Secondary Prophylaxis Among First Nations People With Acute Rheumatic Fever in Australia: An Integrative Review
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-te...
| Published in: | Journal of Transcultural Nursing |
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| Main Authors: | , |
| Format: | Text |
| Language: | English |
| Published: |
SAGE Publications
2023
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| Subjects: | |
| Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10637076/ http://www.ncbi.nlm.nih.gov/pubmed/37572036 https://doi.org/10.1177/10436596231191248 |
| Summary: | 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. |
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