The information required by people with inflammatory arthritis when taking Methotrexate: a mixed-methods systematic review.

IF 5.4 3区材料科学 Q2 CHEMISTRY, PHYSICAL ACS Applied Energy Materials Pub Date : 2024-10-01 DOI:10.1093/rheumatology/keae055

Sarah J Logan, Samantha Hider, Julie Green, Sarah J Ryan

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Abstract

Objectives: This mixed-methods systematic review aimed to identify and synthesize knowledge of the characteristics, content, and preferred format of information to support people with inflammatory arthritis (IA) to take MTX.

Methods: A literature search using MEDLINE, The Cochrane Library, EMBASE, CINAHL, PsychInfo, GreyEU, Web of Science and Open Dissertation was conducted to identify all studies published from 2000 to December 2022. Included studies detailed factors related to MTX information needs of people aged ≥18 years with IA published in English. The Joanna Briggs Institute Guidelines (JBI) for convergent integrated mixed-methods systematic reviews were followed using validated tools for data extraction and quality. The data was analysed using reflexive thematic analysis.

Results: Thirteen studies (seven quantitative, two mixed-methods and four qualitative) were included, involving 3425 adults, mainly female n = 2434 (71%), age 20-84 years. An overarching theme of a requirement for person-centred care was developed, with three interlinking themes: (1) accepting the need for treatment with MTX, (2) concerns about taking MTX, and (3) a need for tailored information and support. Limitations of the evidence included the use of heterogeneous outcome measures and instruments for measuring information needs.

Conclusion: People with IA have individual, multifaceted information and support needs about MTX that are often unresolved when a one-size-fits-all approach is used. The findings of this review can inform rheumatology training to support a person-centred approach to identifying and addressing the specific needs and concerns and development of consistent easy-to-understand accessible MTX information.

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炎症性关节炎患者服用甲氨蝶呤所需的信息：混合方法系统综述。

目的：这项混合方法的系统综述旨在确定和综合有关支持炎症性关节炎（IA）患者服用甲氨蝶呤的信息的特点、内容和首选格式的知识：使用MEDLINE、Cochrane图书馆、Embase、CINAHL、PsychInfo、GreyEU、Web of Science和Open Dissertation进行文献检索，以确定2000年至2022年12月期间发表的所有研究。所纳入的研究详细介绍了与甲氨蝶呤（MTX）相关的因素，这些因素涉及年龄≥ 18 岁的英语炎症性关节炎患者的信息需求。乔安娜-布里格斯研究所（Joanna Briggs Institute）的聚合综合混合方法系统性综述指南（JBI）采用经过验证的数据提取和质量工具。采用反思性专题分析法对数据进行分析：共纳入 13 项研究（7 项定量研究、2 项混合方法研究和 4 项定性研究），涉及 3425 名成年人，主要为女性 n = 2434（71%），年龄在 20-84 岁之间。研究提出了以人为本的护理要求这一总主题，以及三个相互关联的主题：1: 接受使用 MTX 治疗的需要；2: 对服用 MTX 的担忧；3: 需要量身定制的信息和支持。证据的局限性在于使用了不同的结果衡量标准和工具来衡量信息需求：结论：IA 患者对 MTX 有个性化、多方面的信息和支持需求，如果采用 "一刀切 "的方法，往往无法满足这些需求。研究结果可为风湿病学培训提供参考，以支持以人为本的方法来识别和解决特定需求和问题，并开发易于理解和获取的一致的MTX信息。

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来源期刊

ACS Applied Energy Materials Materials Science-Materials Chemistry

CiteScore

10.30

自引率

6.20%

发文量

1368

期刊介绍： ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.