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Hemşire Liderliğinde RomatoidArtritli Hastalara Verilen Bakımın Etkinliği (Sistematik Derleme)

Yıl 2021, Cilt: 10 Sayı: 1, 144 - 152, 25.03.2021

Halil İbrahim Tuna , Özlem Örsal

https://doi.org/10.37989/gumussagbil.712618

Öz

Geleneksel olarak tüm Romatoid Artrit (RA) hastalarının takip edilmesi, kliniklerde romatologlar tarafından gerçekleştirilir. Günümüzde romatoloji kliniklerindeki hemşireler, multidisipliner ekibin önemli bir parçası haline gelmektedir ve romatolojik görevleri gerçekleştirebilmektedir. Kliniklerde hemşire odaklı bakım ile hizmet alan hastalar; fiziksel işlev, hastalık aktivitesi, yaşam kalitesi, ağrı, yorgunluk, sertlik, psikolojik işlev ve memnuniyet açısından daha iyi sonuçlar almışlardır. Bu güncel sistematik derlemenin amacı, romatoid artritli hastalarda hemşire liderlikli hastalık yönetiminin klinik bakımdaki etkinliğinin belirlenmesidir. Derlemede bir üniversitenin kütüphane ağı üzerinden “romatoid artrit, hemşire ya da hemşirelik, sağlık bakımı” anahtar kelimeleri taranmıştır. Araştırmaya; 2008-2019 yılları arasında Science Direct, PubMed, EBSCO Host, ULAKBİM, Türkiye Atıf Dizini veri tabanlarında yayınlanmış ücretsiz, tam metin makaleler dahil edilmiştir. Derlemede hemşire liderliğindeki RA kliniklerinin hasta bakım sonuçlarına etkisi olan makalelere yer verilmiştir. Derlemenin sonunda hemşire liderlikli bakım, beklenen tedavi sonuçlarını karşılamaktadır ve hastalar için oldukça güvenlidir sonucuna ulaşılmıştır.

