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Secondary Prophylaxis Among First Nations People With Acute Rheumatic Fever in Australia: An Integrative Review.
- Source :
-
Journal of Transcultural Nursing . Nov2023, Vol. 34 Issue 6, p443-452. 10p. - Publication Year :
- 2023
-
Abstract
- Introduction: The prevalence of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) among Australia's First Nations populations are some of the highest in the world, accounting for 95% of the 2,244 ARF notifications between 2015 and 2019 in Australia. A key issue in treating ARF is long-term secondary prophylaxis, yet only one in five patients received treatment in 2019. This review identifies barriers to secondary prophylaxis of ARF in Australia's First Nations people. Methods: An integrative review was undertaken utilizing PubMed, CINAHL, ProQuest, and Wiley Online. Joanna Briggs Institute critical appraisal tools were used, followed by thematic analysis. Results: The key themes uncovered included: issues with database and recall systems, patient/family characteristics, service delivery location and site, pain of injection, education (including language barriers), and patient-clinician relationship. Conclusions: A national RHD register, change in operation model, improved pain management, improved education, and need for consistent personnel is suggested. [ABSTRACT FROM AUTHOR]
- Subjects :
- *INDIGENOUS Australians
*ONLINE information services
*CINAHL database
*RHEUMATIC fever
*RHEUMATIC heart disease
*INJECTIONS
*PAIN
*SYSTEMATIC reviews
*PHYSICIAN-patient relations
*FAMILIES
*MEDICAL care
*COMMUNITY health services
*ANTIBIOTIC prophylaxis
*TREATMENT effectiveness
*MEDLINE
*THEMATIC analysis
*ACUTE diseases
*EDUCATIONAL attainment
*PAIN management
Subjects
Details
- Language :
- English
- ISSN :
- 10436596
- Volume :
- 34
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Journal of Transcultural Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 173550995
- Full Text :
- https://doi.org/10.1177/10436596231191248