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Factors affecting caregiver burden of terminally ill adults in the home setting - A systematic review. 影响家庭环境中晚期成人照顾者负担的因素-系统回顾。
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201109450-00001
H. Mq, S. WaiChiChan
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引用次数: 6
Rapid Response Team Composition Effects on Outcomes for Adult Hospitalized Patients: A Systematic Review. 快速反应小组组成对成人住院患者预后的影响:一项系统综述。
Pub Date : 2010-01-01 DOI: 10.11124/jbisrir-2011-165
R. Daniele, Ann Marie Bova, Michelle LeGar, Pauline J. Smith, L. Shortridge‐Baggett
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引用次数: 6
Effectiveness of illness self-management programmes for adults with schizophrenia and other psychotic disorders: a systematic review. 成人精神分裂症和其他精神障碍患者疾病自我管理规划的有效性:系统综述
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201008241-00011
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引用次数: 0
Effectiveness of medical compared to multidisciplinary models of care for adult persons with pre-dialysis chronic kidney disease: a systematic review. 成人透析前慢性肾脏疾病的医学治疗与多学科治疗模式的有效性比较:一项系统综述
Pub Date : 2010-01-01 DOI: 10.11124/jbisrir-2009-510
H. Strand, D. Parker
AIM Multidisciplinary care is a model of care that has increased in popularity. It offers opportunities for different ways of providing care. The objective of this systematic review was to compare the effectiveness of multidisciplinary care on the progression of chronic kidney disease by adult pre-dialysis patients in comparison to traditional medical care. METHODS Eleven databases were searched for material published between January 1990 to July 2009 and 37 search terms were used in different combinations. In addition, suitable journals and websites were searched as well as a hand search of reference lists in the retrieved hits from the database searches was used as well. Management tools from the Joanna Briggs Institute-Meta Analysis of Statistics Assessment and Review Instrument were used to assess the methodological quality of each of the retrieved articles that met the criteria for the review. Data extraction and synthesis was performed using the appropriate tool. RESULTS From 927 hits only four articles were finally deemed suitable for inclusion in the systematic review. Two reported the results of randomised controlled trials and the remaining two were observational studies. The data was not presented in a format that allowed a meta-analysis to be performed. One article (from 1998) argued that multidisciplinary care was not cost effective and in this study there was no difference in outcomes between multidisciplinary care and traditional care. The other three articles showed a positive impact on patient wellbeing and outcomes for those receiving multidisciplinary care, such as delay in the progression of their chronic kidney disease. Education of patients was shown to have a significant effect on the delay in time for patients initiating renal replacement therapy whether as peritoneal-dialysis, haemo-dialysis or transplantation. None of the articles reported negative effects, reduced safety or poor outcomes for the patients receiving multidisciplinary care. Well controlled blood pressure, within treatment targets, appears to be an important factor in delaying the progression of their chronic kidney disease, although this did not reach statistical significance. CONCLUSION Multidisciplinary care is deemed to be effective for adults with pre-dialysis chronic kidney disease. The effectiveness is shown as a delay in time to initiation of renal replacement therapy. Education is an important component that should be included in a multidisciplinary model of care. The education should in particular aim to increase the knowledge and understanding of the causes of ill health for people with chronic kidney disease. IMPLICATIONS FOR PRACTICE The results from the systematic review support the implementation of multidisciplinary clinics like chronic kidney disease clinics as a way to delay progression of chronic kidney disease. This model of care often includes each member of the multidisciplinary team educating the patient in their area of exper