Anahtar Kelimeler

romatoid artrit hemşirelik bakım sağlık bakımı

Kaynakça

  • Aletaha, D, Neogi, T, Silman, A.J, Funovits J, Felson, D.T, Bingham, C.O. et al. (2010). “Rheumatoid Arthritis Classification Criteria: An American College of Rheumatology/European League Against Rheumatism Collaborative Initiative”. Arthritis & Rheumatology, 62 (9), 2569-2581. doi: 10.1002/art.27584
  • Ndosi, M, Vinall, K, Hale, C, Bird, H. and Hill, J. (2011). “The Effectiveness of Nurse-Led Care in People with Rheumatoid Arthritis: A Systematic Review.” International Journal of Nursing Studies, 48 (5), 642-654. doi: 10.1016/j.ijnurstu.2011.02. 007
  • Smolen, J.S. and Steiner, G. (2003). “Therapeutic Strategies for Rheumatoid Arthritis”. Nature Reviews Drug Discovery, 2 (6), 473. doi: 10.1038 /nrd1109
  • Wasserman, A.M. (2011).“Diagnosis And Management of Rheumatoid Arthritis”. American Family Physician, 84 (11), 1245.
  • Combe, B. (2007). “Early Rheumatoid Arthritis: Strategies for Prevention And Management”. Best Practice & Research Clinical Rheumatology, 21 (1), 27-42. doi: 10.1016/j.berh. 2006. 08.011
  • Steultjens, E, Dekker, J, Bouter, M, Schaardenburg, D. and Kuyk, M. (2004). “Occupational Therapy for Rheumatoid Arthritis”. The Cochrane Library, 4. doi: 10.1002/14651858. CD00 3114.pub2
  • Allaire, S, Wolfe, F, Niu, J, LaValley, M.P, Zhang, B. and Reisine, S. (2009). “Current Risk Factors for Work Disability Associated With Rheumatoid Arthritis: Recent Data from A US National Cohort”. Arthritis Care & Research, 61 (3), 321-328. doi: 10.1002/art. 24281
  • Choy, E.H. and Panayi, G.S. (2001). “Cytokine Pathways and Joint Inflammation in Rheumatoid Arthritis”. New England Journal of Medicine, 344 (12), 907-916. doi: 10.1056/NEJM200103223441207
  • Salaffi, F, Carotti, M, Gasparini, S, Intorcia, M. and Grassi, W. (2009). “The Health-Related Quality of Life in Rheumatoid Arthritis, Ankylosing Spondylitis, and Psoriatic Arthritis: A Comparison with A Selected Sample of Healthy People”. Health and Quality of Life Outcomes, 7 (1), 25. doi:10.1186/ 1477-7525-7-25
  • Kwoh, C.K, Anderson L.G, Greene J.M, Johnson, D.A, O’Dell, J.R, Robbins, M.L, Roberts, W.N, Simms, R.W. and Yood, R.A. (2002). “American College of Rheumatology Subcommittee on Rheumatoid Arthritis Guidelines”. Arthritis and Rheumatology, 46 (2), 328-346.
  • Curtis, J.R, Patkar, N, Xie, A, Martin, C, Allison, J.J, Saag, M. et al. (2007). “Risk of Serious Bacterial Infections among Rheumatoid Arthritis Patients Exposed to Tumor Necrosis Factor a Antagonists”. Arthritis and Rheumatology, 56 (4), 1125-1133. doi: 10.1002/art.22504
  • Hill, J. (2007). “Rheumatology Nurse Specialists-Do We Need Them?”. Oxford University Press, 46 (3), 379. doi: 10.1093/ rheumatology/kel431
  • Van Eijk-Hustings, Y, Van Tubergen, A, Boström, C, Braychenko, E, Buss, B. Felix, J. et al. (2011). “EULAR Recommendations for The Role of The Nurse in The Management of Chronic Inflammatory Arthritis”. Annals of The Rheumatic Diseases, 200185. doi: 10.1136/annrheumdis-2011-200185
  • Watts, R.A, Mooney, J, Barton, G, MacGregor, A.J, Shepstone, L, Irvine, L. et al. (2015). “The Outcome And Cost-Effectiveness of Nurse-Led Care in The Community for People with Rheumatoid Arthritis: A Non-Randomised Pragmatic Study”. BMJ Open, 5 (8), 76-96. doi: 10.1136/bmjopen-2015-007696
  • Tijhuis, G.J, Zwinderman, A.H, Hazes, J.M, Breedveld, F.C. and Vlieland, P. (2003). “Two‐Year Follow‐Up of A Randomized Controlled Trial of A Clinical Nurse Specialist Intervention, Inpatient, and Day Patient Team Care in Rheumatoid Arthritis”. Journal of Advanced Nursing, 41 (1), 34-43. doi: 10.1046/j.1365-2648.2003.02503.x
  • Koksvik, H.S, Hagen, K.B, Rødevand, E, Mowinckel, P, Kvien, T.K. and Zangi, H.A. (2012). “Patient Satisfaction with Nursing Consultations in A Rheumatology Outpatient Clinic: A 21-Month Randomised Controlled Trial in Patients With Inflammatory Arthritides”. Annals of The Rheumatic Diseases, 202-296. doi: 10.1136/annrheumdis-202296
  • Larsson, I, Fridlund, B, Arvidsson, B, Teleman, A. and Bergman, S. (2014). “Randomized Controlled Trial of A Nurse‐Led Rheumatology Clinic for Monitoring Biological Therapy”. Journal of Advanced Nursing, 70 (1), 164-175. doi: 10.1111/jan.12183
  • Primdahl, J, Sørensen, J, Horn, H.C, Petersen, R. and Hørslev-Petersen, K. (2012). “Shared Care Or Nursing Consultations As An Alternative to Rheumatologist Follow-Up for Rheumatoid Arthritis Outpatients With Low Disease Activity-Patient Outcomes from A 2-Year, Randomised Controlled Trial”. Annals of the Rheumatic Diseases, 202-695. doi: 10.1136/annrheum dis-2012-202695
  • Wang, J, Zou, X. ve Cong, L. and Liu, H. (2018). “Clinical Effectiveness And Cost‐Effectiveness of Nurse‐Led Care in Chinese Patients With Rheumatoid Arthritis: A randomized Trial Comparing with Rheumatologist‐Led Care”. International Journal of Nursing Practice, 24 (1), 12605. doi: 10.1111/ijn.12605
  • Wang, J, Zou, X, Zhou, L. and Liu, H. (2017). “Patient Satisfaction After Nurse-Led Care in Chinese Patients with Rheumatoid Arthritis: A China Study”. Biomedical Research, 28 (11), 4972-4978.
  • Dixon-Woods, M, Bonas, S, Booth, A, Jones, D.R, Miller, T, Sutton, A.J. et al. (2006). “How Can Systematic Reviews Incorporate Qualitative Research? A Critical Perspective”. Qualitative Research, 6 (1), 27-44. doi: 10.1177/14687941060 58867
  • Chin, W, Lam, C.L. and Lo, S. (2011). “Quality of Care of Nurse-Led and Allied Health Personnel-Led Primary Care Clinics”. Hong Kong Medical Journal, 17 (3), 217.
  • Cooper, J.M, Loeb, S.J. and Smith, C.A. (2010). “The Primary Care Nurse Practitioner And Cancer Survivorship Care”. Journal of the American Academy of Nurse Practitioners, 22 (8), 394-402. doi: 10.1111/j.1745-7599.2010.00528.x
  • Kirby, M. (2005). “Extending Nursing Roles in Diabetes to Achieve Clinical Targets”. Journal of Diabetes Nursing, 9 (6), 231-236.
  • Strömberg, A, Mårtensson, J, Fridlund, B. and Dahlström, U. (2001). “Nurse‐Led Heart Failure Clinics in Sweden”. European Journal of Heart Failure, 3 (1), 139-144. doi: 10.1016/S1388-9842(00)00099-4
  • Clark, C.E, Smith, L.F, Taylor, R.S. and Campbell, J.L. (2010). “Nurse Led Interventions to Improve Control of Blood Pressure in People with Hypertension: Systematic Review and Meta-Analysis”. BMJ, 341, c3995. doi: 10.1136/bmj. c3995
  • Lewis, R, Neal, R.D, Williams, N.H, France, B, Wilkinson, C, Hendry, M. et al. (2009). “Nurse‐led vs. Conventional Physician‐Led Follow‐Up for Patients with Cancer: Systematic Review”. Journal of Advanced Nursing, 65 (4), 706-723. doi: 10.1111/j. 1365-2648.2008.04927.x
  • Schadewaldt, V. and Schultz, T. (2011). “Nurse‐Led Clinics As An Effective Service For Cardiac Patients: Results from A Systematic Review”. International Journal of Evidence‐Based Healthcare, 9 (3), 199-214. doi: 10.1111/j.1744-1609.2011.00217.x
  • Wong, F.K.Y, Mok, M.P.H, Chan, T. and Tsang, M.W. (2005). “Nurse Follow‐Up of Patients With Diabetes: Randomized Controlled Trial”. Journal of Advanced Nursing, 50 (4), 391-402. doi: 10.1111/j.1365-2648.2005.03404.x
  • Oliver, S.M. (2011). “The Role of The Clinical Nurse Specialist in The Assessment and Management of Biologic Therapies”. Musculoskeletal Care, 9 (1), 54-62. doi: 10.1002/msc.190
  • Palmer, D. and Miedany Y.E. (2010). “Biological Nurse Specialist: Goodwill to Good Practice”. British Journal of Nursing, 19 (8), 477-448. doi: 10.12968/bjon.2010.19.8.47632

