|
|
Nursing Science 2024
类风湿关节炎患者自我管理的最佳证据总结
|
Abstract:
目的：本研究旨在提炼、评估和整合类风湿关节炎患者自我管理的相关证据，为提升RA患者自我管理质量提供循证支持的目的。方法：通过计算机系统检索相关指南网站、数据库，收集有关类风湿关节炎患者自我管理的文献，包括指南、临床决策、专家意见、系统评价、Meta分析和随机对照试验，检索时限为：2014年1月至2024年3月。结果：共纳入20篇文献，包括5篇指南、1篇专家意见、3篇临床决策、6篇系统评价和5篇随机对照试验。从学习相关知识、体重管理、运动管理、饮食管理、压力管理和关节保护六个方面共提炼出36条证据。结论：形成有关类风湿关节炎患者自我管理的证据，可为临床医护人员提供循证支持，以更科学、有效地协助类风湿关节炎患者进行自我管理。
Objective: The aim of this study was to refine, evaluate and integrate the evidence related to self-management in patients with rheumatoid arthritis, with the aim of providing evidence-based support to improve the quality of self-management in RA patients. Methods: Literature on self-management in patients with rheumatoid arthritis, including guidelines, clinical decision-making, expert opinion, systematic evaluations, Meta-analyses, and randomized controlled trials was collected through a computerized systematic search of relevant guideline websites and databases with a timeframe of January 2014 to March 2024. Results: A total of 20 papers were included, including five guidelines, one expert opinion, three clinical decisions, six systematic evaluations, and five randomized controlled trials. A total of 36 pieces of evidence were distilled from six areas: learning about the subject, weight management, exercise management, dietary management, stress management, and joint protection. Conclusions: The development of evidence on self-management of rheumatoid arthritis patients can provide evidence-based support for clinical staff to assist rheumatoid arthritis patients in self-management in a more scientific and effective way.
| [1] | Sharif, K., Sharif, A., Jumah, F., Oskouian, R. and Tubbs, R.S. (2017) Rheumatoid Arthritis in Review: Clinical, Anatomical, Cellular and Molecular Points of View. Clinical Anatomy, 31, 216-223. https://doi.org/10.1002/ca.22980 |
| [2] | Mahler, M., Martinez-Prat, L., Sparks, J.A. and Deane, K.D. (2020) Precision Medicine in the Care of Rheumatoid Arthritis: Focus on Prediction and Prevention of Future Clinically-Apparent Disease. Autoimmunity Reviews, 19, Article ID: 102506. https://doi.org/10.1016/j.autrev.2020.102506 |
| [3] | Zhang, Q., Liu, Q., Lin, C., Baima, Y., Li, H., Gong, H., et al. (2020) The Prevalence of Rheumatoid Arthritis in Middle-Aged and Elderly People Living in Naqu City, Tibet, Autonomous Region of China. Journal of Orthopaedic Surgery and Research, 15, Article No. 338. https://doi.org/10.1186/s13018-020-01883-4 |
| [4] | 中华医学会风湿病学分会. 2018中国类风湿关节炎诊疗指南[J]. 临床医学研究与实践, 2018, 3(12): 201. |
| [5] | Zhou, Y., Wang, X., An, Y., Zhang, X., Han, S., Li, X., et al. (2018) Disability and Health‐Related Quality of Life in Chinese Patients with Rheumatoid Arthritis: A Cross‐sectional Study. International Journal of Rheumatic Diseases, 21, 1709-1715. https://doi.org/10.1111/1756-185x.13345 |
| [6] | Smolen, J.S., Aletaha, D., Barton, A., Burmester, G.R., Emery, P., Firestein, G.S., et al. (2018) Rheumatoid Arthritis. Nature Reviews Disease Primers, 4, Article No. 18001. https://doi.org/10.1038/nrdp.2018.1 |
| [7] | Burmester, G.R. and Pope, J.E. (2017) Novel Treatment Strategies in Rheumatoid Arthritis. The Lancet, 389, 2338-2348. https://doi.org/10.1016/s0140-6736(17)31491-5 |
| [8] | 周黎雪, 姜云霞, 冯鸿雁, 等. 类风湿性关节炎自我管理的研究进展[J]. 临床合理用药杂志, 2021, 14(27): 178-181. |
| [9] | Xu, C., Wang, X., Mu, R., Yang, L., Zhang, Y., Han, S., et al. (2014) Societal Costs of Rheumatoid Arthritis in China: A Hospital‐based Cross‐sectional Study. Arthritis Care & Research, 66, 523-531. https://doi.org/10.1002/acr.22160 |
| [10] | Reeves, D., Blickem, C., Vassilev, I., Brooks, H., Kennedy, A., Richardson, G., et al. (2014) The Contribution of Social Networks to the Health and Self-Management of Patients with Long-Term Conditions: A Longitudinal Study. PLOS ONE, 9, e98340. https://doi.org/10.1371/journal.pone.0098340 |
