Nurses' Role in the Control and Treatment of Asthma in Adults: A Systematic Literature Review.

IF 1.8 Q3 RESPIRATORY SYSTEM Advances in respiratory medicine Pub Date : 2024-04-25 DOI:10.3390/arm92030019
Pedro Alexandre-Sousa, Nuno Sousa, Joana Bento, Filipa Azevedo, Maíra Assis, José Mendes
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Abstract

Bronchial asthma is a chronic pathology and a global public health problem. However, asthma can be controlled and treated for the most part by patients, so the Portuguese General Directorate of Health recommends shared medical appointments in primary health care (PHC). The present study aims to identify the role of PHC nurses in the control and treatment of asthma in adults. Using the MeSH platform, the following descriptors were validated: asthma, nurses, adults. An individual search was carried out in the following databases: CINAHL (ESBSCO host), MEDLINE (Pubmed host), Web of Science, and Scopus. Out of a total of 280 publications, 79 of which were duplicates and 185 publications which did not meet the inclusion criteria, 16 publications remained readable. Of the eligible articles, there were 13 specialist reports, one mixed study, one quasi-experimental study, and one randomized trial. Education was the intervention most identified in the scientific evidence analyzed, and patient assessment, application of an asthma control questionnaire, verification and training of inhalation technique, empowerment for self-management of the disease, support, promotion of seasonal influenza vaccination, and use of written action plans were also identified. The results reveal that, although the scientific evidence on the intervention of these professionals is poorly developed, nurses play a crucial role in the control and treatment of asthma. The scientific evidence analyzed allowed the identification of interventions that can help the organization of a nursing health appointment, providing nurses with a crucial role in the control and treatment of asthma in adults in the context of PHC.

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护士在控制和治疗成人哮喘中的作用:系统性文献综述。
支气管哮喘是一种慢性病,也是一个全球性的公共卫生问题。然而,哮喘在很大程度上可以由患者自己控制和治疗,因此葡萄牙卫生总局建议在初级卫生保健(PHC)中实行共同就诊。本研究旨在确定初级卫生保健护士在成人哮喘控制和治疗中的作用。利用 MeSH 平台,对以下描述符进行了验证:哮喘、护士、成人。在以下数据库中进行了单独检索:CINAHL(ESBSCO 主机)、MEDLINE(Pubmed 主机)、Web of Science 和 Scopus。在总共 280 篇出版物(其中 79 篇为重复出版物)和 185 篇不符合纳入标准的出版物中,仍有 16 篇可读。在符合条件的文章中,有 13 篇专家报告、1 篇混合研究、1 篇准实验研究和 1 篇随机试验。教育是科学证据分析中发现最多的干预措施,此外还发现了患者评估、哮喘控制问卷的应用、吸入技术的验证和培训、增强自我管理疾病的能力、支持、季节性流感疫苗接种的推广以及书面行动计划的使用。研究结果表明,尽管有关这些专业人员干预措施的科学证据并不充分,但护士在哮喘的控制和治疗中发挥着至关重要的作用。通过对科学证据的分析,可以确定有助于组织护理健康预约的干预措施,从而使护士在初级保健中控制和治疗成人哮喘方面发挥关键作用。
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来源期刊
Advances in respiratory medicine
Advances in respiratory medicine RESPIRATORY SYSTEM-
CiteScore
2.60
自引率
0.00%
发文量
90
期刊介绍: "Advances in Respiratory Medicine" is a new international title for "Pneumonologia i Alergologia Polska", edited bimonthly and addressed to respiratory professionals. The Journal contains peer-reviewed original research papers, short communications, case-reports, recommendations of the Polish Respiratory Society concerning the diagnosis and treatment of lung diseases, editorials, postgraduate education articles, letters and book reviews in the field of pneumonology, allergology, oncology, immunology and infectious diseases. "Advances in Respiratory Medicine" is an open access, official journal of Polish Society of Lung Diseases, Polish Society of Allergology and National Research Institute of Tuberculosis and Lung Diseases.
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