Effectiveness of Maintenance Given to Romatoid Arthritis Disease in Nursing Leadership (Systematic Review)

Yıl 2021, Cilt: 10 Sayı: 1, 144 - 152, 25.03.2021

Halil İbrahim Tuna , Özlem Örsal

https://doi.org/10.37989/gumussagbil.712618

Öz

Traditionally all rheumatoid arthritis (RA) patients are followed by rheumatologists in clinics. Nowadays, nurses in rheumatology clinics become an important part of the multidisciplinary team and can perform rheumatological tasks. Nursing-based care in clinics; physical function, disease activity, quality of life, pain, fatigue, hardness, psychological function and satisfaction. The aim of this current systematic review is to determine the clinical effectiveness of nurse-led disease management in patients with rheumatoid arthritis. In this review, keywords "rheumatoid arthritis, nurse or nursing, healthcare" were scanned through the library network of a university. Research; Between the years 2008-2019 Science Direct, PubMed, EBSCO Host, ULAKBIM, published in Turkey free Citation Index database, full-text articles were included. The compiled nurse-led RA clinics include articles that affect patient care outcomes. Nurse-led care meets expected treatment outcomes and is highly safe for patients. In line with these conclusions, our recommendation is that similar studies should be performed in clinics with more complex patient populations.

