慢性阻塞性肺疾病（COPD）慢性期的护理：呼吁开展创新性跨学科研究。

Nursing care in the chronic phase of COPD: a call for innovative disciplinary research.

作者信息

Jónsdóttir Helga

机构信息

Faculty of Nursing, University of Iceland, Reykjavik,Iceland.

出版信息

J Clin Nurs. 2008 Apr;17(7B):272-90. doi: 10.1111/j.1365-2702.2007.02271.x.

DOI:10.1111/j.1365-2702.2007.02271.x

PMID:18578803

Abstract

AIM

The literature on nursing care in nurse clinics that focus on chronic management of chronic obstructive pulmonary disease (COPD) is analysed and synthesised with the purpose of advancing research of practice in nurse clinics.

BACKGROUND

Along with the rising prevalence of COPD and a growing recognition of long-lasting, comprehensive and complex healthcare needs of people with COPD and their families, nurses are challenged to restructure their practice.

METHODS

An integrated review was conducted. The databases searched were NCBI's PubMed database, Scopus, CINAHL and Web of Science from 1996 to 2006. Terms searched were 'COPD' and 'nurse managed clinic' with all subheadings. A nurse had to be primary in managing and providing the services and the methodological approach was inclusive.

RESULTS

Of 385 potentially relevant papers, 20 papers reporting 16 studies met the inclusion criteria. The methodological approach was diverse with randomised controlled trials being most common. Significant benefits from experimental treatments were seldom demonstrated. Nursing care in the chronic phase of COPD has mainly been conceptualised as: home-based respiratory care; self-management educational programmes and telephone service with influences of specialisation in respiratory nursing care on patients' outcomes as an emphasis as well. Family focus was not found in any of the studies.

CONCLUSION

Research on nurse clinics that focus on the chronic phase of COPD is in its infancy. Innovative research that addresses the structure and content of the nursing care is essential.

RELEVANCE TO CLINICAL PRACTICE

Nursing care in nurse clinics that focus on the chronic phase of COPD needs to be based on nursing knowledge, evidence based, comprehensive, family-centred, focused on health and the health experience and be situated within the service system. Diversity, creativity and nursing values should prevail when developing nurse clinics for the purpose of creating possibilities to attend to the whole of patients' and their families' needs and experiences.

摘要

目的

分析并综合有关专注于慢性阻塞性肺疾病（COPD）慢性管理的护士诊所护理的文献，以推动护士诊所实践研究。

背景

随着COPD患病率的上升以及对COPD患者及其家庭长期、全面和复杂医疗需求的认识不断提高，护士面临着重组其实践的挑战。

方法

进行了一项综合综述。检索的数据库为1996年至2006年的美国国立医学图书馆国立生物技术信息中心的PubMed数据库、Scopus、护理学与健康领域数据库（CINAHL）和科学引文索引（Web of Science）。检索词为“COPD”和“护士管理诊所”及其所有副标题。护士必须在管理和提供服务方面起主要作用，且方法学方法具有包容性。