专科社区护士：对其在慢性病管理中作用的批判性分析。
Specialist community nurses: a critical analysis of their role in the management of long-term conditions.
机构信息
School of Nursing, Midwifery & Social Work, University of Manchester, Jean McFarlane Building, Oxford Road, Manchester M13 9PL, UK.
出版信息
Int J Environ Res Public Health. 2009 Oct;6(10):2550-67. doi: 10.3390/ijerph6102550. Epub 2009 Sep 29.
The aim of this narrative review is to identify strategies in use by specialist community and public health nurses in the prevention, care and management of individuals with long-term conditions, specifically chronic obstructive pulmonary disease (COPD) and musculoskeletal disorders. These conditions have been selected as they are highly prevalent; a burden on health services globally and a major public health issue. From a UK policy perspective, specialist community nurses have been placed at the forefront of taking a lead role in the coordination and delivery of more responsive services for individuals with long-term conditions; whether this has been an effective use of skills and resource is questionable. We systematically searched relevant databases between 1999-2009 to identify interventions used by specialist community nurses and critically appraised the studies. This review reports on impact and value of interventions used by specialist community nurses in the prevention and management of COPD and musculoskeletal conditions, and makes recommendations for improving services.
本叙述性评论旨在确定专门的社区和公共卫生护士在预防、护理和管理患有长期疾病（特别是慢性阻塞性肺疾病 (COPD) 和肌肉骨骼疾病）的个体方面所采用的策略。之所以选择这些疾病，是因为它们发病率高；给全球卫生服务带来负担，是一个主要的公共卫生问题。从英国政策的角度来看，专门的社区护士被置于主导地位，负责协调和提供更具响应性的长期疾病患者服务；这种技能和资源的有效利用是否值得怀疑。我们系统地检索了 1999 年至 2009 年之间的相关数据库，以确定专门的社区护士使用的干预措施，并对这些研究进行了批判性评估。本评论报告了专门的社区护士在预防和管理 COPD 和肌肉骨骼疾病方面使用的干预措施的影响和价值，并为改善服务提出了建议。
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