| [11] | Matsuura, E., Origuchi, T. and Hamasaki, M. (2021) Association of Health-Related Quality of Life with Self-Management and Satisfaction of Relationship with Healthcare Professionals in Female Patients with Rheumatoid Arthritis. Modern Rheumatology, 32, 114-120. https://doi.org/10.1080/14397595.2020.1868667 |
| [12] | Najm, A., Lempp, H., Gossec, L., Berenbaum, F. and Nikiphorou, E. (2020) Needs, Experiences, and Views of People with Rheumatic and Musculoskeletal Diseases on Self-Management Mobile Health Apps: Mixed Methods Study. JMIR mHealth and uHealth, 8, e14351. https://doi.org/10.2196/14351 |
| [13] | Mollard, E. and Michaud, K. (2020) Self-management of Rheumatoid Arthritis: Mobile Applications. Current Rheumatology Reports, 23, Article No. 2. https://doi.org/10.1007/s11926-020-00968-7 |
| [14] | 朱政, 胡雁, 邢唯杰, 等. 不同类型循证问题的构成[J]. 护士进修杂志, 2017, 32(21): 1991-1994. |
| [15] | Murad, M.H., Asi, N., Alsawas, M. and Alahdab, F. (2016) New Evidence Pyramid. Evidence Based Medicine, 21, 125-127. https://doi.org/10.1136/ebmed-2016-110401 |
| [16] | JBI (2022) Critical Appraisal Tools. https://jbi.global/critical-appraisal-tools |
| [17] | Brouwers, M.C., Kho, M.E., Browman, G.P., Burgers, J.S., Cluzeau, F., Feder, G., et al. (2010) AGREE II: Advancing Guideline Development, Reporting and Evaluation in Health Care. Canadian Medical Association Journal, 182, E839-E842. https://doi.org/10.1503/cmaj.090449 |
| [18] | 乔舰. 组内相关系数的理论基础及建模应用[J]. 统计与信息论坛, 2016, 31(11): 44-48. |
| [19] | 胡雁, 等. 循证护理学[M]. 北京: 人民卫生出版社, 2018. |
| [20] | 单雪琪, 余姜璇, 王俊杰, 等. 膝骨关节炎患者自我管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(6): 735-743. |
| [21] | 方霖楷, 黄彩鸿, 谢雅, 等. 类风湿关节炎患者实践指南[J]. 中华内科杂志, 2020, 59(10): 772-780. |
| [22] | NICE (2010) Rheumatoid Arthritisin Adults: Management. https://www.nice.org.uk/guidance/ng100 |
| [23] | Everett, S. (2023) 2022 American College of Rheumatology (ACR) Guideline for Exercise, Rehabilitation, Diet, and Additional Integrative Interventions for Rheumatoid Arthritis. Arthritis Care & Research, 75, 1629-1630. https://doi.org/10.1002/acr.25119 |
| [24] | MOH, Ministry of Health Malaysia (2024) Clinical Practice Guidelines: Management of Rheumatoid Arthritis. http://www.moh.gov.my |
| [25] | Geenen, R., Overman, C.L., Christensen, R., Åsenlöf, P., Capela, S., Huisinga, K.L., et al. (2018) EULAR Recommendations for the Health Professional’s Approach to Pain Management in Inflammatory Arthritis and Osteoarthritis. Annals of the Rheumatic Diseases, 77, 797-807. https://doi.org/10.1136/annrheumdis-2017-212662 |
| [26] | 海峡两岸医药卫生交流协会风湿免疫病学专业委员会慢病管理学组. 类风湿关节炎慢病管理专家指导建议[J]. 中华内科杂志, 2023, 62(11): 1256-1265. |
| [27] | Gibofsky, A. (2022) Non-Pharmacological Treatments for Patients with Rheumatoid Arthritis. https://www.uptodate.com/contents/nonpharmacologic-therapies-for-patients-with-rheumatoid-arthritis |
| [28] | Venables, P.J.W. (2022) Patient Education: Rheumatoid Arthritis Treatment (beyond the Basics). https://www.uptodate.com/contents/rheumatoid-arthritis-treatment-beyond-the-basics |
| [29] | Richard, S. (2021) Patient Education: Complementary and Alternative Therapies for Rheumatoid Arthritis (Beyond the Basics). https://www.hopkinsarthritis.org/patient-corner/disease-management/ra-complementary-alternative-medicine |
| [30] | Philippou, E., Petersson, S.D., Rodomar, C. and Nikiphorou, E. (2020) Rheumatoid Arthritis and Dietary Interventions: Systematic Review of Clinical Trials. Nutrition Reviews, 79, 410-428. https://doi.org/10.1093/nutrit/nuaa033 |
| [31] | 王颜君, 周静, 刘佳, 等. 类风湿关节炎病人自我管理体验质性研究的Meta整合[J]. 循证护理, 2023, 9(16): 2891-2897. |
| [32] | 曾仙月, 王东军, 孙璇, 等. 国内类风湿关节炎临床诊疗指南与专家共识方法学质量系统评价[J]. 世界科学技术: 中医药现代化, 2023, 25(4): 1425-1433. |