Anahtar Kelimeler

Rheumatoid Arthritis Nursing Care Health Care

Kaynakça

  • Aletaha, D, Neogi, T, Silman, A.J, Funovits J, Felson, D.T, Bingham, C.O. et al. (2010). “Rheumatoid Arthritis Classification Criteria: An American College of Rheumatology/European League Against Rheumatism Collaborative Initiative”. Arthritis & Rheumatology, 62 (9), 2569-2581. doi: 10.1002/art.27584
  • Ndosi, M, Vinall, K, Hale, C, Bird, H. and Hill, J. (2011). “The Effectiveness of Nurse-Led Care in People with Rheumatoid Arthritis: A Systematic Review.” International Journal of Nursing Studies, 48 (5), 642-654. doi: 10.1016/j.ijnurstu.2011.02. 007
  • Smolen, J.S. and Steiner, G. (2003). “Therapeutic Strategies for Rheumatoid Arthritis”. Nature Reviews Drug Discovery, 2 (6), 473. doi: 10.1038 /nrd1109
  • Wasserman, A.M. (2011).“Diagnosis And Management of Rheumatoid Arthritis”. American Family Physician, 84 (11), 1245.
  • Combe, B. (2007). “Early Rheumatoid Arthritis: Strategies for Prevention And Management”. Best Practice & Research Clinical Rheumatology, 21 (1), 27-42. doi: 10.1016/j.berh. 2006. 08.011
  • Steultjens, E, Dekker, J, Bouter, M, Schaardenburg, D. and Kuyk, M. (2004). “Occupational Therapy for Rheumatoid Arthritis”. The Cochrane Library, 4. doi: 10.1002/14651858. CD00 3114.pub2
  • Allaire, S, Wolfe, F, Niu, J, LaValley, M.P, Zhang, B. and Reisine, S. (2009). “Current Risk Factors for Work Disability Associated With Rheumatoid Arthritis: Recent Data from A US National Cohort”. Arthritis Care & Research, 61 (3), 321-328. doi: 10.1002/art. 24281
  • Choy, E.H. and Panayi, G.S. (2001). “Cytokine Pathways and Joint Inflammation in Rheumatoid Arthritis”. New England Journal of Medicine, 344 (12), 907-916. doi: 10.1056/NEJM200103223441207
  • Salaffi, F, Carotti, M, Gasparini, S, Intorcia, M. and Grassi, W. (2009). “The Health-Related Quality of Life in Rheumatoid Arthritis, Ankylosing Spondylitis, and Psoriatic Arthritis: A Comparison with A Selected Sample of Healthy People”. Health and Quality of Life Outcomes, 7 (1), 25. doi:10.1186/ 1477-7525-7-25
  • Kwoh, C.K, Anderson L.G, Greene J.M, Johnson, D.A, O’Dell, J.R, Robbins, M.L, Roberts, W.N, Simms, R.W. and Yood, R.A. (2002). “American College of Rheumatology Subcommittee on Rheumatoid Arthritis Guidelines”. Arthritis and Rheumatology, 46 (2), 328-346.
  • Curtis, J.R, Patkar, N, Xie, A, Martin, C, Allison, J.J, Saag, M. et al. (2007). “Risk of Serious Bacterial Infections among Rheumatoid Arthritis Patients Exposed to Tumor Necrosis Factor a Antagonists”. Arthritis and Rheumatology, 56 (4), 1125-1133. doi: 10.1002/art.22504
  • Hill, J. (2007). “Rheumatology Nurse Specialists-Do We Need Them?”. Oxford University Press, 46 (3), 379. doi: 10.1093/ rheumatology/kel431
  • Van Eijk-Hustings, Y, Van Tubergen, A, Boström, C, Braychenko, E, Buss, B. Felix, J. et al. (2011). “EULAR Recommendations for The Role of The Nurse in The Management of Chronic Inflammatory Arthritis”. Annals of The Rheumatic Diseases, 200185. doi: 10.1136/annrheumdis-2011-200185
  • Watts, R.A, Mooney, J, Barton, G, MacGregor, A.J, Shepstone, L, Irvine, L. et al. (2015). “The Outcome And Cost-Effectiveness of Nurse-Led Care in The Community for People with Rheumatoid Arthritis: A Non-Randomised Pragmatic Study”. BMJ Open, 5 (8), 76-96. doi: 10.1136/bmjopen-2015-007696
  • Tijhuis, G.J, Zwinderman, A.H, Hazes, J.M, Breedveld, F.C. and Vlieland, P. (2003). “Two‐Year Follow‐Up of A Randomized Controlled Trial of A Clinical Nurse Specialist Intervention, Inpatient, and Day Patient Team Care in Rheumatoid Arthritis”. Journal of Advanced Nursing, 41 (1), 34-43. doi: 10.1046/j.1365-2648.2003.02503.x
