Gu Weiwei, Ding Xiangfu, Han Xu, Jiang Junjie, Li Hong
Jilin University, China-Japan Union Hospital, Department of Gastrointestinal Surgery, Changchun, Jilin, China.
Jilin University, The Second Norman Bethune Hospital, Department of Thyroid Surgery, Changchun, Jilin, China.
Rev Esc Enferm USP. 2025 Jun 20;59:e20240186. doi: 10.1590/1980-220X-REEUSP-2024-0186en. eCollection 2025.
This study aimed to compare nurse-led and rheumatologist-led management approaches for patients with rheumatoid arthritis, as previous studies yielded inconsistent results.
This study explored the PubMed, Embase, and Web of Science databases for research comparing these two therapy methods for individuals with rheumatoid arthritis. Outcomes analyzed were the Health Assessment Questionnaire, fatigue, stiffness, Disease Activity Score for 28 joints using C-reactive protein, Disease Activity Score for 28 joints, erythrocyte sedimentation rate, C-reactive protein, and visual analog scale pain score.
Six randomized controlled trials with 1,093 patients were included following the Cochrane Collaboration principles. The baseline parameters were similar between groups, except for the Disease Activity Score for 28 joints, satisfaction levels, and disease duration. Pooled analyses demonstrated that the nurse-led care group tended to improve relevant assessment indicators relative to the rheumatologist-led care group.
The meta-analysis results suggest that rheumatoid arthritis patients in nurse-led care tend to have a better functional status and disease activity trend than those in rheumatologist-led care.
本研究旨在比较由护士主导和由风湿病专家主导的类风湿关节炎患者管理方法，因为先前的研究结果并不一致。
本研究在PubMed、Embase和科学网数据库中检索比较这两种针对类风湿关节炎患者治疗方法的研究。分析的结果指标包括健康评估问卷、疲劳、僵硬、采用C反应蛋白的28个关节疾病活动评分、28个关节疾病活动评分、红细胞沉降率、C反应蛋白以及视觉模拟量表疼痛评分。
按照Cochrane协作网原则纳入了6项随机对照试验，共1093例患者。除28个关节疾病活动评分、满意度水平和病程外，两组间基线参数相似。汇总分析表明，相对于由风湿病专家主导的护理组，由护士主导的护理组相关评估指标有改善趋势。
荟萃分析结果表明，与由风湿病专家主导的护理相比，由护士主导护理的类风湿关节炎患者往往具有更好的功能状态和疾病活动趋势。