| [33] | Hu, H., Xu, A., Gao, C., et al. (2021) The Effect of Physical Exercise on Rheumatoid Arthritis: An Overview of Systematic Reviews and Meta-Analysis. Journal of Advanced Nursing, 77, 506-522. |
| [34] | Daien, C., Czernichow, S., Letarouilly, J., Nguyen, Y., Sanchez, P., Sigaux, J., et al. (2022) Dietary Recommendations of the French Society for Rheumatology for Patients with Chronic Inflammatory Rheumatic Diseases. Joint Bone Spine, 89, Article ID: 105319. https://doi.org/10.1016/j.jbspin.2021.105319 |
| [35] | Raad, T., Griffin, A., George, E.S., Larkin, L., Fraser, A., Kennedy, N., et al. (2021) Dietary Interventions with or without Omega-3 Supplementation for the Management of Rheumatoid Arthritis: A Systematic Review. Nutrients, 13, Article 3506. https://doi.org/10.3390/nu13103506 |
| [36] | Lange, E., Kucharski, D., Svedlund, S., Svensson, K., Bertholds, G., Gjertsson, I., et al. (2018) Effects of Aerobic and Resistance Exercise in Older Adults with Rheumatoid Arthritis: A Randomized Controlled Trial. Arthritis Care & Research, 71, 61-70. https://doi.org/10.1002/acr.23589 |
| [37] | Azeez, M., Clancy, C., O’Dwyer, T., Lahiff, C., Wilson, F. and Cunnane, G. (2020) Benefits of Exercise in Patients with Rheumatoid Arthritis: A Randomized Controlled Trial of a Patient-Specific Exercise Programme. Clinical Rheumatology, 39, 1783-1792. https://doi.org/10.1007/s10067-020-04937-4 |
| [38] | Vadell, A.K., Bärebring, L., Hulander, E., Gjertsson, I., Lindqvist, H.M. and Winkvist, A. (2020) Anti-inflammatory Diet in Rheumatoid Arthritis (ADIRA)—A Randomized, Controlled Crossover Trial Indicating Effects on Disease Activity. The American Journal of Clinical Nutrition, 111, 1203-1213. https://doi.org/10.1093/ajcn/nqaa019 |
| [39] | Shao, J., Yu, K. and Chen, S. (2021) Effectiveness of a Self-Management Program for Joint Protection and Physical Activity in Patients with Rheumatoid Arthritis: A Randomized Controlled Trial. International Journal of Nursing Studies, 116, Article ID: 103752. https://doi.org/10.1016/j.ijnurstu.2020.103752 |
| [40] | Walrabenstein, W., Wagenaar, C.A., van der Leeden, M., Turkstra, F., Twisk, J.W.R., Boers, M., et al. (2023) A Multidisciplinary Lifestyle Program for Rheumatoid Arthritis: The ‘plants for Joints’ Randomized Controlled Trial. Rheumatology, 62, 2683-2691. https://doi.org/10.1093/rheumatology/keac693 |
| [41] | 霍少娟, 赵亮, 魏玉婷, 等. 膝关节置换术后门诊康复与家庭康复的有效性和安全性Meta分析[J]. 中华护理杂志, 2022, 57(10): 1190-1198. |
| [42] | Wang, T. and He, C. (2018) Pro-Inflammatory Cytokines: The Link between Obesity and Osteoarthritis. Cytokine & Growth Factor Reviews, 44, 38-50. https://doi.org/10.1016/j.cytogfr.2018.10.002 |
| [43] | Martini, D. (2019) Health Benefits of Mediterranean Diet. Nutrients, 11, Article 1802. https://doi.org/10.3390/nu11081802 |
| [44] | Genel, F., Kale, M., Pavlovic, N., Flood, V.M., Naylor, J.M. and Adie, S. (2020) Health Effects of a Low-Inflammatory Diet in Adults with Arthritis: A Systematic Review and Meta-Analysis. Journal of Nutritional Science, 9, e37. https://doi.org/10.1017/jns.2020.31 |
| [45] | Metsios, G.S. and Kitas, G.D. (2018) Physical Activity, Exercise and Rheumatoid Arthritis: Effectiveness, Mechanisms and Implementation. Best Practice & Research Clinical Rheumatology, 32, 669-682. https://doi.org/10.1016/j.berh.2019.03.013 |
| [46] | 王精明, 王爱平. 膝关节骨性关节炎患者运动治疗护理方案的研究进展[J]. 中华护理杂志, 2019, 54(3): 458-462. |
| [47] | Nikiphorou, E., Santos, E.J.F., Marques, A., Böhm, P., Bijlsma, J.W., Daien, C.I., et al. (2021) 2021 EULAR Recommendations for the Implementation of Self-Management Strategies in Patients with Inflammatory Arthritis. Annals of the Rheumatic Diseases, 80, 1278-1285. https://doi.org/10.1136/annrheumdis-2021-220249 |