  • Koksvik, H.S, Hagen, K.B, Rødevand, E, Mowinckel, P, Kvien, T.K. and Zangi, H.A. (2012). “Patient Satisfaction with Nursing Consultations in A Rheumatology Outpatient Clinic: A 21-Month Randomised Controlled Trial in Patients With Inflammatory Arthritides”. Annals of The Rheumatic Diseases, 202-296. doi: 10.1136/annrheumdis-202296
  • Larsson, I, Fridlund, B, Arvidsson, B, Teleman, A. and Bergman, S. (2014). “Randomized Controlled Trial of A Nurse‐Led Rheumatology Clinic for Monitoring Biological Therapy”. Journal of Advanced Nursing, 70 (1), 164-175. doi: 10.1111/jan.12183
  • Primdahl, J, Sørensen, J, Horn, H.C, Petersen, R. and Hørslev-Petersen, K. (2012). “Shared Care Or Nursing Consultations As An Alternative to Rheumatologist Follow-Up for Rheumatoid Arthritis Outpatients With Low Disease Activity-Patient Outcomes from A 2-Year, Randomised Controlled Trial”. Annals of the Rheumatic Diseases, 202-695. doi: 10.1136/annrheum dis-2012-202695
  • Wang, J, Zou, X. ve Cong, L. and Liu, H. (2018). “Clinical Effectiveness And Cost‐Effectiveness of Nurse‐Led Care in Chinese Patients With Rheumatoid Arthritis: A randomized Trial Comparing with Rheumatologist‐Led Care”. International Journal of Nursing Practice, 24 (1), 12605. doi: 10.1111/ijn.12605
  • Wang, J, Zou, X, Zhou, L. and Liu, H. (2017). “Patient Satisfaction After Nurse-Led Care in Chinese Patients with Rheumatoid Arthritis: A China Study”. Biomedical Research, 28 (11), 4972-4978.
  • Dixon-Woods, M, Bonas, S, Booth, A, Jones, D.R, Miller, T, Sutton, A.J. et al. (2006). “How Can Systematic Reviews Incorporate Qualitative Research? A Critical Perspective”. Qualitative Research, 6 (1), 27-44. doi: 10.1177/14687941060 58867
  • Chin, W, Lam, C.L. and Lo, S. (2011). “Quality of Care of Nurse-Led and Allied Health Personnel-Led Primary Care Clinics”. Hong Kong Medical Journal, 17 (3), 217.
  • Cooper, J.M, Loeb, S.J. and Smith, C.A. (2010). “The Primary Care Nurse Practitioner And Cancer Survivorship Care”. Journal of the American Academy of Nurse Practitioners, 22 (8), 394-402. doi: 10.1111/j.1745-7599.2010.00528.x
  • Kirby, M. (2005). “Extending Nursing Roles in Diabetes to Achieve Clinical Targets”. Journal of Diabetes Nursing, 9 (6), 231-236.
  • Strömberg, A, Mårtensson, J, Fridlund, B. and Dahlström, U. (2001). “Nurse‐Led Heart Failure Clinics in Sweden”. European Journal of Heart Failure, 3 (1), 139-144. doi: 10.1016/S1388-9842(00)00099-4
  • Clark, C.E, Smith, L.F, Taylor, R.S. and Campbell, J.L. (2010). “Nurse Led Interventions to Improve Control of Blood Pressure in People with Hypertension: Systematic Review and Meta-Analysis”. BMJ, 341, c3995. doi: 10.1136/bmj. c3995
  • Lewis, R, Neal, R.D, Williams, N.H, France, B, Wilkinson, C, Hendry, M. et al. (2009). “Nurse‐led vs. Conventional Physician‐Led Follow‐Up for Patients with Cancer: Systematic Review”. Journal of Advanced Nursing, 65 (4), 706-723. doi: 10.1111/j. 1365-2648.2008.04927.x
  • Schadewaldt, V. and Schultz, T. (2011). “Nurse‐Led Clinics As An Effective Service For Cardiac Patients: Results from A Systematic Review”. International Journal of Evidence‐Based Healthcare, 9 (3), 199-214. doi: 10.1111/j.1744-1609.2011.00217.x
  • Wong, F.K.Y, Mok, M.P.H, Chan, T. and Tsang, M.W. (2005). “Nurse Follow‐Up of Patients With Diabetes: Randomized Controlled Trial”. Journal of Advanced Nursing, 50 (4), 391-402. doi: 10.1111/j.1365-2648.2005.03404.x
  • Oliver, S.M. (2011). “The Role of The Clinical Nurse Specialist in The Assessment and Management of Biologic Therapies”. Musculoskeletal Care, 9 (1), 54-62. doi: 10.1002/msc.190
  • Palmer, D. and Miedany Y.E. (2010). “Biological Nurse Specialist: Goodwill to Good Practice”. British Journal of Nursing, 19 (8), 477-448. doi: 10.12968/bjon.2010.19.8.47632
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Halil İbrahim Tuna 0000-0003-2119-5874

