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A systematic review of the effectiveness of clinical nurse specialist interventions in patients with chronic obstructive pulmonary disease(COPD)

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Frontiers of Nursing 2018年第2期5卷 147-156页

作者： Hua Yin Ling Yang Qiao Ye Department of Respiratory Medicine Zhuhai Peopled Hospital(The Third Hospital Affiliated to Jinan University)ZhuhaiGuangdong 519000China Nursing Department Zhuhai People's Hospital(The Third Hospital Affiliated to Jinan University)ZhuhaiGuangdong 519000China

Objective： This review aimed to examine the effectiveness of clinical nurse specialist （cns） interventions in patients with chronic obstructive pulmonary disease （COPD）. COPD significantly affects people＇s health worldwide. With the development in nursing, cnss are playing increasingly important roles in different departments. However, the studies on the effectiveness of cnss in COPD are not as well organized as the studies on the effectiveness of cnss in bronchiectasis and asthma. Therefore, this review aims to find some updated evidence on the cns interventions for patients with COPD and on whether these interventions are ***： A narrative analysis of the data was performed for the eligible studies. Four databases were chosen： CINAHL, MEDLINE, British Nursing Index, and Cochrane Library. Other websites such as the National Institute for Health and Clinical Excellence, National Health Service Evidence, Association of Respiratory Nurse Specialists, and National Association of Clinical Nurse Specialist were searched as well. Two reviewers performed study identification independently, and all the retrieved articles were stored using the EndNote X7 software. The risk of bias in the included studies was assessed using the Cochrane Collaboration＇s risk of bias tool. Results： A total of nine studies were included in this review. There were five current interventions by cnss for patients with COPD. These interventions were home nursing support, cns]s supported discharge, multidisciplinary cooperation programs, nurse-led care programs, and self-care management education. The effectiveness of these five interventions was evaluated individually. There is low- to moderate-quality evidence indicating that home nursing support interventions may have a positive effect on mortality and quality of life. No significant difference in quality of life has been found between the cns-supported discharge intervention and the usual

关键词： chronic obstructive pulmonary disease (COPD) clinical nurse specialists (cnss) effectiveness systematic review advanced practice nurse RNS cns led

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