ScR标准进行报告。于2024年6月10日在数据库及灰色文献中进行检索。所发现的技术被分类为:软技术、软硬结合技术和硬技术。对结果进行描述性分析并加以综合。

结果

选取了10项研究,均来自美国。技术包括疫苗接种;血清学检测;健康教育;健康信息系统中的提醒;同伴辅导培训;病例管理;咨询;疾病与伤害通报;临床筛查;以及监测与追踪。硬技术占主导。

结论

初级卫生保健成为主要关注点,主要涉及疫苗接种和健康教育。二级和三级护理则侧重于临床筛查和护理连续性。研究集中于美国来源,强化了在甲型肝炎预防与控制方面文献匮乏以及可能存在疏忽和技术准备不足的认知。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/1c941dec0d03/1980-220X-reeusp-59-e20250051-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/d45a990c8542/1980-220X-reeusp-59-e20250051-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/92d194561b60/1980-220X-reeusp-59-e20250051-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/e8032d240041/1980-220X-reeusp-59-e20250051-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/0b3e02b8bed1/1980-220X-reeusp-59-e20250051-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/3e46c69484d7/1980-220X-reeusp-59-e20250051-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/1c941dec0d03/1980-220X-reeusp-59-e20250051-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/d45a990c8542/1980-220X-reeusp-59-e20250051-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/92d194561b60/1980-220X-reeusp-59-e20250051-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/e8032d240041/1980-220X-reeusp-59-e20250051-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/0b3e02b8bed1/1980-220X-reeusp-59-e20250051-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/3e46c69484d7/1980-220X-reeusp-59-e20250051-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f27/12080370/1c941dec0d03/1980-220X-reeusp-59-e20250051-gf06.jpg

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本文引用的文献

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The Burden of Hepatitis A Outbreaks in the United States: Health Outcomes, Economic Costs, and Management Strategies.美国甲型肝炎爆发的负担:健康结果、经济成本和管理策略。
J Infect Dis. 2024 Jul 25;230(1):e199-e218. doi: 10.1093/infdis/jiae087.
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Hepatitis A Outbreak in Men Who Have Sex with Men Using Pre-Exposure Prophylaxis and People Living with HIV in Croatia, January to October 2022.
2022 年 1 月至 10 月,克罗地亚使用暴露前预防措施进行性行为的男男性行为者和艾滋病毒感染者中的甲型肝炎爆发。
Viruses. 2022 Dec 28;15(1):87. doi: 10.3390/v15010087.
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[The PRISMA 2020 statement: an updated guideline for reporting systematic reviewsDeclaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas].[《PRISMA 2020声明:报告系统评价的更新指南》]
Rev Panam Salud Publica. 2022 Dec 30;46:e112. doi: 10.26633/RPSP.2022.112. eCollection 2022.
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An electronic medical record-based intervention to improve hepatitis A vaccination rates in the emergency department during a regional outbreak.基于电子病历的干预措施,以提高区域性爆发期间急诊科甲型肝炎疫苗接种率。
BMJ Open Qual. 2022 Nov;11(4). doi: 10.1136/bmjoq-2022-001876.
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