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风湿性疾病管理中的医疗干预措施:有效性及新出现策略的叙述性分析

Healthcare Interventions in the Management of Rheumatic Diseases: A Narrative Analysis of Effectiveness and Emerging Strategies.

作者信息

Verga Răuță Gabriela Isabela, Baltă Alexia Anastasia Ștefania, Ciortea Diana-Andreea, Petrea Cliveți Carmen Loredana, Șerban Grădinaru Mariana, Matei Mădălina Nicoleta, Gurău Gabriela, Șuța Victoria-Cristina, Voinescu Doina Carina

机构信息

Faculty of Medicine and Pharmacy, University "Dunărea de Jos" of Galati, 800008 Galati, Romania.

Emergency Clinical Hospital for Children "Sf Ioan", 800487 Galati, Romania.

出版信息

Healthcare (Basel). 2025 Jul 14;13(14):1691. doi: 10.3390/healthcare13141691.

Abstract

BACKGROUND AND AIMS

Rheumatic diseases are chronic, progressive conditions associated with severe pain, joint damage, disability, and even death. Healthcare interventions play a critical role in symptom management, patient education, and adherence to treatment plans. This study evaluates the role of healthcare interventions in the management of patients with rheumatic diseases, focusing on pain management, functional rehabilitation, patient education, and multidisciplinary collaboration. In addition, barriers to optimal care and potential solutions, including digital health technologies, are explored.

MATERIALS AND METHODS

We conducted a narrative review of the scientific literature. Studies published between 2014 and 2025 were selected from PubMed, Scopus, Web of Science, Elsevier, Springer, Frontiers, and Wiley Online Library. Key areas of review included nurse-led pain management, education programs, and the impact of interdisciplinary care on patient outcomes.

RESULTS

Nursing interventions significantly improve pain control, treatment adherence, and self-management skills in patients with rheumatic diseases. Multidisciplinary approaches improve functional rehabilitation and increase quality of life in patients with rheumatic conditions. However, barriers such as insufficient health care resources, lack of patient awareness, and disparities in the availability of services hinder effective care delivery.

CONCLUSIONS

A structured, multidisciplinary approach integrating healthcare interventions, digital health solutions, and patient-centered education is essential to optimize the management of rheumatic diseases. Future research should focus on improving access to non-pharmacological therapies and standardizing healthcare protocols for better patient outcomes.

摘要

背景与目的

风湿性疾病是慢性、进行性疾病,伴有严重疼痛、关节损伤、残疾甚至死亡。医疗保健干预在症状管理、患者教育和治疗方案依从性方面发挥着关键作用。本研究评估医疗保健干预在风湿性疾病患者管理中的作用,重点关注疼痛管理、功能康复、患者教育和多学科协作。此外,还探讨了最佳护理的障碍及潜在解决方案,包括数字健康技术。

材料与方法

我们对科学文献进行了叙述性综述。从PubMed、Scopus、科学网、爱思唯尔、施普林格、前沿和威利在线图书馆中选取了2014年至2025年发表的研究。综述的关键领域包括护士主导的疼痛管理、教育项目以及跨学科护理对患者结局的影响。

结果

护理干预显著改善了风湿性疾病患者的疼痛控制、治疗依从性和自我管理技能。多学科方法改善了风湿性疾病患者的功能康复并提高了生活质量。然而,诸如医疗保健资源不足、患者意识缺乏以及服务可及性差异等障碍阻碍了有效护理的提供。

结论

采用结构化的多学科方法,整合医疗保健干预、数字健康解决方案和以患者为中心的教育,对于优化风湿性疾病的管理至关重要。未来的研究应专注于改善非药物治疗的可及性,并规范医疗保健方案以实现更好的患者结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c00/12294379/8c8f60c7cccd/healthcare-13-01691-g001.jpg

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