多学科治疗是一种越来越受欢迎的治疗模式。它为不同的护理方式提供了机会。本系统综述的目的是比较多学科治疗对成人透析前患者慢性肾脏疾病进展的疗效,并与传统医学治疗进行比较。方法检索1990年1月至2009年7月间发表的文献,以不同组合方式使用37个检索词。此外,还检索了合适的期刊和网站,并对检索到的数据库检索结果中的参考文献列表进行了手工检索。使用Joanna Briggs研究所的管理工具-统计meta分析评估和评价工具来评估符合评价标准的每篇检索文章的方法学质量。使用适当的工具进行数据提取和合成。结果927篇文章中只有4篇最终被认为适合纳入系统评价。两篇报告了随机对照试验的结果,其余两篇为观察性研究。数据没有以允许进行荟萃分析的格式呈现。1998年的一篇文章认为,多学科治疗没有成本效益,在这项研究中,多学科治疗和传统治疗的结果没有差异。其他三篇文章显示了对接受多学科治疗的患者的健康和结果的积极影响,例如延缓慢性肾脏疾病的进展。患者的教育被证明对延迟患者开始肾替代治疗的时间有显著影响,无论是腹膜透析、血液透析还是移植。没有一篇文章报道了接受多学科治疗的患者的负面影响、安全性降低或预后不良。在治疗目标范围内控制好血压似乎是延缓慢性肾脏疾病进展的重要因素,尽管这没有达到统计学意义。结论多学科护理对成人透析前慢性肾病患者是有效的。其有效性表现为延迟开始肾脏替代治疗的时间。教育是一个重要的组成部分,应该包括在多学科的护理模式。教育应特别旨在增加对慢性肾脏疾病患者健康不良原因的认识和理解。系统评价的结果支持多学科临床的实施,如慢性肾脏疾病临床,作为延缓慢性肾脏疾病进展的一种方式。这种护理模式通常包括多学科团队的每个成员在他们的专业领域对患者进行教育,而肾病学家或执业护士则定期与患者共同审查并制定管理计划。对研究的启示需要对这一人群的最佳教育模式进行进一步的研究,包括谁最适合提供教育。由于没有一项研究回顾了澳大利亚慢性肾脏疾病诊所的多学科护理,因此需要进一步评估患者的结果和福祉。其他需要进一步研究的结果是多学科护理的安全性和成本效益,以及患者的护理经历和对其独立性的可能影响。目前,在这一领域发表的研究有限,特别是在澳大利亚的背景下。
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引用次数: 0
The Experience of Hypoglycaemia and Strategies Used For its Management by Community-Dwelling Adults with Diabetes Mellitus: A Systematic Review. 社区居住的成人糖尿病患者低血糖的经验及治疗策略:一项系统综述。
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201008341-00032
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引用次数: 1
A systematic review of the effectiveness of current interventions to assist adults with heart failure to comply with therapy and enhance self-care behaviours. 对当前干预措施的有效性进行系统回顾,以帮助成人心力衰竭患者遵守治疗并增强自我保健行为。
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201008081-00002
B. Kent, Emily Cull, N. Phillips
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引用次数: 0
Predictive risk factors for methicillin-resistant S. aureus (MRSA) colonisation among adults in acute care settings: A systematic review. 急性护理环境中成人耐甲氧西林金黄色葡萄球菌(MRSA)定植的预测危险因素:一项系统综述。
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201008161-00015
Yifan Xue
Staphylococcus aureus (S. aureus) is a gram-positive bacterium commonly carried by approximately three in 10 of the healthy population. If S. aureus enters the body it can cause a range of illnesses, ranging from minor localised skin and wound infections to systemic life-threatening infections such as endocarditis, pneumonia and bacteraemia. The introduction of penicillin in the 1940s to treat S. aureus infection was rapidly followed by the development of resistance to this antibiotic. The introduction of methicillin in 1959 which was stable to the enzyme penicillinase, the cause of earlier resistance, initially appeared to have solved the problem caused by penicillin resistance. However, in 1961 methicillin-resistant S. aureus (MRSA) was identified and subsequently epidemic strains have developed. MRSA strains have led to caused major infection outbreaks in several countries during the 1980s and were considered endemic in healthcare facilities from the 1990s.
金黄色葡萄球菌(金黄色葡萄球菌)是一种革兰氏阳性细菌,大约十分之三的健康人群携带这种细菌。如果金黄色葡萄球菌进入人体,它会引起一系列疾病,从轻微的局部皮肤和伤口感染到全身危及生命的感染,如心内膜炎、肺炎和菌血症。在20世纪40年代引入青霉素治疗金黄色葡萄球菌感染之后,对这种抗生素的耐药性迅速发展。1959年引入的甲氧西林对青霉素酶是稳定的,青霉素酶是早期耐药性的原因,最初似乎解决了青霉素耐药性引起的问题。然而,1961年发现了耐甲氧西林金黄色葡萄球菌(MRSA),随后出现了流行菌株。20世纪80年代,耐甲氧西林金黄色葡萄球菌菌株在几个国家引起了重大感染暴发,并从20世纪90年代开始在卫生保健机构中被认为是地方性的。
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引用次数: 2
A systematic review of the effectiveness of music listening in reducing depressive symptoms in adults. 一项关于听音乐减轻成人抑郁症状有效性的系统综述。
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201008081-00005
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引用次数: 0
The incidence, prevalence and contributing factors associated with the occurrence of medication errors for children and adults in the community setting: A systematic review. 社区环境中儿童和成人用药错误的发生率、流行率和影响因素:一项系统综述
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201008241-00018
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引用次数: 2
Clinical effectiveness of psycho-educational interventions to reduce perioperative anxiety in oncology patient: A systematic review. 心理教育干预减少肿瘤患者围手术期焦虑的临床效果:一项系统综述。
Pub Date : 2010-01-01 DOI: 10.11124/01938924-201008341-00018
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引用次数: 0
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JBI library of systematic reviews
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