Özlem Örsal 0000-0002-4494-8587

Yayımlanma Tarihi 25 Mart 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 10 Sayı: 1

Kaynak Göster

APA Tuna, H. İ., & Örsal, Ö. (2021). Hemşire Liderliğinde RomatoidArtritli Hastalara Verilen Bakımın Etkinliği (Sistematik Derleme). Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 10(1), 144-152. https://doi.org/10.37989/gumussagbil.712618
AMA Tuna Hİ, Örsal Ö. Hemşire Liderliğinde RomatoidArtritli Hastalara Verilen Bakımın Etkinliği (Sistematik Derleme). Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. Mart 2021;10(1):144-152. doi:10.37989/gumussagbil.712618
Chicago Tuna, Halil İbrahim, ve Özlem Örsal. “Hemşire Liderliğinde RomatoidArtritli Hastalara Verilen Bakımın Etkinliği (Sistematik Derleme)”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 10, sy. 1 (Mart 2021): 144-52. https://doi.org/10.37989/gumussagbil.712618.
EndNote Tuna Hİ, Örsal Ö (01 Mart 2021) Hemşire Liderliğinde RomatoidArtritli Hastalara Verilen Bakımın Etkinliği (Sistematik Derleme). Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 10 1 144–152.
IEEE H. İ. Tuna ve Ö. Örsal, “Hemşire Liderliğinde RomatoidArtritli Hastalara Verilen Bakımın Etkinliği (Sistematik Derleme)”, Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 10, sy. 1, ss. 144–152, 2021, doi: 10.37989/gumussagbil.712618.
ISNAD Tuna, Halil İbrahim - Örsal, Özlem. “Hemşire Liderliğinde RomatoidArtritli Hastalara Verilen Bakımın Etkinliği (Sistematik Derleme)”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 10/1 (Mart 2021), 144-152. https://doi.org/10.37989/gumussagbil.712618.
JAMA Tuna Hİ, Örsal Ö. Hemşire Liderliğinde RomatoidArtritli Hastalara Verilen Bakımın Etkinliği (Sistematik Derleme). Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2021;10:144–152.
MLA Tuna, Halil İbrahim ve Özlem Örsal. “Hemşire Liderliğinde RomatoidArtritli Hastalara Verilen Bakımın Etkinliği (Sistematik Derleme)”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 10, sy. 1, 2021, ss. 144-52, doi:10.37989/gumussagbil.712618.
Vancouver Tuna Hİ, Örsal Ö. Hemşire Liderliğinde RomatoidArtritli Hastalara Verilen Bakımın Etkinliği (Sistematik Derleme). Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2021;10(1):144-52.
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